Concord Care Center
490 West Lyons Street, Garner, IA 50438 · Hancock County · (641) 923-2677
46 certified beds, about 39 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
CMS high performing icon Part of a continuing care retirement community 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 165364 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 25, 2025, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 11 health citations since August 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 3.50 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
53.2% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Legacy Healthcare, an affiliated group of 95 nursing homes.
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.
008/23
112/23
510/24
209/25
304/26
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
0E
0F
Potential for minimal harm
0A
0B
0C
April 17, 2026Complaint inspection · 3 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, clinical record review, resident and staff interviews, along with policy and procedure review, the facility failed to treat a resident with respect and dignity in a manner that promotes maintenance or enhancement of his or her quality of life during morning cares for 1 out of 5 residents reviewed. (Resident #3). The facility identified a census of 40 residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, facility investigation, resident and staff interview and review of policy and procedures, the facility failed to ensure all alleged violations of abuse involving mistreatment, verbal, and physical abuse, were reported to the Department of Inspection and Appeals and Licensing (DIAL) within 2 hours for 1 of 5 resident reviewed. (Resident #10). The facility reported a census of 40 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, hospital encounter, and staff interview the facility failed to document on a resident with a change in condition for 1 of 6 residents reviewed. (Resident #2). The facility identified a census of 40 residents.
September 25, 2025Standard inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, staff, and resident interview, the facility failed to ensure adequate assessment and timely intervention of a resident's complaints, and adequate monitoring of a resident on Intravenous (IV) antibiotics for 1 resident reviewed (Resident #26). The facility reported a census of 35 residents.
- D Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on record review and staff interview, the facility failed to ensure the Quality Assessment and Assurance committee (QA) was attended by the required members to include 1) the Nursing Home Administer (NHA) or representative, 2) Director of Nursing (DON), 3) the Medical Director (MD) or representative and 4) 2 other members of the facility's staff present on a minimum of a quarterly basis. The facility reported a census of 77.
October 24, 2024Standard inspection, Complaint inspection · 5 citations
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on clinical record review and staff interviews the facility failed to complete a follow-up PASRR and resubmit to ASCEND for reevaluation according to the Preadmission Screening and Resident Review (PASRR) for 1 out of 1 resident reviewed, (Resident #11). The facility reported a census of 36 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record reviews, staff interviews and policy review, the facility failed to put effective interventions in place, and provide levels of assistance as directed by the Care Plan for Resident for 1 of 3 residents reviewed, (Resident #21). The facility reported a census of 36 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 clinical record review, resident interview, family interview, staff interviews, facility records and facility policy review the facility failed to provide sufficient staff to meet the needs of residents who resided in the facility for 3 of 3 residents reviewed ( Resident #24, #22 and #3). The facility reported a census of 36 residents.
- D Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on record review, interview, and facility policy the facility failed to have the minimum number of required members for their quarterly Quality Assessment and Assurance (QAA) meetings. The facility reported a census of 36.
- 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 for 1 of 2 residents reviewed for pressure ulcers, (Resident #33). The facility reported a census of 36 residents.
December 8, 2023Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, clinical record review and staff interview, the facility failed to ensure staff maintained a safe and secure environment for 1 of 3 residents reviewed, (Resident #1). The facility identified a census of 38 residents.
August 24, 2023Standard inspection · 0 citations
Fire safety inspections
15 fire safety citations on file: 2 on September 25, 2025, 7 on October 24, 2024, 6 on August 24, 2023.
Every fire safety citation15 citations
- F Conduct testing and exercise requirements.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Conduct testing and exercise requirements.
- F Implement emergency and standby power systems.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Develop Emergency Preparedness policies and procedures.
- F Conduct testing and exercise requirements.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
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) | 3.50 | 3.82 | 3.86 |
| Registered nurses | 0.49 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.07 | 3.37 | 3.42 |
| Nurse aides | 2.35 | ||
| Licensed practical nurses | 0.65 | ||
| Nursing staff turnover (share who left in a year) | 53.2% | 44.0% | 45.8% |
| Registered nurse turnover | 60.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.31 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 3.67 on weekdays and 3.07 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.67 in April to June 2025 to 3.50 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 | 3.50 | 0.49 | 3.67 | 3.07 | 7.8% | 0 of 90 | 39 |
| Oct to Dec 2025 | 3.32 | 0.45 | 3.47 | 2.93 | 7.4% | 0 of 92 | 39 |
| Jul to Sep 2025 | 3.61 | 0.56 | 3.77 | 3.19 | 2.9% | 0 of 92 | 37 |
| Apr to Jun 2025 | 3.67 | 0.52 | 3.89 | 3.12 | 0.1% | 0 of 91 | 38 |
