Algona Manor Care Center
2221 East McGregor Street, Algona, IA 50511 · Kossuth County · (515) 295-3505
46 certified beds, about 35 residents a day · For profit - Corporation · Medicare and Medicaid since 2003
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165504 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 23, 2026, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).
None of its 12 health citations since September 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.62 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
33.3% of nursing staff left within the year CMS measured (Iowa average 44.0%).
Health inspections
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.
109/23
104/24
608/24
110/24
206/25
107/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
3E
0F
Potential for minimal harm
0A
0B
1C
July 23, 2026Standard inspection · 1 citation
- D Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on resident and family interviews, Resident Council minutes and a call light audit provided by the facility, the facility failed to timely answer the call lights for 1 of 2 residents reviewed (Resident #20). The call light audit dated 6/2/26 revealed that Resident #20 waited 35 minutes for a morning call light to be answered and 19 minutes for an afternoon call light to be answered. The facility reported a census of 40 Residents.
June 12, 2025Standard inspection · 2 citations
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review, staff interview and policy review the facility failed to complete a background check for 1 of 6 current employees reviewed (Staff A, Certified Nurse Aide) (CNA). The facility reported a census of 30 residents.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to complete a new Preadmission Screening and Resident Review (PASRR) for Level I on 2/27/25 for Resident #27. The facility reported a census of 30 residents.
October 8, 2024Complaint inspection · 1 citation
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, clinical record review, staff interview and a nursing assistant checklist form the facility failed to provide appropriate perineal cares for 1 of 3 residents reviewed, (Res #1). The facility reported a census of 31 residents.
August 8, 2024Standard inspection · 6 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews and policy review, the facility failed to store food items according to professional standards and ensure food items were labeled with dates after opening. The facility identified a census of 35 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, staff interviews, and policy review the facility failed to revise a Care Plan for 1 of 13 residents reviewed (Resident #21) for prophylactic antibiotic therapy. The facility reported a census of 35.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interviews, the facility failed to provide assessment and interventions necessary for the care and services, to maintain the residents' highest practical physical well- being for 1 of 3 resident reviewed (Resident #13) for antibiotic therapy. The facility failed to monitor and complete urinary assessments/interventions for a resident who was diagnosed with a urinary tract infection. The facility reported a census of 35 residents.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, record review, staff interviews and facility policy the facility failed to properly prevent a stage 1 pressure ulcer consistent with professional standards of practice for 1 of 2 residents reviewed (Resident #26). The facility reported a census of 35 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, clinical record review, staff interviews, and policy review, the facility failed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections. The facility failed to follow hand hygiene and gloving practices consistent with accepted standards of practice for 1 of 2 residents reviewed (Residents #1). The facility reported a census of 35 residents.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on review of facility policy, staff interview and record review the facility failed to follow an antibiotic stewardship program that included antibiotic use protocols and a system to monitor antibiotic use for 1 resident (Resident #26). The facility reported a census of 35 residents.
April 9, 2024Complaint inspection · 1 citation
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, resident interview, staff interview, Resident Council Minutes and facility policy review the facility failed to answer resident call lights within the allotted professional standards of 15 minutes for 1 of 3 residents reviewed. (Resident #3) The facility identified a census of 32 residents.
September 28, 2023Complaint inspection · 1 citation
- C Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on staff interviews the facility failed to have a qualified professional serve as the Dietary Manager for the facility. The facility reported a census of 36 residents.
Fire safety inspections
12 fire safety citations on file: 1 on July 23, 2026, 5 on June 12, 2025, 6 on August 8, 2024.
Every fire safety citation12 citations
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Install corridor and hallway doors that block smoke.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure proper usage of power strips and extension cords.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Meet requirements for the use and maintenance of medical gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 3.62 | 3.82 | 3.86 |
| Registered nurses | 0.44 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.34 | 3.37 | 3.42 |
| Nurse aides | 2.64 | ||
| Licensed practical nurses | 0.54 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 44.0% | 45.8% |
| Registered nurse turnover | 62.5% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.38 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 3.73 on weekdays and 3.34 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.32 in April to June 2025 to 3.62 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 | 3.62 | 0.44 | 3.73 | 3.34 | 0.0% | 0 of 90 | 35 |
| Oct to Dec 2025 | 4.25 | 0.62 | 4.39 | 3.92 | 0.0% | 0 of 92 | 29 |
| Jul to Sep 2025 | 4.11 | 0.56 | 4.29 | 3.65 | 0.3% | 0 of 92 | 29 |
| Apr to Jun 2025 | 4.32 | 0.72 | 4.54 | 3.78 | 0.0% | 0 of 91 | 28 |
| 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.
