Denison Care Center
1202 Ridge Road, Denison, IA 51442 · Crawford County · (712) 263-5611
46 certified beds, about 27 residents a day · For profit - Corporation · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165238 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 3, 2025, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).
Of 9 health citations since May 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 3.63 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
28.6% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Campbell Street Services, an affiliated group of 24 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.
605/23
007/24
107/25
210/25
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
7D
1E
0F
Potential for minimal harm
0A
0B
0C
October 23, 2025Complaint inspection · 2 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, facility policy review, and staff interviews, the facility failed to provide adequate nursing supervision for 1 of 3 residents (Resident #1) reviewed. A non-ambulatory resident with a history of attempting to self-transfer, fell when left unsupervised in the dining room, which resulted in a head injury, nasal fractures and cervical fractures. The facility reported a census of 28.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, facility policy review and staff interviews, the facility failed to accurately assess and provide appropriate interventions after a resident had an unwitnessed fall for 1 of 3 residents (Resident #1) reviewed. Staff attempted to move Resident #1 after they found her prone (face down), bleeding, and in pain. The facility reported a census of 28 residents.
July 3, 2025Standard inspection · 1 citation
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review, family interview, staff interview, and policy review the facility failed to notify the Long-Term Care Ombudsman of a transfer to a hospital for 1 of 3 residents (Resident #18) reviewed. The facility reported a census of 27 residents.
July 11, 2024Standard inspection · 0 citations
May 24, 2023Standard 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 observation, policy review, and staff interviews the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness. The facility reported a census of 33 residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record review, the Centers for Medicare and Medicaid Services (CMS) website, and staff interview, the facility failed to give 2-day notification of the CMS form #10123 Notice of Medicare Non-Coverage (NOMNC) for 1 of 3 residents reviewed (Resident #9). In addition, the facility failed to provide a complete CMS form #10055 Skilled Nursing Facility (SNF) Advance Beneficiary Notice (ABN) of Non-coverage (SNFABN) for 2 of 3 residents reviewed (Residents #9 and #15). Findings Include: 1. Resident #9's NOMNC form listed that his showed skilled nursing coverage would end on 8/11/22. The form included an electronic signature from Resident #9 dated 8/10/22. The facility failed to provide documentation that showed Resident #9 received notification of skilled nursing cover ending within the two calendars as required. [...]
- 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 interview, and policy review, the facility failed to revise and update the Care Plan to include and address oxygen usage in 1 out of 15 sampled residents reviewed for comprehensive Care Plans (Resident #18).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on clinical record review, staff interview and policy review, the facility failed to manage Oxygen usage in 1 out of 15 sampled residents reviewed (Resident #18).
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, clinical record review, policy review, and staff interviews, the facility failed to ensure a medication error rate of less than 5% for 2 of 6 residents reviewed (Residents #13 and #30). This resulted in a medication error rate of 5.26%.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, policy review and staff interview, the facility failed to secure two resident insulin pens in a locked storage area to prevent access by unauthorized personnel, visitors, or residents. The facility reported a census of 33 residents.
Fire safety inspections
14 fire safety citations on file: 4 on July 3, 2025, 6 on July 11, 2024, 4 on May 24, 2023.
Every fire safety citation14 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have simulated fire drills held at unexpected times.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Provide a written emergency evacuation plan.
- 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.
