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Hubbard Care Center

403 South State Street, Hubbard, IA 50122 · Hardin County · (641) 864-3264

60 certified beds, about 41 residents a day · Non profit - Other · Medicare and Medicaid since 1997

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165335 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 29, 2026, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).

None of its 3 health citations since December 2023 was rated as actual harm or immediate jeopardy.

CMS lists 4 fines totaling $46,101 in the last three years; the largest was $14,814, and the latest is dated February 6, 2024.

Nurses and nurse aides worked 3.84 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.

50.0% 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.

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 3 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
1D
2E
0F
Potential for minimal harm
0A
0B
0C
January 29, 2026Standard inspection · 0 citations
January 9, 2025Standard inspection, Complaint inspection · 3 citations
  1. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 7, 2025
    Inspectors wroteBased on personnel record review, policy review and staff interview, the facility failed to prevent an employee from beginning employment prior to completion of their background check for 1 of 5 personnel records reviewed (Staff A, Certified Nurse Aide CNA). The facility reported a census of 47 residents.
  2. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 7, 2025
    Inspectors wroteBased on interviews, electronic health records, and policy review, the facility failed to document accurate information in a timely manner. Interviews and record review revealed that the facility routinely saved documentation as drafts then altered the drafts before finalizing them into the record. During the week of the survey discovered 3 progress notes finalized from drafts with alterations made after the creation date to the finalized note for 3 of 16 residents reviewed (Residents #12, #31 and #99). In addition, 1 resident had an initial fall assessment struck out with no fall assessment added for 1 of 16 residents reviewed (Resident #7). The facility reported a census of 47 residents.
  3. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 7, 2025
    Inspectors wroteBased on clinical record review and staff interviews, the facility failed to notify a resident 48-hours in advance that their Medicare Part A coverage would end and services would no longer be covered for 1 of 3 residents reviewed (Resident #50). The facility reported a census of 47 residents.
December 21, 2023Standard inspection · 0 citations

Fire safety inspections

19 fire safety citations on file: 6 on January 29, 2026, 8 on January 9, 2025, 5 on December 21, 2023.

Every fire safety citation19 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · January 29, 2026 · Corrected (the home has a date of correction)
  2. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · January 29, 2026 · Corrected (the home has a date of correction)
  3. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 29, 2026 · Corrected (the home has a date of correction)
  4. E
    Have restrictions on the use of highly flammable decorations.
    K 753 · January 29, 2026 · Corrected (the home has a date of correction)
  5. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 29, 2026 · Corrected (the home has a date of correction)
  6. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 29, 2026 · Corrected (the home has a date of correction)
  7. F
    Conduct testing and exercise requirements.
    E 39 · January 9, 2025 · Corrected (the home has a date of correction)
  8. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 9, 2025 · Corrected (the home has a date of correction)
  9. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 9, 2025 · Corrected (the home has a date of correction)
  10. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 9, 2025 · Corrected (the home has a date of correction)
  11. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · January 9, 2025 · Corrected (the home has a date of correction)
  12. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · January 9, 2025 · Corrected (the home has a date of correction)
  13. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 9, 2025 · Corrected (the home has a date of correction)
  14. E
    Install corridor and hallway doors that block smoke.
    K 363 · January 9, 2025 · Corrected (the home has a date of correction)
  15. F
    Conduct testing and exercise requirements.
    E 39 · December 21, 2023 · Corrected (the home has a date of correction)
  16. E
    Have exits that are accessible at all times.
    K 271 · December 21, 2023 · Corrected (the home has a date of correction)
  17. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 21, 2023 · Corrected (the home has a date of correction)
  18. E
    Install corridor and hallway doors that block smoke.
    K 363 · December 21, 2023 · Corrected (the home has a date of correction)
  19. D
    Ensure proper usage of power strips and extension cords.
    K 920 · December 21, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 6, 2024Fine $14,814
December 26, 2023Fine $14,113
November 20, 2023Fine $4,587
October 30, 2023Fine $12,587

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIowaUnited States
All nursing staff (RN, LPN and aides)3.843.823.86
Registered nurses0.590.740.69
All nursing staff on weekends3.433.373.42
Nurse aides2.38
Licensed practical nurses0.87
Nursing staff turnover (share who left in a year)50.0%44.0%45.8%
Registered nurse turnover61.5%42.1%42.9%
Administrators who left0

CMS expects 3.24 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 4.00 on weekdays and 3.43 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 25.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.66 in April to June 2025 to 3.84 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.840.594.003.43 25.6%0 of 9041
Oct to Dec 20253.740.593.873.41 26.7%2 of 9243
Jul to Sep 20253.710.593.883.26 30.4%0 of 9246
Apr to Jun 20253.660.793.843.22 33.7%0 of 9149
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Iowa, Jan to Mar 20263.800.713.983.364.7%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.

MeasureThis homeIowaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
21.117.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.61.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.82.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.93.83.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
16.816.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.74.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
34.319.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
13.520.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.013.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.02.11.8

Owners and operators

Legal business name: HUBBARD CARE CENTER INC.

NameRoleTypeShareSince
Boeke, MarkCorporate directorIndividual03/04/2010
Duncan, BarbaraCorporate directorIndividual04/01/2022
Kuda-Bruns, AngelaCorporate directorIndividual04/17/2002
Schnormeier, JoyceCorporate directorIndividual04/01/2022
Stolee, PamelaCorporate directorIndividual06/01/2019
Thygesen, LarryCorporate directorIndividual04/01/2021
Uhrhammer, WilliamCorporate directorIndividual04/01/2025
Boeke, MarkCorporate officerIndividual04/01/2012
Kix, HopeCorporate officerIndividual04/01/2012
Peet, GloriaCorporate officerIndividual04/01/2013
Roberts, JeffCorporate officerIndividual04/01/2012
Wykle, JoyCorporate officerIndividual04/01/2013
Hubbard Care Center IncOperational/managerial controlOrganization03/17/2010
Branch, JordanOperational/managerial controlIndividual10/27/2021
Brighton Consulting Group LLCAdp of the SNFOrganization10/01/2024
Cattail Bcg LLCAdp of the SNFOrganization10/01/2024
Cattail IncAdp of the SNFOrganization10/01/2024
Creative Planning Hold Co LLCAdp of the SNFOrganization08/01/2024
Health Technologies, IncAdp of the SNFOrganization04/01/2023
Iowa Health Care AssociationAdp of the SNFOrganization10/01/2024
Millennium Rehab & Consulting IncAdp of the SNFOrganization06/30/2023
Pm Acquisition LLCAdp of the SNFOrganization03/31/2022
Branch, JordanAdp of the SNFIndividual02/09/2026

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.

  1. 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 January 9, 2025: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on January 9, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  3. 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 January 9, 2025: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."

Other nursing homes nearby

Iowa contacts for a concern about a nursing home

These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.

Common questions

What is Hubbard Care Center's Medicare star rating?
CMS rates Hubbard Care Center 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Hubbard Care Center get at its last inspection?
0 health deficiencies at the standard inspection on January 29, 2026. The Iowa average is 6.5.
Has Hubbard Care Center been fined?
Yes. CMS lists 4 fines totaling $46,101 in the last three years.
Does Hubbard 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 Hubbard Care Center?
CMS lists 23 owners and managers. Legal business name: HUBBARD CARE CENTER INC.

Sources

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