Quality measures
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 | 16.7 | 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 | 3.7 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.5 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.8 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.1 | 1.8 |
Owners and operators
Legal business name: ALGONA MANOR CARE CENTER, INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Thomas F Juckette Marital Trust | 5% or greater direct ownership interest | Organization | 100% | 11/01/2014 |
| Juckette, Linda | Corporate officer | Individual | 11/01/2014 | |
| Capstone Management LLC | Operational/managerial control | Organization | 11/01/2014 | |
| Frideres, Angela | Operational/managerial control | Individual | 10/16/2006 | |
| Frideres, Sawyer | Operational/managerial control | Individual | 01/30/2024 | |
| Irvin, Vicki | Operational/managerial control | Individual | 11/01/2014 | |
| Juckette, Linda | Operational/managerial control | Individual | 11/01/2014 | |
| Knecht, Amanda | Operational/managerial control | Individual | 10/10/2007 | |
| Leider, John | Operational/managerial control | Individual | 07/19/2018 | |
| Miller, Mary | Operational/managerial control | Individual | 03/21/1994 | |
| Reffer, Holly | Operational/managerial control | Individual | 07/15/2020 | |
| Schantzen, John | Operational/managerial control | Individual | 04/20/2022 | |
| Juckette, Linda | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/24/2025 | |
| Lodden, Telford | Trustee of the SNF | Individual | 11/01/2014 | |
| Bcg Holdings Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Brighton Consulting Group LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Capstone Management LLC | Adp of the SNF | Organization | 11/01/2014 | |
| Cattail Bcg LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cattail Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Coppage LTC Pharmacy Consulting Plc | Adp of the SNF | Organization | 07/20/2022 | |
| Creative Planning Hold Co LLC | Adp of the SNF | Organization | 08/01/2024 | |
| Ecsi Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Integrated Health Systems Intermediate, LLC | Adp of the SNF | Organization | 08/25/2015 | |
| Iowa Health Care Association | Adp of the SNF | Organization | 10/01/2024 | |
| Millennium Rehab & Consulting Inc | Adp of the SNF | Organization | 06/30/2023 | |
| Thomas F Juckette Marital Trust | Adp of the SNF | Organization | 11/01/2014 | |
| Traverse Point Panthers | Adp of the SNF | Organization | 08/25/2015 | |
| Erickson-Welter, Shawn | Adp of the SNF | Individual | 05/31/2018 | |
| Frideres, Angela | Adp of the SNF | Individual | 10/24/2025 | |
| Schantzen, John | Adp of the SNF | Individual | 10/21/2025 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on October 8, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on July 23, 2026: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on June 12, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 8, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.34 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Good Samaritan - Algona Algona, 1.6 mi · 3 of 5 stars · 27 citations
- West Bend Health and Rehabilitation West Bend, 14.3 mi · 5 of 5 stars · 18 citations
- Titonka Care Center Titonka, 14.3 mi · 5 of 5 stars · 9 citations
- Accura Healthcare of Bancroft Bancroft, 15.6 mi · 5 of 5 stars · 5 citations
- Westview Care Center Britt, 20.1 mi · 5 of 5 stars · 0 citations
- Kanawha Community Home, Inc. Kanawha, 22.8 mi · 5 of 5 stars · 3 citations
- Humboldt County Memorial Hospital Humboldt, 23.1 mi · 5 of 5 stars · 7 citations
- Emmetsburg Care Center Emmetsburg, 24 mi · 1 of 5 stars · 22 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Algona Manor Care Center's Medicare star rating?
- CMS rates Algona Manor Care Center 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Algona Manor Care Center get at its last inspection?
- 1 health deficiency at the standard inspection on July 23, 2026. The Iowa average is 6.5.
- Has Algona Manor Care Center been fined?
- CMS lists no fines in the last three years.
- Does Algona Manor Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Algona Manor Care Center?
- CMS lists 30 owners and managers. Legal business name: ALGONA MANOR CARE CENTER, INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.