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Rehabilitation Centers of Independence West Campus

1610 Third Street Ne, Independence, IA 50644 · Buchanan County · (319) 334-6039

70 certified beds, about 53 residents a day · For profit - Corporation · Medicare and Medicaid since 1996

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165303 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 11, 2025, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).

Of 15 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 2 fines totaling $22,740 in the last three years; the largest was $13,627, and the latest is dated November 6, 2025.

Nurses and nurse aides worked 3.18 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.

60.4% 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.

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 15 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
3E
0F
Potential for minimal harm
0A
0B
0C
April 1, 2026Complaint inspection · 1 citation
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation, resident and staff interviews, review of the facility computerized call light response times, and facility policy review, the facility failed to answer resident call lights in a timely manner for four of five residents reviewed. (Resident #4, #5, #6, #7). The facility reported a census of 56 residents.
December 11, 2025Standard inspection · 2 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 10, 2026
    Inspectors wroteBased on clinical record review, Center for Medicare and Medicaid (CMS) Services Long-Term Care (LTC) Resident Assessment Instrument (RAI) 3.0 User's Manual, and staff interview, the facility failed to accurately code the use of medication on the Minimum Data Set (MDS) Assessment for 1 of 5 residents sampled (Resident #1); and failed to accurately code a determination of serious mental illness as identified on the Preadmission Screening and Resident Review (PASRR) for 1 of 1 residents sampled (Resident #18). The facility identified a census of 51 residents.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 10, 2026
    Inspectors wroteBased on observation, policy review and resident and staff interviews the facility failed to follow Enhanced Barrier Precautions (EBP) for 1 of 2 residents reviewed for EBP (Resident #14). The faciltiy reported a census of 51 residents.
November 6, 2025Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, clinical record review, staff interviews, and facility policy review, the facility failed to provide supervision for an ambulatory cognitively impaired resident for 1 of 2 residents identified by the facility as an elopement risk (Resident #1). On 10/17/25 around 8:11 PM, Resident #1 went out the B-wing door, walked down the facility sidewalk, across the facility graveled parking lot, across a residential street, across a hospital parking lot and into the hospital ambulance garage. The Emergency Medical Service (EMS) Personal contacted the facility to inform them that the resident was at the emergency room entrance at 8:32 PM. The facility had been unaware the resident had eloped (ran away) until contacted by the Emergency Personal. The resident was identified with cognitive impairment, impaired safety awareness, and wandering behaviors. [...]
August 12, 2025Complaint inspection · 3 citations
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2025
    Inspectors wroteBased on observation, staff interview, and resident interview, the facility failed to maintain a clean, comfortable and homelike environment. The facility reported a census of 56 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 · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2025
    Inspectors wroteBased on clinical record review and staff interviews, the facility failed to follow physician orders for one of three residents reviewed (Resident #2). The facility reported a census of 56 residents.
  3. 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) September 30, 2025
    Inspectors wroteBased on observation, resident and staff interviews, review of computerized call light response times, and facility policy review the facility failed to answer resident call lights in a timely manner for two of three residents reviewed (Resident #1, #6). The facility failed to have the call light within reach for one of seven residents reviewed (Resident #5). The facility reported a census of 56 residents.
April 17, 2025Complaint inspection · 2 citations
  1. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · 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) May 15, 2025
    Inspectors wroteBased on resident interviews, staff interviews, and record review the facility failed to prevent financial exploitation for 1 out of 1 residents reviewed for allegations of abuse (Resident #2). The facility identified a census of 53 residents.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · 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) May 15, 2025
    Inspectors wroteBased on record review, staff interviews, and facility policy review the facility failed to report an allegation of abuse to the proper agency in a required time frame for 1 of 1 allegations of abuse reviewed (Resident #2). The facility reported a census of 53 residents.
November 14, 2024Standard inspection · 2 citations
  1. E
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 14, 2024
    Inspectors wroteBased on observation, record review, resident and staff interview, the facility failed to provide each resident with a palatable, well balanced diet that takes into consideration the preferences of each resident. (Resident #14). During an observation of a meal, the facility failed to maintain cold foods below 41 degrees, obtain temperatures and serve the correct portion size of pureed meals. The facility reported a census of 48 residents.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 14, 2024
    Inspectors wroteBased on observation, staff interview, and policy review the facility failed to use appropriate personal protective equipment (PPE) when laundering soiled items. The facility reported a census of 48 residents.
January 8, 2024Complaint inspection · 1 citation
  1. J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 8, 2024
    Inspectors wroteBased on clinical record review, staff and provider interviews, and policy review the facility failed to contact the provider, and provide intervention for health condition changes noted with a pre-dialysis assessment prior to transfer to a scheduled dialysis appointment on [DATE] for 1 of 3 residents reviewed (Resident #1) who was assessed as lethargic, pulse of 47, and pulse oximeter (oxygen level) 87% on room air. Resident had been diagnosed with Covid-19 on [DATE] and had been experiencing loose stools, lack of appetite, weakness, and confusion. Resident arrived at the Dialysis Center, 30 miles from the facility, non-responsive, with diminished lung sounds, Blood Pressure (BP) 66/32 and required immediate transfer to the local emergency room (ER) for stabilization of life-threatening conditions. [...]
October 19, 2023Standard inspection · 3 citations
  1. 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 · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on clinical record review, policy review, and staff interview, the facility failed to notify the physician of a change in condition for 1 of 7 resident's sampled (Resident #49). The facility identified a census of 55 residents.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on clinical record review, policy review and staff interview, the facility failed to complete a full assessment on a resident that exhibited confusion with a blood sugar of 409 for 1 of 5 residents sampled (Resident #49). The facility identified a census of 55 residents.
  3. 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 · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on observation, clinical record review, staff and resident interview's the facility failed to answer call lights in a timely fashion for 1 of 7 resident reviewed (Resident #18). The facility reported a census of 55 residents.

