Anamosa Care Center
1209 East Third Street, Anamosa, IA 52205 · Jones County · (319) 462-4356
64 certified beds, about 54 residents a day · For profit - Corporation · Medicare and Medicaid since 1998
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 165375 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 12, 2025, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 8 health citations since June 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.27 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.
50.9% 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.
106/23
103/24
407/24
206/25
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 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
5D
2E
0F
Potential for minimal harm
0A
0B
0C
June 12, 2025Standard inspection · 2 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, staff and family interviews, and facility policy review the facility failed to treat 1 out of 1 residents reviewed with dignity telling them to be incontinent in the bed after they asked to use the restroom (Resident #47). The facility reported a census of 55 residents.
- 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 observations, staff and family interviews, and facility policy review the facility failed to provide staff assistance in a timely manor for 2 out of 2 residents reviewed (Residents #32 and #47). The facility reported a census of 55 residents.
July 25, 2024Standard inspection, Complaint inspection · 4 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, facility incident investigation review, policy review, and staff interviews, the facility failed to assess a resident after spilling hot thickened coffee during meal service which resulted in a second degree burn (tissue damage to the top and middle layers of skin in which blisters can develop). She required antibiotics and treatments at the wound care clinic for injury 1 of 1 residents reviewed (Resident #14). The facility reported a census of 60 residents.
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on personnel record review and staff interviews, the facility failed to do an annual performance evaluation for 5 of 5 employees reviewed (Staff B, Staff C, Staff D, Staff E, and Staff F). The facility identified a census of 60 residents.
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observations, pest control receipt review, resident interview, staff interviews, and policy review the facility failed to maintain an effective pest control program in the facility. The facility reported a census of 60 residents.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interviews, and policy review the facility failed to maintain sanitary conditions for 1 of 1 residents when staff used their bare hand to clean the top of a pepper shaker before putting the pepper on a resident's food (Residents #58). The facility reported a census of 60 residents.
March 21, 2024Complaint inspection · 1 citation
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review, staff interview and facility policy review the facility failed to process a complete background check as required by the state of Iowa for 1 out of 1 record reviewed (Staff A, Certified Nurse Aide). The facility reported a census of 59 residents.
June 15, 2023Standard inspection · 1 citation
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, staff interview and the Resident Instrument Assessment (RAI) manual the facility failed to accurately code anticoagulant use on the Minimum Data Set (MDS) assessment for three of four residents reviewed (Resident #14, #38, and #49) for MDS accuracy. The facility reported a census of 54 residents.
Fire safety inspections
20 fire safety citations on file: 3 on June 12, 2025, 1 on January 6, 2025, 6 on July 25, 2024, 10 on June 15, 2023.
Every fire safety citation20 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure proper usage of power strips and extension cords.
- F Use approved construction type or materials.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct risk assessment and an All-Hazards approach.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Install corridor and hallway doors that block smoke.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Provide emergency officials' contact information.
- F Use approved construction type or materials.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have approved installation, maintenance and testing program for fire alarm systems.
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) | 3.27 | 3.82 | 3.86 |
| Registered nurses | 0.72 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.71 | 3.37 | 3.42 |
| Nurse aides | 2.22 | ||
| Licensed practical nurses | 0.33 | ||
| Nursing staff turnover (share who left in a year) | 50.9% | 44.0% | 45.8% |
| Registered nurse turnover | 33.3% | 42.1% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.27 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 3.49 on weekdays and 2.71 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.46 in April to June 2025 to 3.27 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 | 3.27 | 0.72 | 3.49 | 2.71 | 8.2% | 0 of 90 | 54 |
| Oct to Dec 2025 | 3.24 | 0.65 | 3.44 | 2.74 | 1.7% | 0 of 92 | 53 |
| Jul to Sep 2025 | 3.32 | 0.57 | 3.52 | 2.82 | 4.9% | 1 of 92 | 53 |
| Apr to Jun 2025 | 3.46 | 0.56 | 3.69 | 2.88 | 5.8% | 0 of 91 | 55 |
| 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 | 17.1 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.2 | 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 | 0.0 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.4 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.2 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.7 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 2.1 | 1.8 |
Owners and operators
Legal business name: ANAMOSA NURSING HOME COMPANY LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| John R Grubb Family Trust | 5% or greater direct ownership interest | Organization | 12% | 10/31/2004 |
| John W Grubb Trust | 5% or greater direct ownership interest | Organization | 44% | 08/19/2021 |
| Kimberly D Grubb Trust | 5% or greater direct ownership interest | Organization | 44% | 08/19/2021 |
| Grubb, John | Corporate officer | Individual | 01/01/2022 | |
| Bates, Kelsie | Operational/managerial control | Individual | 01/10/2019 | |
| Gentzler, Nick | Operational/managerial control | Individual | 01/16/2025 | |
| Meyers, Katherine | Operational/managerial control | Individual | 09/27/2018 | |
| Purdy, Angelena | Operational/managerial control | Individual | 10/01/2024 | |
| John R Grubb Family Trust | Trustee of the SNF | Organization | 10/31/2004 | |
| John W Grubb Trust | Trustee of the SNF | Organization | 08/19/2021 | |
| Kimberly D Grubb Trust | Trustee of the SNF | Organization | 08/19/2021 | |
| Grubb, John | Trustee of the SNF | Individual | 08/19/2021 | |
| John R Grubb Family Trust | Adp of the SNF | Organization | 10/31/2024 | |
| John W Grubb Trust | Adp of the SNF | Organization | 10/31/2024 | |
| Kimberly D Grubb Trust | Adp of the SNF | Organization | 10/31/2024 | |
| Bates, Kelsie | Adp of the SNF | Individual | 01/10/2019 | |
| Gentzler, Nick | Adp of the SNF | Individual | 01/16/2025 | |
| Grubb, John | Adp of the SNF | Individual | 08/19/2021 | |
| Meyers, Katherine | Adp of the SNF | Individual | 09/27/2018 | |
| Purdy, Angelena | Adp of the SNF | Individual | 10/01/2024 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on June 12, 2025: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 12, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on July 25, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on July 25, 2024: "Make sure there is a pest control program to prevent/deal with mice, insects, or other pests."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.71 hours per resident per day, below the Iowa average of 3.37.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Monticello Nursing & Rehab Center Monticello, 9.6 mi · 3 of 5 stars · 21 citations
- Mechanicsville Specialty Care Mechanicsville, 13.6 mi · 5 of 5 stars · 12 citations
- Rehabilitation Center of Lisbon Lisbon, 14 mi · 4 of 5 stars · 3 citations
- Hallmark Care Center Mount Vernon, 15.2 mi · 2 of 5 stars · 18 citations
- Silver Oak Nursing and Rehabilitation Center LLC Marion, 16.5 mi · 1 of 5 stars · 60 citations
- Winslow House Care Center Marion, 16.6 mi · 2 of 5 stars · 16 citations
- Oakview Nursing & Rehablitation - Marion Marion, 17 mi · 4 of 5 stars · 13 citations
- Terrace Glen Village Marion, 17.9 mi · 5 of 5 stars · 10 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 Anamosa Care Center's Medicare star rating?
- CMS rates Anamosa 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 Anamosa Care Center get at its last inspection?
- 2 health deficiencies at the standard inspection on June 12, 2025. The Iowa average is 6.5.
- Has Anamosa Care Center been fined?
- CMS lists no fines in the last three years.
- Does Anamosa 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 Anamosa Care Center?
- CMS lists 20 owners and managers. Legal business name: ANAMOSA NURSING HOME COMPANY LLC.
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.