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
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.
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.
May 5, 2026Complaint inspection · 7 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
- G Provide safe, appropriate pain management for a resident who requires such services.
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.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
- 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, 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.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
- D Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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. [...]
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
- D Respond appropriately to all alleged violations.
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
- 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.
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.
- 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 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
- D Have a Compliance and Ethics Program.
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
- D Ensure services provided by the nursing facility meet professional standards of quality.
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.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
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
- 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 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.
- D Ensure services provided by the nursing facility meet professional standards of quality.
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
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- 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.
- F Provide properly protected cooking facilities.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- 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.
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) | 3.54 | 3.82 | 3.86 |
| Registered nurses | 0.41 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.16 | 3.37 | 3.42 |
| Nurse aides | 2.45 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | 65.5% | 44.0% | 45.8% |
| Registered nurse turnover | 62.5% | 42.1% | 42.9% |
| Administrators who left | 1 |
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.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.54 | 0.41 | 3.69 | 3.16 | 27.3% | 0 of 90 | 45 |
| Oct to Dec 2025 | 3.56 | 0.44 | 3.77 | 3.04 | 28.2% | 0 of 92 | 43 |
| Jul to Sep 2025 | 3.68 | 0.52 | 3.93 | 3.04 | 25.0% | 0 of 92 | 39 |
| Apr to Jun 2025 | 3.56 | 0.54 | 3.76 | 3.06 | 24.3% | 0 of 91 | 40 |
| 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 | 8.8 | 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 | 2.5 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.6 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.6 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.3 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.1 | 1.8 |
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.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Iowa Portfolio Opco Holdings LLC | Direct ownership interest | Organization | 08/15/2024 | |
| 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 | |
| Oakway Operations LLC | Indirect ownership interest | Organization | 08/15/2024 | |
| Rajchenbach, Chaim | Managing control - governing body | Individual | 08/28/2012 | |
| Shabat, Menachem | Managing control - governing body | 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 | |
| Bochmann, Courtney | 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 | |
| Morris, Lisa | 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 | |
| Van Veghel, Elizabeth | Operational/managerial control | Individual | 08/15/2024 | |
| Westendorf, Makayla | Operational/managerial control | Individual | 02/24/2025 | |
| 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 | 04/01/2025 | |
| Rajchenbach, Avrum | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/01/2025 | |
| Rajchenbach, Rivka | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/01/2025 | |
| Shabat, Ahuva | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/01/2025 | |
| Allison Ia Property Holdings, LLC | Adp of the SNF | Organization | 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 | |
| Gpn Family Trust U/a/D 4/28/08 | 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 | |
| Bochmann, Courtney | 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 | |
| Larson, Melissa | Adp of the SNF | Individual | 08/15/2024 | |
| McClure, Dorothy | Adp of the SNF | Individual | 08/15/2024 | |
| Morris, Lisa | 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 | |
| Van Veghel, Elizabeth | Adp of the SNF | Individual | 08/15/2024 | |
| Westendorf, Makayla | Adp of the SNF | Individual | 02/24/2025 | |
| 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 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."
- 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."
- 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."
- 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."
- 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.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Clarksville Skilled Nursing & Rehab Center Clarksville, 6.7 mi · 4 of 5 stars · 10 citations
- Ams Memorial-Greene Greene, 9.4 mi · 1 of 5 stars · 19 citations
- Shell Rock Senior Living Shell Rock, 11.9 mi · 1 of 5 stars · 22 citations
- Maple Manor Village Aplington, 12.5 mi · 4 of 5 stars · 7 citations
- Woodland Terrace Waverly, 15.7 mi · 5 of 5 stars · 13 citations
- The Village of Ackley Ackley, 18.9 mi · 3 of 5 stars · 33 citations
- Franklin General Hospital Hampton, 19.6 mi · 5 of 5 stars · 7 citations
- Rehabilitation Center of Hampton Hampton, 20.6 mi · 4 of 5 stars · 7 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 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
- 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.