| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D5 | E8 | F9 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jan 14, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 14, 2026 | Health | Health Complaint, Health Standard | 9 | Potential harm | — | Open → |
| Oct 31, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Oct 31, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Mar 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 19, 2024 | Fire safety | Fire Safety Complaint | 2 | Potential harm | — | Open → |
| Aug 24, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Aug 24, 2023 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D5 | E8 | F9 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 14, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 26, 2026 | |
| Jan 14, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 17, 2026 | |
| Jan 14, 2026 | F-0554 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Matisyohu Herzka | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | Nov 15, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Matisyohu Herzka | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | Nov 15, 2018 |
| Matisyohu Herzka | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2019 |
| Moshe Rosenblatt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2019 |
| Abraham Schreiber | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2019 |
| Tammy Jo Palmersheim | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Mar 4, 2019 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Adept Nursing & Rehab of South Sioux City 3501 Dakota Avenue, South Sioux City, NE 68776 CCN 285076 | 0.8 km | 72 | Mar 18, 2026 | 401 IJ | $34k | |
| St Luke's Regional Medical Center SNF 801 Fifth Street, Sioux City, IA 51102 CCN 165620 | 4 km | 20 | Jul 17, 2025 | 3 | — | |
| Sunrise Retirement Community 5501 Gordon Drive East, Sioux City, IA 51106 CCN 165473 | 5.8 km | 74 | Sep 11, 2025 | 21 | — | |
| Casa De Paz Health Care Center 2121 West 19th Street, Sioux City, IA 51103 CCN 165174 | 6.3 km | 71 | Jul 14, 2026 | 45 | — | |
| Holy Spirit Retirement Home 1701 West 25th Street, Sioux City, IA 51103 CCN 165266 | 6.7 km | 78 | Apr 30, 2026 | 45 | — | |
| Westwood Specialty Care 4201 Fieldcrest Drive, Sioux City, IA 51104 CCN 165271 | 7 km | 85 | Apr 29, 2026 | 892 harm | $176k | |
| Embassy Rehab and Care Center 206 Port Neal Road, Sergeant Bluff, IA 51054 CCN 165145Abuse icon | 8 km | 60 | May 21, 2026 | 40 | — | |
| Pioneer Valley Living and Rehab 400 Sergeant Square Drive, Sergeant Bluff, IA 51054 CCN 165615 | 8 km | 66 | Mar 3, 2026 | 593 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 285082 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 285082 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| D · Potential harm Isolated |
| Corrected Feb 17, 2026 |
| Jan 14, 2026 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 10, 2026 | Complaint |
| Jan 14, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 17, 2026 |
| Jan 14, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 17, 2026 |
| Jan 14, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 17, 2026 | Complaint |
| Jan 14, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 17, 2026 |
| Jan 14, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 17, 2026 |
| Jan 14, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 17, 2026 |
| Oct 31, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 19, 2024 |
| Oct 31, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 24, 2024 |
| Oct 31, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Nov 24, 2024 |
| Oct 31, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Nov 24, 2024 |
| Mar 19, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 20, 2024 | Complaint |
| Jan 19, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 19, 2024 | Complaint |
| Jan 19, 2024 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 20, 2024 | Complaint |
| Aug 24, 2023 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 1, 2023 |
| Aug 24, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 1, 2023 |
| Aug 24, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 31, 2023 |
| Aug 24, 2023 | K-0922 | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 1, 2023 |
| Aug 24, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 26, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.33 (case-mix index 1.42).