- D Have properly installed electrical wiring and gas equipment.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have properly installed electrical wiring and gas equipment.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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) | 3.63 | 3.82 | 3.86 |
| Registered nurses | 0.63 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.44 | 3.37 | 3.42 |
| Nurse aides | 2.16 | ||
| Licensed practical nurses | 0.84 | ||
| Nursing staff turnover (share who left in a year) | 28.6% | 44.0% | 45.8% |
| Registered nurse turnover | not reported | 42.1% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.44 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 3.71 on weekdays and 3.44 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.46 in April to June 2025 to 3.63 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 | 3.63 | 0.63 | 3.71 | 3.44 | 1.2% | 0 of 90 | 27 |
| Oct to Dec 2025 | 3.66 | 0.77 | 3.74 | 3.45 | 2.2% | 0 of 92 | 28 |
| Jul to Sep 2025 | 3.60 | 0.69 | 3.81 | 3.06 | 0.0% | 0 of 92 | 28 |
| Apr to Jun 2025 | 3.46 | 0.57 | 3.55 | 3.24 | 3.2% | 0 of 91 | 27 |
| 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 | 15.7 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.9 | 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 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.3 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 41.1 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.8 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.7 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.8 |
Owners and operators
Legal business name: OPCO DENISON IA LLC. CMS links this home to Campbell Street Services, a group of 24 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Holdco, Ia, 10, LLC | Direct ownership interest | Organization | 02/01/2025 | |
| Birchwood Healthcare Partners LLC | Indirect ownership interest | Organization | 02/01/2025 | |
| Dole, Isaac | Indirect ownership interest | Individual | 02/01/2025 | |
| Dole, Isaac | Managing control - governing body | Individual | 02/01/2025 | |
| Birchwood Healthcare Partners LLC | Operational/managerial control | Organization | 02/01/2025 | |
| Campbell Street Ia 10 LLC | Operational/managerial control | Organization | 02/01/2025 | |
| Campbell Street Services LLC | Operational/managerial control | Organization | 02/01/2025 | |
| Holdco, Ia, 10, LLC | Operational/managerial control | Organization | 02/01/2025 | |
| Dole, Isaac | Operational/managerial control | Individual | 02/01/2025 | |
| Martz, Brittany | Operational/managerial control | Individual | 03/31/2025 | |
| 5v+ Seniors Healthcare Fund Gp, LLC | Adp of the SNF | Organization | 06/09/2025 | |
| 5v+ Seniors Healthcare Fund, LP | Adp of the SNF | Organization | 06/09/2025 | |
| Acd Consolidated LLC | Adp of the SNF | Organization | 09/01/2024 | |
| Bear Creek Sraf Gp Holdings LLC | Adp of the SNF | Organization | 09/01/2024 | |
| Bear Creek Strategic Real Assets Fund LP | Adp of the SNF | Organization | 09/01/2024 | |
| Campbell Street Ia 10 LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Campbell Street Services LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Defranco Investment Co Ltd | Adp of the SNF | Organization | 09/01/2024 | |
| Iaga SNF Denison LLC | Adp of the SNF | Organization | 09/01/2025 | |
| Iaga SNF Holdings LLC | Adp of the SNF | Organization | 09/01/2024 | |
| Iaga SNF Portfolio LLC | Adp of the SNF | Organization | 06/09/2025 | |
| Nap Holdings LLC | Adp of the SNF | Organization | 09/01/2024 | |
| Dole, Isaac | Adp of the SNF | Individual | 02/01/2025 | |
| Martz, Brittany | Adp of the SNF | Individual | 03/31/2025 |
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 23, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 3, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 24, 2023: "Ensure medication error rates are not 5 percent or greater."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on May 24, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Gracewell, an Eventide Community Denison, 1.3 mi · 5 of 5 stars · 10 citations
- Dunlap Specialty Care Dunlap, 18.1 mi · 4 of 5 stars · 41 citations
- Odebolt Specialty Care Odebolt, 19.5 mi · 3 of 5 stars · 20 citations
- Twilight Acres Wall Lake, 20.9 mi · 5 of 5 stars · 7 citations
- Willow Dale Wellness Village Battle Creek, 23.7 mi · 4 of 5 stars · 4 citations
- Accura Healthcare of Carroll Carroll, 24.3 mi · 1 of 5 stars · 49 citations
- Regency Park Nursing & Rehab Center of Carroll Carroll, 24.3 mi · 5 of 5 stars · 7 citations
- St. Anthony Senior Services Carroll, 24.6 mi · 1 of 5 stars · 19 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 Denison Care Center's Medicare star rating?
- CMS rates Denison Care Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Denison Care Center get at its last inspection?
- 1 health deficiency at the standard inspection on July 3, 2025. The Iowa average is 6.5.
- Has Denison Care Center been fined?
- CMS lists no fines in the last three years.
- Does Denison 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 Denison Care Center?
- CMS lists 24 owners and managers, and links the home to Campbell Street Services. Legal business name: OPCO DENISON IA 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.