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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D13 | E14 | F5 |
| 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 | |
|---|---|---|---|---|---|---|
| Jul 23, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jul 30, 2025 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Jul 30, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Apr 28, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 13, 2025 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jun 19, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jun 19, 2024 | Health | Health Standard | 3 | Actual harm | — | Open → |
| Feb 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 23, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Mar 23, 2023 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 13, 2025 | Civil money penalty (fine) | $149,380 | — | 525525|Fine|134230 |
| Jun 19, 2024 | Denial of payment for new admissions | — | Jul 18, 2024 · 22 days | 525525|Payment Denial|2024-07-18 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D13 | E14 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 23, 2026 | 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 Aug 26, 2026 | Complaint |
| Jul 23, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 26, 2026 | Complaint |
“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 |
|---|---|---|---|---|---|
| Community Health Services Corporation | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2004 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Community Health Services Corporation | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2004 |
| Mark Grunwald | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 1, 2015 |
| Community Health Services Corporation | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2008 |
| Prairie Nursing Facility LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2008 |
| Sierra Ackerman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Great River Care Center 1400 West Main, Mc Gregor, IA 52157 CCN 165301 | 5.4 km | 39 | Dec 2, 2025 | 61 IJ | $8,281 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 525525 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 525525 | 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
| Jul 23, 2026 | F-0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 26, 2026 | Complaint |
| Jul 23, 2026 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 26, 2026 | Complaint |
| Jul 30, 2025 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 22, 2025 |
| Jul 30, 2025 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 11, 2025 |
| Jul 30, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 22, 2025 |
| Jul 30, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 22, 2025 |
| Jul 30, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 22, 2025 |
| Jul 30, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 22, 2025 |
| Jul 30, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2025 |
| Jul 30, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 17, 2025 |
| Jul 30, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 29, 2025 |
| Jul 30, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 22, 2025 |
| Jul 30, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 22, 2025 |
| Jul 30, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 22, 2025 |
| Apr 28, 2025 | 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 | E · Potential harm Pattern | Corrected May 5, 2025 | Complaint |
| Apr 28, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 5, 2025 | Complaint |
| Mar 13, 2025 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Mar 14, 2025 | Complaint |
| Mar 13, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 31, 2025 | Complaint |
| Jun 19, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 9, 2024 |
| Jun 19, 2024 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 15, 2024 |
| Jun 19, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 15, 2024 |
| Jun 19, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 15, 2024 |
| Jun 19, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 15, 2024 |
| Jun 19, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 15, 2024 |
| Jun 19, 2024 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 15, 2024 |
| Jun 19, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 22, 2024 |
| Feb 2, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 2, 2024 | Complaint |
| Mar 23, 2023 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 23, 2023 |
| Mar 23, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2023 |
| Mar 23, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 28, 2023 |
| Mar 23, 2023 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| Mar 23, 2023 | 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 31, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.60 (case-mix index 1.31).
| not provided |
| Oct 16, 2023 |
| Deborah Mara | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 15, 2020 |
| Rita Moore | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 18, 2024 |
| Jane Baker | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 28, 2024 |
| Joseph Friar | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2021 |
| Marsha Konichek | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2019 |
| Illene Olson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 1, 2018 |
| Lynn Schreck | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2018 |
| Cierra Snitker | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 11, 2023 |
| Jane Baker | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Aug 28, 2024 |
| Joseph Friar | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Oct 1, 2021 |
| Mark Grunwald | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Nov 1, 2015 |
| Marsha Konichek | Individual | Trustee | TRUSTEE OF THE SNF | not provided | May 1, 2019 |
| Illene Olson | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Nov 1, 2018 |
| Lynn Schreck | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Mar 1, 2018 |
| Community Health Services Corporation | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2008 |
| Prairie Nursing Facility LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 11, 2025 |
| Sierra Ackerman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 16, 2023 |
| Deborah Mara | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2020 |
| Rita Moore | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 18, 2024 |
| Cierra Snitker | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 15, 2019 |