1743 South Eighth Avenue East, Newton, IA 50208 · Jasper County · (641) 792-5680
54 certified beds, about 49 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2000
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165421 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 18, 2026, inspectors cited 9 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 39 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $19,744 in the last three years; the largest was $19,744, and the latest is dated February 19, 2025.
Nurses and nurse aides worked 3.14 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.27 of those hours.
38.2% 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 39 health citations on file.
Inspectors wroteBased on facility record review and staff interviews, the facility failed to ensure daily Registered Nurse (RN) coverage for 2 separate days within a 30-day schedule review. The facility reported a census of 52.
Inspectors wroteBased on observation, staff interview, facility document review, and facility policy reivew, the facility failed to ensure temperatures were checked regularly for food to be served, refrigerator and freezer food storage, and dishwasher sanitation when temperature logs lacked documentation during 2 of 2 kitchen observations. The facility additionally failed to regularly test chemical solution to ensure sanitation of surfaces during 2 of 2 kitchen observations. The facility further failed to prevent cross contamination when raw beef thawed on a tray placed on top of a container with ready to eat ham and cheese sandwiches during 1 of 2 kitchen observations. The facility reported a census of 52 resident.
Inspectors wroteBased on clinical record review, observation, staff interviews, and policy review, the facility failed to implement Enhanced Barrier Precautions (EBP) for 3 of 3 residents reviewed for EBP (Residents #7, #40 and #47), failed to properly handle, transport and process linens properly for 2 residents in Transmission Based Precautions (Residents #4 and #56), and failed to change out a resident's urinal in a timely manner (Resident #10). The facility reported a census of 52.
Inspectors wroteBased on employee file review, staff interview, and policy review, the facility failed to ensure the completion of dependent adult abuse training for 1 of 5 employees reviewed (Staff K, Certified Nurse's Aide [CNA]). The facility reported a census of 52.
Inspectors wroteBased on electronic heath record (EHR) review, observation, resident interview, staff interview, and policy review, the facility failed to consistently complete smoking assessments for 1 of 1 residents reviewed for smoking (Resident #22). The facility reported a census of 52.
Inspectors wroteBased on electronic health record (EHR) review, observations, resident interview, staff interviews, and policy review, the facility failed to update the Care Plans for 2 of 17 Care Plans reviewed (R#22 for vaping, and R#36 for driving). The facility reported a census of 52.
Inspectors wroteBased on clinical record review, observation, and staff interviews, the facility failed to perform wound care as the physician ordered for 1 of 1 resident (Resident #40) reviewed for wound care.
Inspectors wroteBased on observation, resident interview, staff interviews, and electronic health record (EHR), and policy review, the facility failed to identify, evaluate and analyze hazard(s) and risk(s) to prevent potential avoidable accidents for 1 of 1 reviewed, (Resident#36). In addition, the facility failed to assess if the Resident was safe to drive a vehicle on his own. The facility reported a census of 52.
Inspectors wroteBased on clinical record review, observation, and staff interview, the facility failed to initiate adequate interventions to prevent significant weight loss for 1 of 1 resident (Resident #12) reviewed for nutrition.
Inspectors wroteBased on observation, clinical record review, the facility's meal schedule, staff and resident interviews, the facility failed to serve 2 of 2 meals observed in a timely manner according to the facility dining schedule. The facility reported a census of 54 residents.
Inspectors wroteBased on clinical record review, policy review, staff, and resident interviews, the facility failed to report an allegation of missing money for 1 of 3 residents reviewed (Resident #6) for abuse. The facility reported a census of 54 residents.
Inspectors wroteBased on clinical record review, resident and staff interviews, the facility failed to ensure residents received showers and/or baths at least once a week for 1 of 3 residents reviewed for bathing (Resident #5). The facility reported a census of 54 residents.
Inspectors wroteBased on observation, interview, clinical record review, and facility policy review, the facility failed to ensure the safety of 5 residents in a designated smoking area when on 2/10/25 at 1:15 PM, Resident #32, with a portable oxygen tank, kept in a bag on the back of his wheelchair, smoked alongside other residents while staff were providing supervision. Per interview with Resident#32 he reported that since November 2024 he had been on oxygen, and sometimes he had the oxygen tank on his wheelchair during smoke breaks. The facility reported 9 residents who smoke or vape. Facility additionally failed to ensure foot pedals had been in place on a wheelchair before transporting Resident #25 from dining room to resident room. This failure resulted in Immediate Jeopardy to the health, safety, and security of the resident. The facility reported a census of 48 residents. [...]
