Nora Springs Care Center
907 W Congress, Nora Springs, IA 50458 · Floyd County · (641) 749-5331
50 certified beds, about 44 residents a day · For profit - Corporation · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165347 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 23, 2026, inspectors cited 5 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 10 health citations since July 2024 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 3.11 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.32 of those hours.
40.4% 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.
107/24
005/25
111/25
101/26
204/26
507/26
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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
0E
1F
Potential for minimal harm
0A
0B
0C
July 23, 2026Standard inspection, Complaint inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to maintain kitchen equipment and clean dishes in a sanitary condition due to a white residue buildup. The facility reported a census of 39 residentsFinding includes:On 7/20/26 at 9:15 AM, an observation during an initial kitchen walkthrough revealed a buildup of white residue on the dishwasher and clean dishes. On 7/20/26 at 10:50 AM, an observation in the kitchen revealed the white residue remained on the dishes and in the dishwasher. On 7/21/26 at 11:05 AM, Staff E, Cook, reported facility staff attempted weekly descaling (removing mineral buildup) on the dishwasher, but dishes still retained the buildup. Staff E reported the Administrator held awareness of the issue. On 7/21/26 at 11:30 AM, the Dietary Manager (DM) reported facility awareness regarding the dishwasher issues, noting an ordered water softener remains on backorder. [...]
- 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 record review and interview, the facility failed to ensure staff obtained a completed and signed Iowa Physician Orders for Scope of Treatment (IPOST) (end-of-life care order) from a physician for 1 of 8 residents (Resident #4) reviewed for advance directives. The facility reported a census of 39 residents.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on record review, resident and staff interviews, the facility failed to provide resident centered activities that incorporated the resident's interests and hobbies for 1 of 13 residents reviewed (Resident #29). The facility reported a census of 39 residents.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, policy review and staff interviews, the facility failed to follow professional standards for reconciling controlled drugs (medication with a high potential for abuse) for 1 of 3 residents reviewed (Resident #36). The facility reported a census of 39 residents.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review and interview, the facility failed to ensure staff administered insulin according to physician orders and failed to notify the physician when holding or altering insulin doses for 2 of 5 residents reviewed (Residents #30 and #22). The facility reported a census of 39 residents.
April 14, 2026Complaint inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review a, policy review and staff interviews, the facility failed to notify the physician of an omission of a medication for 1 of 3 residents reviewed (Resident #5). The facility reported a census of 47 residents.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on clinical record review, policy review, pharmacy and staff interviews, the facility failed to administer medications per physician orders for 2 of 3 residents reviewed (Resident #2 and Resident #5). The facility reported a census of 47 residents.
January 8, 2026Complaint inspection · 1 citation
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on clinical record review, facility records, policy review and staff interviews, the facility failed to have competent staff explain the risks of not wearing a physician ordered knee immobilizer prior to transferring a resident from a chair to the bed for 1 of 3 residents (Resident # 3) reviewed resulting in bilateral closed fractures of the condyles of tibial plateau (the two rounded prominences at the top of the shin bone that form the weight-bearing surface, articulating with the thigh bone to create the knee joint ) and fibulae (smaller of the two bones between the knee and the ankle). The facility reported a census of 46 residents.
November 18, 2025Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interview, facility investigation, and review of policy and procedures, the facility failed to report all alleged violations involving mistreatment, neglect, or abuse of a resident (Resident #1) to the Department of Inspection and Appeals and Licensing (DIAL) within 2 hours. The facility reported a census of 42 residents.
May 29, 2025Standard inspection · 0 citations
July 3, 2024Standard inspection · 1 citation
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, the facility failed to label and date food items when opened to reduce the risk of contamination and food-borne illness. The facility reported a census of 44 residents.
Fire safety inspections
14 fire safety citations on file: 9 on July 23, 2026, 2 on May 29, 2025, 3 on July 3, 2024.
Every fire safety citation14 citations
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have properly located and lighted "Exit" signs.
- F Properly provide smoke detection systems in areas open to corridors.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 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.
- E Provide properly protected cooking facilities.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- F Provide properly protected cooking facilities.
- 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.
