921 Riverview Drive, Cherokee, IA 51012 · Cherokee County · (712) 225-5724
44 certified beds, about 38 residents a day · For profit - Corporation · Medicare and Medicaid since 2000
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165425 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 8, 2026, inspectors cited 3 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 11 health citations since July 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $8,021 in the last three years; the largest was $8,021, and the latest is dated December 17, 2024.
Nurses and nurse aides worked 3.69 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
42.9% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Accura Healthcare, an affiliated group of 41 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Inspectors wroteBased on observations, resident and staff interviews and policy review the facility failed to ensure proper temperatures for foods served to residents. The facility reported a census of 39 residents.
Inspectors wroteBased on observations, staff interviews and policy review the facility failed to treat residents in a kind and respectful manner ensuring the resident's rights were met for 4 of 8 residents reviewed (#3, #8, #10 and #12). The facility reported a census of 39 residents.
Inspectors wroteBased on observation, infection control policy, and staff interview, the facility failed to use universal infection control policies with all residents during meal service for 3 of 8 residents reviewed (Residents #8, #10 and #12). The facility reported a census of 39 residents.
Inspectors wroteBased on clinical record review, resident interviews, family interviews, staff interviews, and policy review the facility staff failed to interact with residents in a kind and considerate manner during cares for 2 of 5 residents (Resident #1, and #5) reviewed. The facility reported a census of 33 residents.
Inspectors wroteBased on clinical record review, staff interviews and facility policy review, the facility failed to ensure residents with impaired cognition were unable to exit the facility unattended for 1 of 4 residents reviewed for elopement (Resident # 1). This failure resulted in the resident leaving the facility without staff knowledge and therefore causing an Immediate Jeopardy to the health, safety, and security of the residents. The facility failed to ensure residents needing a mechanical lift were provided safe and appropriate transfers to prevent injuries for 4 of 4 residents reviewed (Resident # 2, #5, #6 & #7). The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of October 17, 2024 on December 17, 2024 at 9:17 a.m The Facility Staff removed the Immediate Jeopardy on October 17, 2024 through the following actions: a. [...]
Inspectors wroteBased on observation, infection control policy and staff interview, the facility failed to initiate a legionella water program for the facility. The facility reported a total census of 34 residents.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to refer a resident with a negative Level I result for the Preadmission Screening and Resident Review (PASRR), who was later identified with newly evident or possible serious mental disorder, intellectual disability, or other related condition, to the appropriate state-designated authority for Level II PASRR evaluation and determination for 2 out of 2 residents (Resident #6 and #14) reviewed for PASRR requirements. The facility reported a census of 34 residents.
Inspectors wroteBased on record review, resident and staff interviews and facility policy review the facility failed to provide physician ordered leg wraps for edema for 1 of 1 resident reviewed, (Resident #21). The facility reported a census of 34 residents.
Inspectors wroteBased on observation and staff interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. The facility reported a census of 36 residents.
Inspectors wroteBased on observation, facility record review, resident and staff interview, the facility failed to review and revise the plan of care for 2 of 14 residents reviewed (Residents #13 & #30). The facility reported a census of 36 residents.
Inspectors wroteBased on observations, staff interviews, Centers for Disease Control and Prevention (CDC), and policy review, the facility failed to follow the standards of care for providing proper care of 1 of 1 residents reviewed (Resident #13) with Clostridioides difficile (C.diff). The facility reported a census of 36 residents.
30 fire safety citations on file: 2 on January 8, 2026, 23 on October 10, 2024, 5 on July 13, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| December 17, 2024 | Fine | $8,021 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.69 | 3.82 | 3.86 |
| Registered nurses | 0.60 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.31 | 3.37 | 3.42 |
| Nurse aides | 2.28 | ||
| Licensed practical nurses | 0.81 | ||
| Nursing staff turnover (share who left in a year) | 42.9% | 44.0% | 45.8% |
| Registered nurse turnover | 20.0% | 42.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.33 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.85 on weekdays and 3.31 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.34 in April to June 2025 to 3.69 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.69 | 0.60 | 3.85 | 3.31 | 0.4% | 0 of 90 | 38 |
| Oct to Dec 2025 | 4.40 | 0.67 | 4.55 | 4.01 | 0.0% | 0 of 92 | 34 |
| Jul to Sep 2025 | 4.48 | 0.68 | 4.59 | 4.19 | 5.2% | 0 of 92 | 36 |
| Apr to Jun 2025 | 4.34 | 0.65 | 4.52 | 3.90 | 5.5% | 2 of 91 | 36 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.8 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.9 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.2 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 39.1 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Accura Healthcare of Cherokee, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
52.9% this home
No different from the national rate
US median of homes 51.5% · Iowa: 28 better, 21 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 34 eligible stays.
10.4% this home
No different from the national rate
US median of homes 10.7% · Iowa: 1 better, 1 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 42 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Iowa: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 23 eligible stays.
59.1% this home
Median of homes: Iowa56.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 22 residents counted.
0.0% this home
Median of homes: Iowa0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 28 residents counted.
5.4% this home
Median of homes: Iowa1.8% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 28 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 12 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: CHEROKEE CARE LLC. CMS links this home to Accura Healthcare, a group of 41 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Accura Healthcare | Indirect ownership interest | Organization | 01/01/2016 | |
| Ph Pomeroy LLC | 5% or greater mortgage interest | Organization | 06/13/2025 | |
| Gemino Healthcare Finance LLC | 5% or greater security interest | Organization | 01/09/2025 | |
| Leneave, Ted | Corporate officer | Individual | 01/01/2016 | |
| Toti, Lisa | Corporate officer | Individual | 01/01/2016 | |
| American Healthcare Management Services LLC | Operational/managerial control | Organization | 01/01/2016 | |
| Cherokee Care LLC | Operational/managerial control | Organization | 01/01/2016 | |
| Dewitt, Samantha | Operational/managerial control | Individual | 07/22/2024 | |
| Vandelune, Christopher | Operational/managerial control | Individual | 04/01/2024 | |
| American Healthcare Management Services LLC | Adp of the SNF | Organization | 11/13/2025 | |
| Cherokee Care LLC | Adp of the SNF | Organization | 11/13/2025 | |
| Ph Pomeroy LLC | Adp of the SNF | Organization | 06/13/2025 | |
| Dewitt, Samantha | Adp of the SNF | Individual | 07/22/2024 | |
| Leneave, Ted | Adp of the SNF | Individual | 01/01/2016 | |
| Toti, Lisa | Adp of the SNF | Individual | 01/01/2016 | |
| Vandelune, Christopher | Adp of the SNF | Individual | 04/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.