Inspectors wroteBased on staff interviews, employee job description and policy , the facility failed to ensure adequate, trained, dietary staff for a clean kitchen environment. The dietary manager did not meet the regulated educational qualifications, the kitchen lacked appropriate sanitary conditions (photos available). The facility reported a census of 48 residents.
Inspectors wroteBased on observations, resident and staff interviews, the facility failed to provide food that was palatable and at an appetizing temperature for 5 out of 5 residents reviewed (Res #8, #13, #17, #35, & #43). The facility reported a census of 48 residents. Finds include: 1. The Quarterly Minimum Data Set (MDS) dated [DATE] Resident #13 revealed the Brief Interview for Mental Status (BIMS) was 15 which indicated an intact cognition. During an interview on 2/10/25 at 12:07 PM Resident #13 stated that the lunch food that was to be served at noon came at 1:30 PM and her lettuce in the chef salad was wilted. Resident #13 stated the breakfast food was cold all of the time. 2. The MDS dated [DATE] Resident #17 revealed the BIMS was 15 which suggested an intact cognition. [...]
Inspectors wroteBased on observations, food provider documents and staff interviews, the facility failed to prepare food to meet the needs for 8 of 8 residents who required the meal to be mechanical soft (Residents #27, #32, #11, #26, #15, #9, #2, #29). The facility reported a census of 48 residents.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to maintain a clean sanitary environment in the kitchen and failed to store food in accordance with professional standards for food service safety included food not covered. The facility reported a census of 48.
Inspectors wroteBased on observation, staff interview and facility assessment review the facility failed to maintain essential equipment available to be used in safe operating conditions. A washing machine noted out of order, debris behind the washers related to water backing up, a dryer did not automatically cool down or shut off. The facility had reported a census of 48.
Inspectors wroteBased on observations, staff interviews and commercial pest control documents, the facility failed to maintain an effective pest control program so that the facility would be free of pests. The facility also failed to follow through with recommendations provided by the commercial pest control to prevent pest entry and clean and proper disposal of food waste in the kitchen. The facility reported a census of 48 residents.
Inspectors wroteBased on observations, clinical record review and staff interviews the facility failed to assure services were provided to meet acceptable standard of practice during medication administration for 2 out of 5 residents (Residents #5 and #47). The facility reported a census of 48 residents.
Inspectors wroteBased on observations, clinical record review, and staff interviews, the facility failed to follow the rehabilitation directives and the rehabilitation staff failed to provide restorative care for a resident (#35) in need of their services. The facility reported a census of 48 residents.
Inspectors wroteBased on interview, clinical record review, and facility policy review, the facility failed to ensure Provider notification and timely response to Pharmacy recommendations for 2 of 5 residents (Resident #29 and #36) reviewed for unnecessary medications. The facility reported a census of 48 residents.
Inspectors wroteBased on facility record review and staff interviews, the facility failed to have an effective Quality Assurance and Performance Improvement (QAPI) program in place to assist in the provision of quality care for residents. The facility identified a census of 48 residents.
Inspectors wroteBased on observations, resident and staff interviews, the facility failed to maintain safe, clean, sanitary and orderly bathroom facilities for 5 of 8 resident bathroom facilities reviewed. (Resident #2, #3, #4, #6, #7) The facility reported census was 52.
Inspectors wroteBased on observations, resident and staff interviews, the facility failed to maintain an environment in good and orderly condition for for 5 of 8 resident rooms reviewed (Residents #1, #2, #3, #5, #7). The facility reported census was 52.
Inspectors wroteBased on observation, staff interview and policy review, the facility failed to promote care for residents in a manner and environment that maintains each resident's dignity and right to be served and provided meals in a timely manner and in accordance with the facility's dining schedule. The facility reported a census of 52 residents.
Inspectors wroteBased on observations, faciliity document review, and staff interviews, the facility failed to maintain a safe, clean, and homelike environment due to holes multiple walls, uneven hallway flooring, collapsing soffits throughout the exterior of the building, and strong odor in the central family room. The facility reported a census of 52 residents.
Inspectors wroteBased on observations, staff interviews and policy review, the facility failed to provide a sanitary environment to help prevent the development and transmission of communicable diseases and infections. The facility reported a census of 52 residents.
Inspectors wroteBased on clinical record review, observations, resident interview and staff interviews, the facility failed to accommodate residents needs with assurance of accessibility to call lights within resident's reach and provision of appropriate and adaptive equipment for 1 of 3 residents reviewed (Resident #6). The facility reported a census of 52 residents.
Inspectors wroteBased on clinical record review, resident interview and staff interview, the facility failed to keep accurate advance directives per a residents wishes for 1 of 3 residents sampled (Resident #21). The facility reported a census of 52.