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) | 3.11 | 3.82 | 3.86 |
| Registered nurses | 0.32 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.78 | 3.37 | 3.42 |
| Nurse aides | 2.03 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 40.4% | 44.0% | 45.8% |
| Registered nurse turnover | 50.0% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.28 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 3.24 on weekdays and 2.78 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.57 in April to June 2025 to 3.11 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 | 3.11 | 0.32 | 3.24 | 2.78 | 0.0% | 2 of 90 | 44 |
| Oct to Dec 2025 | 3.59 | 0.40 | 3.81 | 3.04 | 0.0% | 0 of 92 | 42 |
| Jul to Sep 2025 | 3.45 | 0.34 | 3.65 | 2.94 | 0.0% | 0 of 92 | 44 |
| Apr to Jun 2025 | 3.57 | 0.33 | 3.81 | 2.96 | 0.0% | 0 of 91 | 43 |
| 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 | 8.5 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.7 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.9 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.9 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.7 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.5 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.3 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.1 | 1.8 |
Owners and operators
Legal business name: NORA SPRINGS 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 |
|---|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12 | Indirect ownership interest | Organization | 08/15/2024 | |
| Gpn Family Trust U/a/D 4/28/08 | Indirect ownership interest | Organization | 08/15/2024 | |
| Iowa Portfolio Opco Holdings LLC | Indirect ownership interest | Organization | 08/15/2024 | |
| Oakway Operations LLC | Indirect ownership interest | Organization | 08/15/2024 | |
| Shabat, Menachem | Corporate officer | Individual | 08/15/2024 | |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | Organization | 08/15/2024 | |
| Bates, Kristine | Operational/managerial control | Individual | 07/09/2025 | |
| 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 | |
| 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 | |
| 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 | |
| Shabat, Menachem | Operational/managerial control | Individual | 08/15/2024 | |
| Shear, Kiley | Operational/managerial control | Individual | 08/15/2024 | |
| Thorson, Lindsey | Operational/managerial control | Individual | 07/08/2025 | |
| Van Veghel, Elizabeth | Operational/managerial control | Individual | 08/15/2024 | |
| Wierschem, Bobbie | Operational/managerial control | Individual | 08/15/2024 | |
| Friedman, Brian | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/02/2025 | |
| Rajchenbach, Avrum | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/02/2025 | |
| Shabat, Ahuva | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/02/2025 | |
| Gpn Family Trust U/a/D 4/28/08 | Trustee of the SNF | Organization | 08/15/2024 | |
| Rajchenbach, Rivka | Trustee of the SNF | Individual | 04/28/2008 | |
| 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 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 | |
| Mn8 Rh Holdco LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Nora Springs Ia Property Holdings LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Bates, Kristine | Adp of the SNF | Individual | 07/09/2025 | |
| 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 | |
| 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 | |
| Kapler, Lisa | 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 | |
| Shabat, Menachem | Adp of the SNF | Individual | 08/15/2024 | |
| Shear, Kiley | Adp of the SNF | Individual | 08/15/2024 | |
| Thorson, Lindsey | Adp of the SNF | Individual | 07/08/2025 | |
| Van Veghel, Elizabeth | Adp of the SNF | Individual | 08/15/2024 | |
| Wierschem, Bobbie | 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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on July 23, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- 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 July 23, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 23, 2026: "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."
- 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 July 23, 2026: "Provide activities to meet all resident's needs."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.78 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
- Heritage Care and Rehabilitation Center Mason City, 8.3 mi · 2 of 5 stars · 7 citations
- Good Shepherd Health Center Mason City, 9 mi · 1 of 5 stars · 28 citations
- I O O F Home and Community Therapy Center Mason City, 10.1 mi · 4 of 5 stars · 10 citations
- Manly Specialty Care Manly, 13.2 mi · 3 of 5 stars · 21 citations
- Osage Rehab and Health Care Center Osage, 13.7 mi · 1 of 5 stars · 44 citations
- Rockwell Community Nursing Home Rockwell, 13.7 mi · 5 of 5 stars · 1 citation
- Faith Lutheran Home Osage, 13.9 mi · 4 of 5 stars · 2 citations
- Good Samaritan - Saint Ansgar Saint Ansgar, 17 mi · 5 of 5 stars · 2 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 Nora Springs Care Center's Medicare star rating?
- CMS rates Nora Springs Care Center 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Nora Springs Care Center get at its last inspection?
- 5 health deficiencies at the standard inspection on July 23, 2026. The Iowa average is 6.5.
- Has Nora Springs Care Center been fined?
- CMS lists no fines in the last three years.
- Does Nora Springs 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 Nora Springs Care Center?
- CMS lists 58 owners and managers, and links the home to Legacy Healthcare. Legal business name: NORA SPRINGS 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.