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Rehabilitation Center of Allison

900 7th Street West, Allison, IA 50602 · Butler County · (319) 267-2791

48 certified beds, about 45 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997

Last standard inspection more than 2 years ago Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165336 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 29, 2024, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).

Of 17 health citations since November 2022, 2 were 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 3.54 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.

65.5% 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.

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 17 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
13D
1E
1F
Potential for minimal harm
0A
0B
0C
May 5, 2026Complaint inspection · 7 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2026
    Inspectors wroteBased on clinical record review, facility policy, resident, and staff interviews, the facility didn't provide necessary treatment and services for a skin tear for 1 of 4 residents (Resident #5). Staff failed to implement physician treatment orders for 10 days, which resulted in the wound bed deteriorating and the surrounding skin becoming soft and broken down. The facility reported a census of 40 residents.
  2. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2026
    Inspectors wroteBased on observation, clinical record review, staff interview, and facility policy/procedure, the facility failed to ensure Resident #1 received a timely medical evaluation and assessment following a fall, for 1 of 4 residents reviewed (Resident #1). The failure resulted in harm to Resident #1, who sustained a right hip fracture and experienced severe, prolonged pain for two days before receiving surgical treatment. The facility identified a census of 40 residents.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2026
    Inspectors wroteBased on resident and staff interviews, policy review, the facility failed to treat residents with respect and dignity in a manner that promotes maintenance or enhancement of his or her quality of life for 2 of 4 resident reviewed. (Resident #6 and Resident #7). The facility identified a census of 40 residents.
  4. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2026
    Inspectors wroteBased on clinical record review, resident and staff interviews, the facility didn't ensure timely notification of incidents to the legal representative or the Hospice provider for 2 of 4 residents (Resident #2 and Resident #4). The facility reported a census of 40 residents.
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2026
    Inspectors wroteBased on clinical record review, resident and staff interviews, and facility policy, the facility didn't ensure 2 of 4 residents (Resident #6 and Resident #7) received showers in accordance with their Plan of Care (POC). The facility identified a census of 40 residents.
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2026
    Inspectors wroteBased on clinical record review, resident and staff interviews, and facility policy review the facility failed to ensure one 2 of 5 residents received adequate supervision to protect against hazards in the environment. (Resident #1 and Resident #4). Record review and staff interviews revealed Resident #1 room door required to be open and on 4/19/26, Resident #1 had his room door closed, was yelling for help and was found by staff sitting on the floor with complaints of right knee pain and sustained a right hip fracture. Record review and staff interviews revealed Resident #4 required assistance of two staff for transfer. On 4/22/26, one nursing staff person assisted Resident #4 to transfer. The resident lost balance and fell backwards onto the floor. The facility reported a census of 40 residents.
  7. D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2026
    Inspectors wroteBased on resident and staff interviews, call light logs and the facility policy/procedure, the facility staff failed to answer resident call lights in a timely manner (no longer than 15 minutes) for 3 of 4 residents reviewed (Resident #4, #6 and Resident #7). The facility identified a census of 40 residents.
June 26, 2025Complaint inspection · 3 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 26, 2025
    Inspectors wrote2. On 6/24/25 at 9:28 AM Resident #143 was noted to have multiple days' worth of facial hair growth. At that time, he explained he preferred to be clean shaven. Further explained he had a shower scheduled later that morning and would like to be shaven at that time. On 6/24/25 at 4:01 PM Resident #143 explained he did have his shower but the CNA failed to shave him. The Care Plan for interventions for Resident #143 included the information that historically he likes to be clean shaven. During an interview on 6/25/25 at 11:05 AM, Staff C explained men should be shaven daily. During observations on 6/25/25 at 10:22 AM and 6/26/25 at 8:51 AM the resident remained unshaven. During an interview on 6/26/25 at 10:24 AM Staff A explained men should be asked if they want to shave daily. On 6/26/25 at 10:26 AM, Staff A and the surveyor went to Resident #143's room. [...]
  2. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 26, 2025
    Inspectors wroteBased on record review, policy review, personnel files review, resident and staff interviews the facility failed to prevent a staff member alleged of potential abuse of a resident (Resident #31) from contact with other residents. The facility reported a census of 39 residents.
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 26, 2025
    Inspectors wroteBased on clinical record review, policy review, and staff interview the facility failed to thoroughly investigate an allegation of abuse. The facility failed to conduct resident and staff interviews for the date of the incident to determine the extent of the allegation or determine if other residents had been affected. The facility reported a census of 39 residents.
March 21, 2025Complaint inspection · 2 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 19, 2025
    Inspectors wroteBased on schedule review, time card review, staff interview, and facility policy review the facility failed to provide a Registered Nurse (RN) in the facility for eight (8) consecutive hours per day as required by the Federal Regulations. The facility reported a census of 40 residents.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 19, 2025
    Inspectors wroteBased on clinical record review, staff interview and facility policy review the facility failed to implement Care Plans for two (2) of 3 residents reviewed (Residents #1 and #2). The facility reported a census of 40 residents.
November 7, 2024Complaint inspection · 1 citation
  1. D
    Have a Compliance and Ethics Program.
    F895 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 7, 2024
    Inspectors wroteBased on electronic health records (EHR) review, staff interview and facility policy review the facility failed to provide complete and accurately documented electronic health records for 1 of 3 residents (Resident #2) reviewed. The facility reported a census of 28 residents.
August 29, 2024Standard inspection · 2 citations
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2024
    Inspectors wroteBased on observation, clinical record review, staff interview and manufacturer ' s recommendations, the facility failed to administer insulin according to manufacturer ' s recommendations for 1 of 1 residents reviewed for administration of insulin utilizing an insulin pen (Resident #36). The facility reported a census of 45 residents.
  2. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2024
    Inspectors wroteBased on observation, clinical record review and staff interview, the facility failed to complete pre and post dialysis assessments for 1 of 1 resident reviewed for dialysis (Resident #32). The facility reported a census of 45 residents.
March 28, 2024Standard inspection · 2 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 28, 2024
    Inspectors wroteBased on observation, policy review, and staff interview the facility failed to keep their hands off the drinking rim surfaces of the glasses and failed to cover foods for transport during meal service. The facility reported a census of 42 residents.
  2. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 28, 2024
    Inspectors wroteBased on observation, clinical record review, policy review, and staff interview the facility failed to administer the appropriate dose of medication to 1 of 8 residents reviewed (Resident #17). The facility reported a census of 42 residents.
November 21, 2022Standard inspection · 0 citations