Inspectors wroteBased on clinical record review, family interview and staff interview, the facility failed to notify the resident and resident representative in writing of the discharge as soon as practical for 1 of 1 residents (Resident #51) who were sampled for closed record review for facility initiated discharge. The facility also failed to notify the Long Term Care Ombudsman for 1 of 1 residents who transferred to the hospital (Resident #6). The facility reported a census of 52 residents.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to notify the resident's representative of the facility policy for bed hold, including reserve bed payment, for 1 of 1 residents (Resident #6) who were reviewed for hospitalization. The facility reported a census of 52 residents.
Inspectors wroteBased on clinical record review, facility document review, and staff interviews the facility failed to re-submit a Pre-admission Screening and Resident Review (PASRR) with new psychiatric diagnosis for 2 of 2 residents (Resident #6 and #12) reviewed for PASRR requirements. The facility additionally failed to follow PASRR recommended specialized services as care planned (Resident #12) and further failed to care plan PASRR recommended services (Resident #6). The facility reported a census of 52 residents.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to fully review and revise the comprehensive care plan for 1 of 3 residents (Resident #27) who were sampled for care plan review related to catheter care. The facility reported a census of 52.
Inspectors wroteBased on observation, staff interviews, clinical record review, and facility document review, the facility failed to administer insulin as ordered and further failed to administer the correct dose of an antipsychotic medication for 1 of 6 residents (Resident #16) reviewed for medication administration. The facility reported a census of 52 residents.
Inspectors wroteBased on observations, clinical record review, staff and family interviews, the facility failed to provide adequate oral care for 3 of 5 residents reviewed (Resident #9, #25 and #29) who needed assistance with oral hygiene as directed in their respective individual plans of care. The facility additionally failed to provide daily assistance with dressing and grooming (Resident #5) and twice weekly bathing (Resident #22) for 2 of 8 residents reviewed for activities of daily living. The facility reported a census of 52 residents.
Inspectors wroteBased on clinical record review, staff and resident interviews, and facility policy review, the facility failed to report an allegation of abuse within 24 hours of the event. (Resident #1) The facility reported census was 49.
Inspectors wroteBased on clinical record review, staff and resident interviews, and facility policy review, the facility failed to prevent further potential of abuse by not separating the alleged perpetrator from the alleged victim. (Resident #1) The facility reported census was 49.
Inspectors wroteBased on clinical record review and staff interview the facility failed to properly dispense controlled medications in accordance with professional standards of practice. (Resident #2) The facility reported census was 49.
26 fire safety citations on file: 16 on February 18, 2026, 7 on February 19, 2025, 3 on March 19, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| February 19, 2025 | Fine | $19,744 |
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) | 3.14 | 3.82 | 3.86 |
| Registered nurses | 0.27 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.61 | 3.37 | 3.42 |
| Nurse aides | 2.12 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 38.2% | 44.0% | 45.8% |
| Registered nurse turnover | 33.3% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.07 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 3.35 on weekdays and 2.61 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.99 in April to June 2025 to 3.14 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 | 3.14 | 0.27 | 3.35 | 2.61 | 2.2% | 9 of 90 | 49 |
| Oct to Dec 2025 | 3.20 | 0.53 | 3.43 | 2.61 | 11.9% | 1 of 92 | 50 |
| Jul to Sep 2025 | 2.88 | 0.54 | 3.09 | 2.32 | 4.7% | 0 of 92 | 54 |
| Apr to Jun 2025 | 2.99 | 0.64 | 3.23 | 2.41 | 0.0% | 0 of 91 | 53 |
| 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 | 24.6 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.5 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 3.8 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.8 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.4 | 19.4 | 15.4 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Accura Healthcare of Newton East, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
42.3% 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. 26 eligible stays.
10.8% 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. 29 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. 19 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.
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. 5 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: 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. 5 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: 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. 5 residents counted.
Not reported
CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this 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.
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: NEWTON 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 |
|---|---|---|---|---|
| Leneave, Thomas | 5% or greater indirect ownership interest | Individual | 01/01/2016 | |
| Conner, Robert | W-2 managing employee | Individual | 01/01/2024 | |
| Elliott, Corey | W-2 managing employee | Individual | 01/01/2023 | |
| Toti, Lisa | W-2 managing employee | Individual | 01/01/2019 | |
| Toti, Lisa | Corporate director | Individual | 01/01/2019 | |
| Leneave, Ted | Corporate officer | Individual | 01/01/2016 | |
| Leneave, Thomas | Corporate officer | Individual | 01/01/2016 | |
| American Healthcare Management Services LLC | Operational/managerial control | Organization | 01/01/2003 |
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.