Heritage Care and Rehabilitation Center
501 South Kentucky Ave, Mason City, IA 50401 · Cerro Gordo County · (641) 423-2121
71 certified beds, about 63 residents a day · For profit - Corporation · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165367 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 14, 2025, inspectors cited 5 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 7 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 3.33 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.
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.
006/23
206/24
009/24
508/25
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 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
3D
3E
0F
Potential for minimal harm
0A
0B
0C
August 14, 2025Standard inspection · 5 citations
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations, resident interviews, and food temperatures during food services, the facility failed to serve food within the appropriate temperature ranges throughout the observed meal service. The interviewed residents reported the food temperature as not satisfactory. The facility identified a census of 61 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 observations, resident interviews, and food temperatures during food services, the facility failed follow infection control practices while preparing the residents' meal. During the kitchen observation, the staff didn't remove their gloves after touching non-food items before touching food items while wearing the same gloves. The facility reported a census of 61 residents.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews and record review, the facility failed to follow infection control practices during the observation of 3 residents and during the kitchen observation (Residents #7, #10, and #14). As Staff A, Licensed Practical Nurse (LPN), gave Resident #7 their medications, they failed to complete hand hygiene or apply new gloves after they tested their blood sugar. As Staff B, Certified Nurse Aide (CNA), Staff C (CNA), and Staff D, Minimum Data Set (MDS)/Care Plan Registered Nurse (RN), provided care to Resident #10, they all removed their glove/s after assisting with repositioning and/or cares, but failed to complete hand hygiene before applying new glove/s. In addition, Staff B didn't clean Resident #10's urinary catheter or their hips as they did perineal (peri) care. [...]
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on clinical record review, facility policy review, resident, and staff interviews, the facility failed to carry out therapy recommendations and provide restorative exercises for 1 of 1 resident reviewed for limited range of motion (Resident #40). The facility reported a census of 61 residents.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide additional pharmacological and/or nonpharmacological pain management interventions. The facility only administered his routine pain medications for 1 of 1 resident reviewed (Resident #11). Resident #11 consistently reported his pain level at a 6 or 7 and the facility failed to provide additional interventions. The facility reported a census of 61 residents.
September 12, 2024Standard inspection · 0 citations
June 20, 2024Complaint inspection · 2 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, interviews and record review, the facility failed to provide follow-up assessments and interventions for 1 of 3 residents reviewed (Resident #1 ). Resident #1 had an unwitnessed fall. Resident #1 stated he hit his head and had 2 abrasions on his head. Staff A, the covering Licensed Practical Nurse (LPN), documented she completed 8 neurological assessments (neuro checks) on Resident #1. This facility's video footage and staff interviews revealed that Staff A only did the initial assessment, with no further assessments to follow. The facility reported a census of 51.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure documentation accurately reflected assessments for 1 of 3 residents reviewed (Resident #1). Staff A, Licensed Practical Nurse (LPN), documented that she completed assessments on Resident #1 that she didn't do. The facility reported a census of 31 residents.
June 15, 2023Standard inspection · 0 citations
Fire safety inspections
11 fire safety citations on file: 2 on August 14, 2025, 1 on September 12, 2024, 8 on June 15, 2023.
Every fire safety citation11 citations
- F Provide properly protected cooking facilities.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Have properly installed electrical wiring and gas equipment.
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have properly installed electrical wiring and gas equipment.