Fire safety inspections

9 fire safety citations on file: 4 on March 28, 2024, 5 on November 21, 2022.

Every fire safety citation9 citations
  1. F
    Provide properly protected cooking facilities.
    K 324 · March 28, 2024 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 28, 2024 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 28, 2024 · Corrected (the home has a date of correction)
  4. D
    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.
    K 222 · March 28, 2024 · Corrected (the home has a date of correction)
  5. F
    Provide properly protected cooking facilities.
    K 324 · November 21, 2022 · Corrected (the home has a date of correction)
  6. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 21, 2022 · Corrected (the home has a date of correction)
  7. 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 · November 21, 2022 · Corrected (the home has a date of correction)
  8. E
    Install corridor and hallway doors that block smoke.
    K 363 · November 21, 2022 · Corrected (the home has a date of correction)
  9. D
    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.
    K 222 · November 21, 2022 · Corrected (the home has a date of correction)

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.

MeasureThis homeIowaUnited States
All nursing staff (RN, LPN and aides)3.543.823.86
Registered nurses0.410.740.69
All nursing staff on weekends3.163.373.42
Nurse aides2.45
Licensed practical nurses0.68
Nursing staff turnover (share who left in a year)65.5%44.0%45.8%
Registered nurse turnover62.5%42.1%42.9%
Administrators who left1

CMS expects 3.19 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 3.69 on weekdays and 3.16 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 27.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.56 in April to June 2025 to 3.54 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.540.413.693.16 27.3%0 of 9045
Oct to Dec 20253.560.443.773.04 28.2%0 of 9243
Jul to Sep 20253.680.523.933.04 25.0%0 of 9239
Apr to Jun 20253.560.543.763.06 24.3%0 of 9140
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
8.817.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.62.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.53.83.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.62.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.616.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.14.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.319.415.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.32.11.8

