Gracewell, an Eventide Community
114 South 20th Street, Denison, IA 51442 · Crawford County · (712) 263-3114
84 certified beds, about 73 residents a day · Non profit - Corporation · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165532 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 28, 2025, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 10 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 3.64 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.
18.5% 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.
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 10 health citations on file.
August 28, 2025Standard inspection · 0 citations
October 31, 2024Standard inspection · 4 citations
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, policy review, resident, and staff interview, the facility failed to prepare food that conserved flavor, appearance, and palatable for a lunch meal. The facility reported a census of 71.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on resident record review, facility policy review, staff, resident, and family interviews, the facility failed to verify a resident's Advanced Directives choice for 2 of 24 residents reviewed (Residents #8 and #58). The facility reported a census of 71 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review the facility failed to identify new skin issues in a timely manner for 2 of 4 residents reviewed (Residents #29 and #66). Resident #29 had an abdominal pressure ulcer, their clinical record lacked documentation until the area showed signs of infection. Resident #66 had bruising and a skin tear on her lower leg. The facility didn't discover or document the skin tear until after it scabbed over. The facility reported a census of 71 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to practiced adequate hand hygiene for 1 of 4 residents reviewed (Resident #3) for infection control measures. As the nurse administered Resident #3's medications via a feeding tube, she failed to change her gloves after she had contact with several surfaces. The facility reported a census of 71 residents.
September 21, 2023Standard inspection · 6 citations
- E 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 employ a clinically qualified nutrition professional by not having a certified dietary manager. The facility reported a census of 73 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, staff interview, and policy review the facility failed to store and prepare food in accordance with professional standards. The facility reported a census of 73 residents.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, document review, and staff interview the facility failed to provide appropriate infection prevention practices by not completing adequate hand hygiene when assisting 4 of 8 residents reviewed (Residents #23, #68, #70, and #174).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on electronic record review, policy review, and staff interviews the facility failed to provide a comprehensive Care Plan that included diuretic (medication used to remove excess fluid from the body) therapy for 1 of 5 residents reviewed (Resident #71). Resident #5's Care Plan lacked the information on what signs and symptoms to watch for when using a high risk medication (diuretic), such dehydration.
- 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 document review, staff interview, and facility policy review the facility failed to update Care Plans in a timely manner to reflect the resident's condition for 1 of 5 residents (Residents #5) reviewed.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on clinical document review, observation, resident interview, staff interview, and policy review the facility failed to assist residents with activities of daily living by not assisting with showers per resident's request for 1 of 1 residents (Resident #8) reviewed.
Fire safety inspections
10 fire safety citations on file: 3 on October 31, 2024, 2 on September 21, 2023, 5 on July 21, 2022.
Every fire safety citation10 citations
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Have simulated fire drills held at unexpected times.
- D Conduct testing and exercise requirements.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Meet requirements for the use and maintenance of medical gas equipment.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Have proper medical gas storage and administration areas.
- D Use approved construction type or materials.
- D Ensure proper usage of power strips and extension cords.
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) | 3.64 | 3.82 | 3.86 |
| Registered nurses | 0.89 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.26 | 3.37 | 3.42 |
| Nurse aides | 2.32 | ||
| Licensed practical nurses | 0.42 | ||
| Nursing staff turnover (share who left in a year) | 18.5% | 44.0% | 45.8% |
| Registered nurse turnover | 7.1% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.32 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 3.80 on weekdays and 3.26 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 3.64 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 | 3.64 | 0.89 | 3.80 | 3.26 | 2.0% | 0 of 90 | 73 |
| Oct to Dec 2025 | 3.45 | 0.81 | 3.59 | 3.07 | 2.1% | 0 of 92 | 74 |
| Jul to Sep 2025 | 3.36 | 0.92 | 3.51 | 2.97 | 0.1% | 0 of 92 | 75 |
| Apr to Jun 2025 | 3.41 | 0.90 | 3.58 | 3.00 | 0.0% | 0 of 91 | 76 |
| 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 | 10.6 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.0 | 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 | 8.0 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.8 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 5.3 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.0 | 13.2 | 12.0 |
| 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 | 1.4 | 2.1 | 1.8 |
Owners and operators
Legal business name: EVENTIDE.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Baker, Mindi | W-2 managing employee | Individual | 04/28/2005 | |
| Schultz, Amy | W-2 managing employee | Individual | 01/30/2018 | |
| Eller, Tonya | Corporate director | Individual | 08/15/2014 | |
| Gray, Mark | Corporate director | Individual | 12/09/2003 | |
| Jepsen, Danyl | Corporate director | Individual | 08/15/2016 | |
| Schultz, Todd | Corporate director | Individual | 08/15/2005 | |
| Spiegel, Mark | Corporate director | Individual | 08/15/2017 | |
| Baker, Mindi | Corporate officer | Individual | 01/30/2017 | |
| Schultz, Amy | Corporate officer | Individual | 01/30/2018 |
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.
- 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 October 31, 2024: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on October 31, 2024: "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 2 problems in this area, most recently on October 31, 2024: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on September 21, 2023: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.26 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Denison Care Center Denison, 1.3 mi · 4 of 5 stars · 9 citations
- Dunlap Specialty Care Dunlap, 17 mi · 4 of 5 stars · 41 citations
- Odebolt Specialty Care Odebolt, 20.7 mi · 3 of 5 stars · 20 citations
- Twilight Acres Wall Lake, 22.1 mi · 5 of 5 stars · 7 citations
- Willow Dale Wellness Village Battle Creek, 24.5 mi · 4 of 5 stars · 4 citations
- Regency Park Nursing & Rehab Center of Carroll Carroll, 24.8 mi · 5 of 5 stars · 7 citations
- Accura Healthcare of Carroll Carroll, 24.8 mi · 1 of 5 stars · 49 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 Gracewell, an Eventide Community's Medicare star rating?
- CMS rates Gracewell, an Eventide Community 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Gracewell, an Eventide Community get at its last inspection?
- 0 health deficiencies at the standard inspection on August 28, 2025. The Iowa average is 6.5.
- Has Gracewell, an Eventide Community been fined?
- CMS lists no fines in the last three years.
- Does Gracewell, an Eventide Community 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 Gracewell, an Eventide Community?
- CMS lists 9 owners and managers. Legal business name: EVENTIDE.
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.