Lake Mills Care Center
406 South Tenth Avenue East, Lake Mills, IA 50450 · Winnebago County · (641) 592-4900
61 certified beds, about 41 residents a day · For profit - Corporation · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165366 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 15, 2026, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).
Of 6 health citations since June 2024, 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 3.62 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.
25.0% of nursing staff left within the year CMS measured (Iowa average 44.0%).
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.
006/24
404/25
110/25
104/26
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 6 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
1E
0F
Potential for minimal harm
0A
0B
1C
April 15, 2026Standard inspection · 1 citation
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on direct observation, clinical record review, staff interview, and facility policy review, the facility failed to protect residents from pathogens when they stored food in an unhygienic manner and when they assisted residents with eating using unsanitary practices. The facility reported a census of 39.
October 16, 2025Complaint inspection · 1 citation
- G Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on record review, policy review and staff interviews, the facility failed to promptly identify, intervene and notify the provider of an acute change in a resident's uncontrolled pain following a fall on 7/21/25 for 1 of 3 residents reviewed (Resident #1). On 7/21/25 at 4:00 AM, Resident #1 had a witnessed fall. When the nurse assessed her, she reported pain to her leg but had range of motion to her legs. After transferring the resident to the bed, the resident reported an increase in pain reporting it was the worst pain ever. The nurse faxed the physician instead of sending her for evaluation. The resident continued to put her call light on seven times between 4:50 AM to 5:15 AM reporting to staff severe pain. The nurse said she just needed to wait for the Tylenol to kick in, because it isn't quick acting. [...]
April 9, 2025Standard inspection · 4 citations
- 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 record review, staff interview the facility failed to create a comprehensive Care Plan with appropriate goals and interventions for 1 of 2 residents (Resident #43) for anticoagulants (also known as blood thinners, medications that prevent blood clots from forming or growing and can cause increased risk of bleeding, which can manifest as excessive bruising, prolonged nosebleeds, or even internal bleeding) and diuretics (medications that increase urine production, helping the body eliminate excess salt and water and can cause negative side effects such as dehydration, dizziness, fatigue, muscle cramps, headache) and 1 of 3 residents for diabetes and insulin (Resident #50). The facility reported a census of 52 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, staff and policy review the facility failed to promptly implement and ensure physician notification and response for 1 of 1 residents with new onset of Urinary Tract Infection (UTI) signs and symptoms resulting a delay in care and unresolved pain (Resident #20). The facility also failed to notify 1 of 2 residents physician timely for elevated blood sugar levels (Resident #8). The facility reported a census of 52 residents.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to provide care consistent with professional standards to prevent a pressure ulcer, and failed to provide the necessary treatment and services to promote healing for 1 resident with a pressure ulcer (Resident #2). The facility reported a census of 52 residents.
- C Post nurse staffing information every day.
Inspectors wroteBased on observations, facility document review and staff interviews, the facility failed to post staff daily posting with the census and staffing data required. The facility reported a census of 52 residents.
June 5, 2024Standard inspection · 0 citations
Fire safety inspections
10 fire safety citations on file: 3 on April 15, 2026, 4 on April 9, 2025, 3 on June 5, 2024.
Every fire safety citation10 citations
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Have elevators that firefighters can control in the event of a fire.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- 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 Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure that testing and maintenance of electrical equipment is performed.
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) | 3.62 | 3.82 | 3.86 |
| Registered nurses | 0.35 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.19 | 3.37 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 1.04 | ||
| Nursing staff turnover (share who left in a year) | 25.0% | 44.0% | 45.8% |
| Registered nurse turnover | not reported | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.46 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 3.19 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.23 in April to June 2025 to 3.62 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 | 3.62 | 0.35 | 3.80 | 3.19 | 0.1% | 0 of 90 | 41 |
| Oct to Dec 2025 | 3.43 | 0.35 | 3.61 | 2.97 | 1.7% | 0 of 92 | 47 |
| Jul to Sep 2025 | 3.25 | 0.30 | 3.40 | 2.88 | 0.3% | 2 of 92 | 50 |
| Apr to Jun 2025 | 3.23 | 0.27 | 3.38 | 2.86 | 1.4% | 3 of 91 | 51 |
| 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 | 8.7 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.7 | 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 | 10.4 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.4 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.3 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.0 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.1 | 1.8 |
Owners and operators
Legal business name: LAKE MILLS 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 |
|---|---|---|---|---|
| Shabat, Menachem | Managing control - governing body | Individual | 08/15/2024 | |
| Shabat, Menachem | Corporate officer | 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 | |
| Helgeson, Julie | 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 | |
| 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 | |
| Thoe, Krystal | Operational/managerial control | Individual | 08/15/2024 | |
| Van Veghel, Elizabeth | Operational/managerial control | Individual | 08/15/2024 | |
| Waletzko Bartz, Brittany | 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 | 08/15/2024 | |
| Rajchenbach, Rivka | Trustee of the SNF | Individual | 04/28/2008 | |
| Shabat, Ahuva | Trustee of the SNF | Individual | 08/15/2024 | |
| 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 | |
| Lake Mills Ia Property Holdings, LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Legacy Healthcare Financial Services 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 | |
| Helgeson, Julie | 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 | |
| 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 | |
| Thoe, Krystal | Adp of the SNF | Individual | 08/15/2024 | |
| Van Veghel, Elizabeth | Adp of the SNF | Individual | 08/15/2024 | |
| Waletzko Bartz, Brittany | 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 October 16, 2025: "Provide safe, appropriate pain management for a resident who requires such services."
- 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 April 15, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on April 9, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on April 9, 2025: "Post nurse staffing information every day."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.19 hours per resident per day, below the Iowa average of 3.37.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Good Samaritan - Forest City Forest City, 16.7 mi · 4 of 5 stars · 9 citations
- Parkview Care Center Wells, 16.7 mi · 3 of 5 stars · 22 citations
- Timely Mission Nursing Home Buffalo Center, 17 mi · 5 of 5 stars · 7 citations
- St. Johns on Fountain Lake Albert Lea, 17.7 mi · 3 of 5 stars · 30 citations
- Thorne Crest Retirement Center Albert Lea, 18.5 mi · 1 of 5 stars · 36 citations
- Good Samaritan Society - Albert Lea Albert Lea, 20.2 mi · 4 of 5 stars · 15 citations
- Lutheran Retirement Home Northwood, 21.9 mi · 3 of 5 stars · 13 citations
- St. Lukes Lutheran Care Center Blue Earth, 24.1 mi · 5 of 5 stars · 6 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 Lake Mills Care Center's Medicare star rating?
- CMS rates Lake Mills Care Center 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lake Mills Care Center get at its last inspection?
- 1 health deficiency at the standard inspection on April 15, 2026. The Iowa average is 6.5.
- Has Lake Mills Care Center been fined?
- CMS lists no fines in the last three years.
- Does Lake Mills 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 Lake Mills Care Center?
- CMS lists 69 owners and managers, and links the home to Legacy Healthcare. Legal business name: LAKE MILLS 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.