Crown Pointe Estates Care Center
1400 7th Avenue Se, Sioux Center, IA 51250 · Sioux County · (712) 722-8305
99 certified beds, about 88 residents a day · Non profit - Corporation · Medicare and Medicaid since 1990
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165157 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 26, 2025, inspectors cited 6 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 18 health citations since May 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 4.88 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
27.8% 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.
605/23
109/23
508/24
606/25
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 18 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
3E
0F
Potential for minimal harm
0A
0B
0C
June 26, 2025Standard inspection, Complaint inspection · 6 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interviews, record and policy review the facility failed to notify the doctor and family after a resident had a fall with injury. Resident #143 had a fall around midnight, he was assessed at that time and again at 4:00 AM. At 6:30 AM, the resident was sent to the hospital and found to have a fractured hip. The facility reported a census of 89 residents.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on clinical record review, interviews, and facility policy, the facility failed to ensure bed hold notice was signed by residents and or the resident's responsible person when residents transferred out of the facility for 1 of 1 residents reviewed (Residents #7). The facility reported a census of 89 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 refer 1 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 1 out of 2 residents (Resident #46) reviewed for PASRR requirements. The facility reported a census of 89 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interviews, chart and policy review the facility failed to ensure that staff provided adequate and timely assessments and interventions for 1 of 20 residents reviewed. Resident #143 had a fall on the overnight shift, the staff failed to call the doctor and did not reassess the resident until 4 hours later when he was unable to bear weight on the left leg. Resident #142 was sent to the hospital 7 hours after the fall, and was found to have a fractured hip. The facility reported a census of 89 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview, record and policy review the facility failed to use proper safety equipment to ensure safe transfers and ambulation for 1 of 3 residents reviewed. Resident #38 had a change in status with increased weakness, and fell at 4:40 AM on 5/17/25. Later that morning, staff failed to use a gait belt while assisting the resident with ambulation and transfers, and the resident had another fall. The facility reported a census of 89 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, infection control policy and staff interview, the facility failed to wear Enhanced Barrier Precautions (EBP) with wound care with 1 of 4 residents (Resident #66) observed for wound care. The facility reported a total census of 89 residents.
August 1, 2024Standard inspection · 5 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 observation, staff interviews, and policy review, the facility failed to store food in accordance with professional standards for 91 of 91 residents. The facility reported a census of 91 residents.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on clinical record review, resident interview and facility policy, the facility failed to complete a bed hold notice with the resident or resident's responsible person when residents transferred out of the facility for 1 of 3 residents reviewed (Residents #29 and #45). The facility reported a census of 91 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on Electronic Health Records (EHR), staff interview, and observation the facility failed to provide a professional standard of quality by not following physician orders for 1 of 3 residents reviewed (Resident #22). The facility reported a census of 91 residents.
- D Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on observation, Electronic Health Records (EHR), staff interview, and policy review the facility failed to provide a well balanced diet that meets nutritional and special dietary needs by use of incorrect serving size portions for meals for 2 of 26 residents reviewed (Resident #22 and 41) The facility reported a census of 91 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, policy review, and staff interview the facility failed to provide appropriate infection prevention practices when providing wound care and catheter care for 1 of 1 residents (Resident #22). The facility reported a census of 91 residents.
September 27, 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 observations, record review and interviews the facility failed to use a mechanical stand to avoid hazards and prevent accidents for 1 of 3 residents reviewed (Resident #1). The facility reported a census of 87 residents.
May 11, 2023Standard inspection · 6 citations
- E Post nurse staffing information every day.
Inspectors wroteBased on observation, facility policy, and staff interview, the facility failed to post a paper copy of daily staffing in each unit of the facility. The facility reported a census of 82 residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, facility policy, and staff interview, the facility failed to have kitchen staff wear hair nets in the kitchen. The facility reported a census of 82 residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record, Medicare manual, resident representative interview, and staff interview, the facility failed to include all required information on Advanced Beneficiary Notice of Non-Coverage (ABN) and Notice of Medicare Provider Non-Coverage (Skilled Care) (NOMNC) when telephone call was used for resident representative notification and failed to mail the form to resident representatives for 3 of 3 residents reviewed (Resident #9, #30, and #230). The facility reported a census of 82 residents.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review and staff interview the facility failed to notify the Long Term Care (LTC) Ombudsman for 3 of 3 residents reviewed who transferred to the hospital (Resident #59, #61 and #71). The facility reported a census of 82 residents.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on resident interview, staff interview, and policy review the facility failed to provide needed assistance in making appointments and arranging for transportation to and from dental services for 1 of 1 residents (Resident #47). The facility reported a census of 82 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, facility policy, and staff interview, the facility failed to perform hand hygiene during medication administration and touch a resident's medication with bare hands. The facility reported a census of 82 residents.
