I O O F Home and Community Therapy Center
1037 19th Street Sw, Mason City, IA 50401 · Cerro Gordo County · (641) 423-0428
82 certified beds, about 74 residents a day · Non profit - Corporation · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165536 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 19, 2026, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).
None of its 10 health citations since March 2024 was rated as actual harm or immediate jeopardy.
CMS lists 3 fines totaling $8,984 in the last three years; the largest was $4,233, and the latest is dated January 8, 2024.
Nurses and nurse aides worked 4.42 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.
20.0% 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.
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.
March 19, 2026Standard inspection · 1 citation
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, electronic health record review, Centers for Medicare and Medicaid Services Long-term Care Facility Resident Assessment Instrument 3.0 User's Manual, facility policy, resident, and staff interviews, the facility failed to complete the Minimum Data Set (MDS) assessments to accurately reflect the tobacco status for 1 of 1 resident (Resident #6) reviewed for smoking. The facility reported a census of 76 residents. Findings Include:Resident #6's MDS assessment dated [DATE], included a Brief Interview for Mental Status (BIMS) of 15, indicating intact cognition. MDS Section J Health Conditions indicated Resident #6 did not utilize tobacco. [...]
March 13, 2025Standard inspection · 3 citations
- 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, facility document review, and staff interview the facility failed to send notice to the State Long Term Care Ombudsman for hospitalizations for 3 of 3 residents (Residents #2, #27 and #64) reviewed. The facility reported a census of 71 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, staff interview the facility failed to complete a discharge Minimum Data Set (MDS) for 1 of 5 residents reviewed (Resident #2) for discharge. The facility reported a census of 71 residents.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, staff interviews and policy review the facility failed to ensure 1 of 3 residents with a facility acquired pressure ulcer were provided with proper assessment and treatment to prevent pressure ulcers while living at the facility (Resident #66). The facility reported a census of 71 residents. The facility fixed the concern on 3/7/25, prior to the survey start through the following action plan: a. 2/27/25: The Director of Nursing (DON), or Assistant Director of Nursing (DON) if the DON is absent, would double check all new admission/readmission orders. b. 2/28/25: The facility checked all residents to ensure no other residents affected. c. 3/7/25: Anytime a resident has an order to wear any device fitted on a resident extremity (such as a brace), the standing order will be for the nurse to remove or loosen the device and check the skin twice a day. d. [...]
March 21, 2024Standard inspection · 6 citations
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, policy review, and staff interview the facility failed to maintain safe holding temperatures of 135 degrees Fahrenheit for hot foods and under 41 degrees Fahrenheit for cold foods to prevent foodborne illness. The facility reported a census of 63.
- 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 interview the facility failed to keep the kitchen area clean, use gloves appropriately for assembling and serving meals, keep hands off the drinking surfaces of glasses, keep bare hands off of foods, and keep serving utensils clean in order to serve meals under sanitary conditions. The facility reported a census of 63 residents.
- E Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on facility record review and staff interviews, the facility failed to provide satisfactory evidence that they identified their own high risk, high volume, and problem-prone quality deficiencies, and made a good faith attempt to correct them. The facility reported a census of 63 residents.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on record review, staff interview, and Resident Assessment Instrument (RAI) Manual the facility failed to ensure 2 of 4 residents (Resident #37 and #57) Significant Change Minimum Data Set (MDS) assessments were completed within 14 days of identifying a significant change occurred. The facility reported a census of 63 residents.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and staff interview the facility failed to ensure all diagnoses that were present on admission were on the Preadmission Screening and Resident Review (PASRR) upon admission to the facility for 1 of 1 residents (Resident #49). The facility reported a census of 63 residents.
- 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 record review, staff interview, and policy review the facility failed to ensure 1 of 3 residents reviewed for catheters (Resident #37) Care Plan was updated to inform and instruct staff of the reason and how to care for his catheter. The facility reported a census of 63 residents.
Fire safety inspections
12 fire safety citations on file: 2 on March 19, 2026, 3 on March 13, 2025, 7 on March 21, 2024.
Every fire safety citation12 citations
- F Provide properly protected cooking facilities.
- D Install corridor and hallway doors that block smoke.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have exits that are accessible at all times.
- D Install corridor and hallway doors that block smoke.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Install corridor and hallway doors that block smoke.