Owners and operators

Legal business name: ALLISON IA SKILLED NURSING FACILITY LLC. CMS links this home to Legacy Healthcare, a group of 95 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Iowa Portfolio Opco Holdings LLCDirect ownership interestOrganization08/15/2024
Doros Generation Trust U/a/D 1/3/12Indirect ownership interestOrganization08/15/2024
Gpn Family Trust U/a/D 4/28/08Indirect ownership interestOrganization08/15/2024
Oakway Operations LLCIndirect ownership interestOrganization08/15/2024
Rajchenbach, ChaimManaging control - governing bodyIndividual08/28/2012
Shabat, MenachemManaging control - governing bodyIndividual08/15/2024
Legacy Healthcare Financial Services LLCOperational/managerial controlOrganization08/15/2024
Beasley, KarlaOperational/managerial controlIndividual08/15/2024
Behounek, LinseyOperational/managerial controlIndividual08/15/2024
Bochmann, CourtneyOperational/managerial controlIndividual08/15/2024
Borcherding, JennyOperational/managerial controlIndividual08/15/2024
Burken, SheriOperational/managerial controlIndividual08/15/2024
Friedenberg, LauraOperational/managerial controlIndividual08/15/2024
Hedberg, JenniferOperational/managerial controlIndividual08/15/2024
Heying, LarinaOperational/managerial controlIndividual08/15/2024
Houston, MindyOperational/managerial controlIndividual08/15/2024
Jaeger, KrystleOperational/managerial controlIndividual08/15/2024
Larson, MelissaOperational/managerial controlIndividual08/15/2024
McClure, DorothyOperational/managerial controlIndividual08/15/2024
Morris, LisaOperational/managerial controlIndividual08/15/2024
Otterbeck, PatriciaOperational/managerial controlIndividual08/15/2024
Rajchenbach, ChaimOperational/managerial controlIndividual08/15/2024
Shabat, MenachemOperational/managerial controlIndividual08/15/2024
Shear, KileyOperational/managerial controlIndividual08/15/2024
Van Veghel, ElizabethOperational/managerial controlIndividual08/15/2024
Westendorf, MakaylaOperational/managerial controlIndividual02/24/2025
Wierschem, BobbieOperational/managerial controlIndividual08/15/2024
Friedman, BrianIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/01/2025
Rajchenbach, AvrumIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/01/2025
Rajchenbach, RivkaIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/01/2025
Shabat, AhuvaIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/01/2025
Allison Ia Property Holdings, LLCAdp of the SNFOrganization08/15/2024
Cascade Capital Holdings LLCAdp of the SNFOrganization08/15/2024
Cascade Capital Partners LLCAdp of the SNFOrganization08/15/2024
Ccg Gorgona LLCAdp of the SNFOrganization08/15/2024
Gorgona Holdco LLCAdp of the SNFOrganization08/15/2024
Gorgona Propco Holdings LLCAdp of the SNFOrganization08/15/2024
Gorgona Sub Holdco LLCAdp of the SNFOrganization08/15/2024
Gpn Family Trust U/a/D 4/28/08Adp of the SNFOrganization08/15/2024
Legacy Healthcare Financial Services LLCAdp of the SNFOrganization08/15/2024
Mn8 Rh Holdco LLCAdp of the SNFOrganization08/15/2024
Beasley, KarlaAdp of the SNFIndividual08/15/2024
Behounek, LinseyAdp of the SNFIndividual08/15/2024
Bochmann, CourtneyAdp of the SNFIndividual08/15/2024
Borcherding, JennyAdp of the SNFIndividual08/15/2024
Burken, SheriAdp of the SNFIndividual08/15/2024
Friedenberg, LauraAdp of the SNFIndividual08/15/2024
Hedberg, JenniferAdp of the SNFIndividual08/15/2024
Heying, LarinaAdp of the SNFIndividual08/15/2024
Houston, MindyAdp of the SNFIndividual08/15/2024
Jaeger, KrystleAdp of the SNFIndividual08/15/2024
Larson, MelissaAdp of the SNFIndividual08/15/2024
McClure, DorothyAdp of the SNFIndividual08/15/2024
Morris, LisaAdp of the SNFIndividual08/15/2024
Otterbeck, PatriciaAdp of the SNFIndividual08/15/2024
Rajchenbach, ChaimAdp of the SNFIndividual08/15/2024
Shabat, MenachemAdp of the SNFIndividual08/15/2024
Shear, KileyAdp of the SNFIndividual08/15/2024
Van Veghel, ElizabethAdp of the SNFIndividual08/15/2024
Westendorf, MakaylaAdp of the SNFIndividual02/24/2025
Wierschem, BobbieAdp of the SNFIndividual08/15/2024

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on May 5, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on May 5, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on March 21, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on May 5, 2026: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.16 hours per resident per day, below the Iowa average of 3.37.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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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 Rehabilitation Center of Allison's Medicare star rating?
CMS rates Rehabilitation Center of Allison 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Rehabilitation Center of Allison get at its last inspection?
2 health deficiencies at the standard inspection on August 29, 2024. The Iowa average is 6.5.
Has Rehabilitation Center of Allison been fined?
CMS lists no fines in the last three years.
Does Rehabilitation Center of Allison 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 Rehabilitation Center of Allison?
CMS lists 61 owners and managers, and links the home to Legacy Healthcare. Legal business name: ALLISON IA SKILLED NURSING FACILITY LLC.

Sources

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