- 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) | 3.33 | 3.82 | 3.86 |
| Registered nurses | 0.34 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.77 | 3.37 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | not reported | 44.0% | 45.8% |
| Registered nurse turnover | not reported | 42.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.52 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 3.56 on weekdays and 2.77 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.34 in April to June 2025 to 3.33 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 | 3.33 | 0.34 | 3.56 | 2.77 | 0.2% | 0 of 90 | 63 |
| Oct to Dec 2025 | 3.30 | 0.37 | 3.49 | 2.84 | 3.4% | 0 of 92 | 61 |
| Apr to Jun 2025 | 3.34 | 0.40 | 3.53 | 2.86 | 6.2% | 0 of 91 | 61 |
| 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 | 5.1 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 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 | 2.4 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.3 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.5 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.6 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.2 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 2.1 | 1.8 |
Owners and operators
Legal business name: MASON CITY 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 |
|---|---|---|---|---|
| Iowa Portfolio Opco Holdings LLC | Direct ownership interest | Organization | 08/15/2024 | |
| Doros Generation Trust U/a/D 1/3/12 | Indirect ownership interest | Organization | 08/15/2024 | |
| Oakway Operations LLC | Indirect ownership interest | Organization | 08/15/2024 | |
| Rajchenbach, Chaim | Indirect ownership interest | Individual | 08/15/2024 | |
| Rajchenbach, Chaim | Managing control - governing body | Individual | 08/28/2012 | |
| Shabat, Menachem | Managing control - governing body | 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 | |
| Friedenberg, Laura | Operational/managerial control | Individual | 08/15/2024 | |
| Hedberg, Jennifer | Operational/managerial control | Individual | 08/15/2024 | |
| Hennager, Christina | 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 | |
| Knutson, Michele | Operational/managerial control | Individual | 08/15/2024 | |
| Larson, Melissa | Operational/managerial control | Individual | 08/15/2024 | |
| McClure, Dorothy | Operational/managerial control | Individual | 08/15/2024 | |
| Miller, Debbie | Operational/managerial control | Individual | 08/15/2024 | |
| Nash, Claire | Operational/managerial control | Individual | 08/15/2024 | |
| Oben, Patrick | 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 | |
| Scott, Kathleen | Operational/managerial control | Individual | 08/15/2024 | |
| Seu, Joshua | 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 | |
| Staudt, Sandra | 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 | |
| Wood, Rosemary | Operational/managerial control | Individual | 08/15/2024 | |
| Wright, Amy | Operational/managerial control | Individual | 08/15/2024 | |
| Friedman, Brian | Trustee of the SNF | Individual | 01/03/2012 | |
| Rajchenbach, Avrum | Trustee of the SNF | Individual | 04/28/2008 | |
| Rajchenbach, Rivka | Trustee of the SNF | Individual | 04/28/2008 | |
| Shabat, Ahuva | Trustee of the SNF | Individual | 01/03/2012 | |
| 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 | |
| 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 | |
| Mason City Ia Property Holdings LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Mn8 Rh Holdco 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 | |
| Friedenberg, Laura | Adp of the SNF | Individual | 08/15/2024 | |
| Hedberg, Jennifer | Adp of the SNF | Individual | 08/15/2024 | |
| Hennager, Christina | 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 | |
| Knutson, Michele | Adp of the SNF | Individual | 08/15/2024 | |
| Larson, Melissa | Adp of the SNF | Individual | 08/15/2024 | |
| McClure, Dorothy | Adp of the SNF | Individual | 08/15/2024 | |
| Miller, Debbie | Adp of the SNF | Individual | 08/15/2024 | |
| Nash, Claire | Adp of the SNF | Individual | 08/15/2024 | |
| Oben, Patrick | 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 | |
| Scott, Kathleen | Adp of the SNF | Individual | 08/15/2024 | |
| Seu, Joshua | 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 | |
| Staudt, Sandra | 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 | |
| Wood, Rosemary | Adp of the SNF | Individual | 08/15/2024 | |
| Wright, Amy | 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 3 problems in this area, most recently on August 14, 2025: "Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 14, 2025: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 14, 2025: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on June 20, 2024: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.77 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Good Shepherd Health Center Mason City, 0.8 mi · 1 of 5 stars · 28 citations
- I O O F Home and Community Therapy Center Mason City, 2 mi · 4 of 5 stars · 10 citations
- Nora Springs Care Center Nora Springs, 8.3 mi · 3 of 5 stars · 10 citations
- Manly Specialty Care Manly, 9.5 mi · 3 of 5 stars · 21 citations
- Oakwood Care Center Clear Lake, 10.6 mi · 3 of 5 stars · 17 citations
- Rockwell Community Nursing Home Rockwell, 11 mi · 5 of 5 stars · 1 citation
- Sheffield Care Center Sheffield, 17.8 mi · 2 of 5 stars · 14 citations
- Osage Rehab and Health Care Center Osage, 20.5 mi · 1 of 5 stars · 44 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 Heritage Care and Rehabilitation Center's Medicare star rating?
- CMS rates Heritage Care and Rehabilitation Center 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heritage Care and Rehabilitation Center get at its last inspection?
- 5 health deficiencies at the standard inspection on August 14, 2025. The Iowa average is 6.5.
- Has Heritage Care and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Heritage Care and Rehabilitation 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 Heritage Care and Rehabilitation Center?
- CMS lists 74 owners and managers, and links the home to Legacy Healthcare. Legal business name: MASON CITY 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.