Fire safety inspections
17 fire safety citations on file: 7 on June 26, 2025, 6 on August 1, 2024, 4 on May 11, 2023.
Every fire safety citation17 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have properly installed electrical wiring and gas equipment.
- F Have simulated fire drills held at unexpected times.
- F Ensure proper usage of power strips and extension cords.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Have proper medical gas storage and administration areas.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Have simulated fire drills held at unexpected times.
- F Have proper medical gas storage and administration areas.
- E Use approved construction type or materials.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- D Ensure proper usage of power strips and extension cords.
- D 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) | 4.88 | 3.82 | 3.86 |
| Registered nurses | 0.80 | 0.74 | 0.69 |
| All nursing staff on weekends | 4.28 | 3.37 | 3.42 |
| Nurse aides | 3.62 | ||
| Licensed practical nurses | 0.45 | ||
| Nursing staff turnover (share who left in a year) | 27.8% | 44.0% | 45.8% |
| Registered nurse turnover | 38.1% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.20 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 5.12 on weekdays and 4.28 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.86 in April to June 2025 to 4.88 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 | 4.88 | 0.80 | 5.12 | 4.28 | 6.7% | 0 of 90 | 88 |
| Oct to Dec 2025 | 4.80 | 0.79 | 5.04 | 4.17 | 7.5% | 0 of 92 | 91 |
| Jul to Sep 2025 | 4.82 | 0.83 | 5.07 | 4.21 | 7.3% | 0 of 92 | 92 |
| Apr to Jun 2025 | 4.86 | 0.88 | 5.15 | 4.11 | 8.0% | 0 of 91 | 92 |
| 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 | 20.3 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.7 | 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 | 16.1 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.9 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.1 | 1.8 |
Owners and operators
Legal business name: SIOUX CENTER HEALTH.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bakker, Nathan | Managing control - governing body | Individual | 01/01/2025 | |
| Boone, Janet | Managing control - governing body | Individual | 01/01/2025 | |
| Dooyema, Bruce | Managing control - governing body | Individual | 01/01/2025 | |
| Finley, Daniel | Managing control - governing body | Individual | 01/01/2025 | |
| Gotto, Cory | Managing control - governing body | Individual | 01/01/2025 | |
| Hohman, Curtis | Managing control - governing body | Individual | 01/01/2025 | |
| Jansen, Jennifer | Managing control - governing body | Individual | 01/01/2025 | |
| Koelewyn, Jason | Managing control - governing body | Individual | 01/01/2025 | |
| Van Schouwen, Cornelius | Managing control - governing body | Individual | 01/01/2025 | |
| Vandehoef, Jaron | Managing control - governing body | Individual | 01/01/2025 | |
| Nelson, Cory | Corporate officer | Individual | 09/24/2018 | |
| Richter, Crystal | Corporate officer | Individual | 09/01/2022 | |
| Sioux Center Health | Operational/managerial control | Organization | 12/09/2022 | |
| Bentsen, Karen | Operational/managerial control | Individual | 12/16/2019 | |
| Clemens, Robert | Operational/managerial control | Individual | 08/01/2000 | |
| Vonk, Kim | Operational/managerial control | Individual | 10/01/2018 | |
| Bentsen, Karen | Adp of the SNF | Individual | 12/16/2019 | |
| Clemens, Robert | Adp of the SNF | Individual | 02/19/2025 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on June 26, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- 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 June 26, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on June 26, 2025: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on August 1, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Prairie Ridge Care Center Orange City, 7.1 mi · 5 of 5 stars · 10 citations
- Pleasant Acres Care Center Hull, 8.7 mi · 3 of 5 stars · 23 citations
- Hegg Memorial Health Center Rock Valley, 11.5 mi · 5 of 5 stars · 11 citations
- Hillcrest Health Care Center Hawarden, 16.3 mi · 1 of 5 stars · 72 citations
- Good Samaritan - Lemars Le Mars, 18.1 mi · 4 of 5 stars · 6 citations
- Sanford Senior Care Sheldon Sheldon, 18.2 mi · 1 of 5 stars · 21 citations
- Accura Healthcare of Le Mars Le Mars, 19.4 mi · 3 of 5 stars · 22 citations
- Happy Siesta Health Care Center Remsen, 20.2 mi · 4 of 5 stars · 5 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 Crown Pointe Estates Care Center's Medicare star rating?
- CMS rates Crown Pointe Estates Care Center 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Crown Pointe Estates Care Center get at its last inspection?
- 6 health deficiencies at the standard inspection on June 26, 2025. The Iowa average is 6.5.
- Has Crown Pointe Estates Care Center been fined?
- CMS lists no fines in the last three years.
- Does Crown Pointe Estates 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 Crown Pointe Estates Care Center?
- CMS lists 18 owners and managers. Legal business name: SIOUX CENTER HEALTH.
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.