- E Ensure proper usage of power strips and extension cords.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 8, 2024 | Fine | $2,634 |
| January 2, 2024 | Fine | $2,117 |
| December 11, 2023 | Fine | $4,233 |
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.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.42 | 3.82 | 3.86 |
| Registered nurses | 0.41 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.77 | 3.37 | 3.42 |
| Nurse aides | 3.02 | ||
| Licensed practical nurses | 0.99 | ||
| Nursing staff turnover (share who left in a year) | 20.0% | 44.0% | 45.8% |
| Registered nurse turnover | 42.9% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.14 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 4.69 on weekdays and 3.77 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.59 in April to June 2025 to 4.42 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 | 4.42 | 0.41 | 4.69 | 3.77 | 0.4% | 0 of 90 | 74 |
| Oct to Dec 2025 | 4.42 | 0.52 | 4.71 | 3.68 | 1.4% | 0 of 92 | 71 |
| Jul to Sep 2025 | 4.38 | 0.42 | 4.64 | 3.71 | 1.6% | 0 of 92 | 72 |
| Apr to Jun 2025 | 4.59 | 0.46 | 4.85 | 3.91 | 1.0% | 0 of 91 | 70 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Iowa
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 16.2 | 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 | 6.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.8 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.4 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 44.5 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.0 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.0 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 2.1 | 1.8 |
Owners and operators
Legal business name: IOWA ODD FELLOWS & ORPHANS HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Davis, Michael | 5% or greater direct ownership interest | Individual | 09/26/2025 | |
| Heckart, Michelle | Direct ownership interest | Individual | 10/01/2024 | |
| Knoch, Stephanie | Direct ownership interest | Individual | 10/01/2024 | |
| Dodson, Sandra | Corporate director | Individual | 10/01/2022 | |
| Nattress, Shirley | Corporate director | Individual | 10/22/2015 | |
| Rice, Thomas | Corporate director | Individual | 10/01/2022 | |
| Smith, Roger | Corporate director | Individual | 06/24/2015 | |
| Helgeson, Scott | Corporate officer | Individual | 03/26/2025 | |
| Low, Karen | Corporate officer | Individual | 05/24/2023 | |
| Nattress, Shirley | Corporate officer | Individual | 07/01/2021 | |
| Oben, Patrick | Corporate officer | Individual | 01/01/2024 | |
| Ogaard, Doug | Corporate officer | Individual | 10/07/2017 | |
| Soderstrom, Mindy | Corporate officer | Individual | 11/15/2023 | |
| Davis, Michael | Operational/managerial control | Individual | 07/23/2013 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on March 19, 2026: "Ensure each resident receives an accurate assessment."
- 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 March 21, 2024: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- 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 March 13, 2025: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on March 13, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
Other nursing homes nearby
- Good Shepherd Health Center Mason City, 1.7 mi · 1 of 5 stars · 28 citations
- Heritage Care and Rehabilitation Center Mason City, 2 mi · 2 of 5 stars · 7 citations
- Oakwood Care Center Clear Lake, 8.9 mi · 3 of 5 stars · 17 citations
- Nora Springs Care Center Nora Springs, 10.1 mi · 3 of 5 stars · 10 citations
- Rockwell Community Nursing Home Rockwell, 10.3 mi · 5 of 5 stars · 1 citation
- Manly Specialty Care Manly, 10.4 mi · 3 of 5 stars · 21 citations
- Sheffield Care Center Sheffield, 16.8 mi · 2 of 5 stars · 14 citations
- Concord Care Center Garner, 20 mi · 5 of 5 stars · 11 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 I O O F Home and Community Therapy Center's Medicare star rating?
- CMS rates I O O F Home and Community Therapy Center 4 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did I O O F Home and Community Therapy Center get at its last inspection?
- 1 health deficiency at the standard inspection on March 19, 2026. The Iowa average is 6.5.
- Has I O O F Home and Community Therapy Center been fined?
- Yes. CMS lists 3 fines totaling $8,984 in the last three years.
- Does I O O F Home and Community Therapy 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 I O O F Home and Community Therapy Center?
- CMS lists 14 owners and managers. Legal business name: IOWA ODD FELLOWS & ORPHANS HOME.
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.