| 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 | 11.2 | 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 | 1.5 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.5 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.9 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.9 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.2 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.2 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.4 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 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 |
Owners and operators
Legal business name: GARNER IA SKILLED NURSING FACILITY LLC. CMS links this home to Legacy Healthcare, a group of 95 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Shabat, Menachem | Corporate officer | Individual | 08/15/2024 | |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | Organization | 08/15/2024 | |
| Beasley, Karla | Operational/managerial control | Individual | 08/15/2024 | |
| Behounek, Linsey | Operational/managerial control | Individual | 08/15/2024 | |
| Borcherding, Jenny | Operational/managerial control | Individual | 08/15/2024 | |
| Burken, Sheri | Operational/managerial control | Individual | 08/15/2024 | |
| Diamond, Renee | Operational/managerial control | Individual | 08/15/2024 | |
| Friedenberg, Laura | Operational/managerial control | Individual | 08/15/2024 | |
| Hedberg, Jennifer | Operational/managerial control | Individual | 08/15/2024 | |
| Heying, Larina | Operational/managerial control | Individual | 08/15/2024 | |
| Houston, Mindy | Operational/managerial control | Individual | 08/15/2024 | |
| Jaeger, Krystle | Operational/managerial control | Individual | 08/15/2024 | |
| Kloser, Kaitlyn | Operational/managerial control | Individual | 09/01/2024 | |
| Larson, Melissa | Operational/managerial control | Individual | 08/15/2024 | |
| Lewis, Janet | Operational/managerial control | Individual | 08/15/2024 | |
| McClure, Dorothy | Operational/managerial control | Individual | 08/15/2024 | |
| Otterbeck, Patricia | Operational/managerial control | Individual | 08/15/2024 | |
| Rajchenbach, Chaim | Operational/managerial control | Individual | 08/15/2024 | |
| Shabat, Menachem | Operational/managerial control | Individual | 08/15/2024 | |
| Shear, Kiley | Operational/managerial control | Individual | 08/15/2024 | |
| Van Veghel, Elizabeth | Operational/managerial control | Individual | 08/15/2024 | |
| Wierschem, Bobbie | Operational/managerial control | Individual | 08/15/2024 | |
| Friedman, Brian | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/04/2025 | |
| Rajchenbach, Avrum | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/04/2025 | |
| Rajchenbach, Rivka | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/04/2025 | |
| Shabat, Ahuva | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/04/2025 | |
| Cascade Capital Holdings LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Cascade Capital Partners LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Ccg Gorgona LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Garner Ia Property Holdings, LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Gorgona Holdco LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Gorgona Propco Holdings LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Gorgona Sub Holdco LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Legacy Healthcare Financial Services LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Beasley, Karla | Adp of the SNF | Individual | 08/15/2024 | |
| Behounek, Linsey | Adp of the SNF | Individual | 08/15/2024 | |
| Borcherding, Jenny | Adp of the SNF | Individual | 08/15/2024 | |
| Burken, Sheri | Adp of the SNF | Individual | 08/15/2024 | |
| Diamond, Renee | Adp of the SNF | Individual | 08/15/2024 | |
| Friedenberg, Laura | Adp of the SNF | Individual | 08/15/2024 | |
| Hedberg, Jennifer | Adp of the SNF | Individual | 08/15/2024 | |
| Heying, Larina | Adp of the SNF | Individual | 08/15/2024 | |
| Houston, Mindy | Adp of the SNF | Individual | 08/15/2024 | |
| Jaeger, Krystle | Adp of the SNF | Individual | 08/15/2024 | |
| Kloser, Kaitlyn | Adp of the SNF | Individual | 09/01/2024 | |
| Larson, Melissa | Adp of the SNF | Individual | 08/15/2024 | |
| Lewis, Janet | Adp of the SNF | Individual | 08/15/2024 | |
| McClure, Dorothy | Adp of the SNF | Individual | 08/15/2024 | |
| Otterbeck, Patricia | Adp of the SNF | Individual | 08/15/2024 | |
| Rajchenbach, Chaim | Adp of the SNF | Individual | 08/15/2024 | |
| Shabat, Menachem | Adp of the SNF | Individual | 08/15/2024 | |
| Shear, Kiley | Adp of the SNF | Individual | 08/15/2024 | |
| Van Veghel, Elizabeth | Adp of the SNF | Individual | 08/15/2024 | |
| Wierschem, Bobbie | Adp of the SNF | Individual | 08/15/2024 |
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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on April 17, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on September 25, 2025: "Have the Quality Assessment and Assurance group have the required members and meet at least quarterly"
- 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 April 17, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on April 17, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.07 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Westview Care Center Britt, 10.3 mi · 5 of 5 stars · 0 citations
- Oakwood Care Center Clear Lake, 11.5 mi · 3 of 5 stars · 17 citations
- Good Samaritan - Forest City Forest City, 11.7 mi · 4 of 5 stars · 9 citations
- Kanawha Community Home, Inc. Kanawha, 14.1 mi · 5 of 5 stars · 3 citations
- Rehabilitation Center of Belmond Belmond, 16.4 mi · 5 of 5 stars · 11 citations
- I O O F Home and Community Therapy Center Mason City, 20 mi · 4 of 5 stars · 10 citations
- Good Shepherd Health Center Mason City, 21.3 mi · 1 of 5 stars · 28 citations
- Heritage Care and Rehabilitation Center Mason City, 21.9 mi · 2 of 5 stars · 7 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 Concord Care Center's Medicare star rating?
- CMS rates Concord 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 Concord Care Center get at its last inspection?
- 2 health deficiencies at the standard inspection on September 25, 2025. The Iowa average is 6.5.
- Has Concord Care Center been fined?
- CMS lists no fines in the last three years.
- Does Concord 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 Concord Care Center?
- CMS lists 54 owners and managers, and links the home to Legacy Healthcare. Legal business name: GARNER IA SKILLED NURSING FACILITY 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.