Fire safety inspections

15 fire safety citations on file: 7 on December 11, 2025, 4 on November 14, 2024, 4 on October 19, 2023.

Every fire safety citation15 citations
  1. F
    Provide properly protected cooking facilities.
    K 324 · December 11, 2025 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · December 11, 2025 · Corrected (the home has a date of correction)
  3. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · December 11, 2025 · Corrected (the home has a date of correction)
  4. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 11, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · December 11, 2025 · Corrected (the home has a date of correction)
  6. E
    Ensure proper usage of power strips and extension cords.
    K 920 · December 11, 2025 · Corrected (the home has a date of correction)
  7. 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 · December 11, 2025 · Corrected (the home has a date of correction)
  8. F
    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
    K 343 · November 14, 2024 · Corrected (the home has a date of correction)
  9. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 14, 2024 · Waiver
  10. E
    Ensure proper usage of power strips and extension cords.
    K 920 · November 14, 2024 · Corrected (the home has a date of correction)
  11. E
    Have proper medical gas storage and administration areas.
    K 923 · November 14, 2024 · Corrected (the home has a date of correction)
  12. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · October 19, 2023 · Corrected (the home has a date of correction)
  13. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 19, 2023 · Corrected (the home has a date of correction)
  14. 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 · October 19, 2023 · Corrected (the home has a date of correction)
  15. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 19, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 6, 2025Fine $9,113
January 8, 2024Fine $13,627
January 8, 2024Payment Denial 8 days from January 31, 2024

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIowaUnited States
All nursing staff (RN, LPN and aides)3.183.823.86
Registered nurses0.530.740.69
All nursing staff on weekends2.833.373.42
Nurse aides2.11
Licensed practical nurses0.54
Nursing staff turnover (share who left in a year)60.4%44.0%45.8%
Registered nurse turnover16.7%42.1%42.9%
Administrators who left0

CMS expects 3.08 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 3.32 on weekdays and 2.83 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.25 in April to June 2025 to 3.18 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.180.533.322.83 0.8%0 of 9053
Oct to Dec 20253.080.593.242.69 7.2%0 of 9253
Jul to Sep 20253.190.573.352.76 24.1%0 of 9257
Apr to Jun 20253.250.493.432.80 18.7%0 of 9151
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
15.917.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.61.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.13.83.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.216.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.74.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
35.819.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
9.220.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.313.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.31.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.22.11.8

Owners and operators

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

NameRoleTypeShareSince
Shabat, MenachemManaging control - governing bodyIndividual08/15/2024
Shabat, MenachemCorporate officerIndividual08/15/2024
Legacy Healthcare Financial Services LLCOperational/managerial controlOrganization08/15/2024
Beasley, KarlaOperational/managerial controlIndividual08/15/2024
Behounek, LinseyOperational/managerial controlIndividual08/15/2024
Borcherding, JennyOperational/managerial controlIndividual08/15/2024
Burken, SheriOperational/managerial controlIndividual08/15/2024
Deford, ColinOperational/managerial controlIndividual01/01/2025
Friedenberg, LauraOperational/managerial controlIndividual08/15/2024
Hedberg, JenniferOperational/managerial controlIndividual08/15/2024
Heying, LarinaOperational/managerial controlIndividual08/15/2024
Houston, MindyOperational/managerial controlIndividual08/15/2024
Hunt, AmberOperational/managerial controlIndividual08/15/2024
Jaeger, KrystleOperational/managerial controlIndividual08/15/2024
Johnston, RobertaOperational/managerial controlIndividual08/15/2024
Larson, MelissaOperational/managerial controlIndividual08/15/2024
McClure, DorothyOperational/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
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
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
Independence Ia Property Holdings, LLCAdp 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
Borcherding, JennyAdp of the SNFIndividual08/15/2024
Burken, SheriAdp of the SNFIndividual08/15/2024
Deford, ColinAdp of the SNFIndividual01/01/2025
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
Hunt, AmberAdp of the SNFIndividual08/15/2024
Jaeger, KrystleAdp of the SNFIndividual08/15/2024
Johnston, RobertaAdp of the SNFIndividual08/15/2024
Larson, MelissaAdp of the SNFIndividual08/15/2024
McClure, DorothyAdp of the SNFIndividual08/15/2024
Otterbeck, PatriciaAdp of the SNFIndividual08/15/2024
Rajchenbach, ChaimAdp of the SNFIndividual08/15/2024
Shear, KileyAdp of the SNFIndividual08/15/2024
Van Veghel, ElizabethAdp of the SNFIndividual08/15/2024
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 many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on April 1, 2026: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
  2. 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 November 6, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on December 11, 2025: "Ensure each resident receives an accurate assessment."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on December 11, 2025: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.83 hours per resident per day, below the Iowa average of 3.37.

Other nursing homes nearby

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 Centers of Independence West Campus's Medicare star rating?
CMS rates Rehabilitation Centers of Independence West Campus 3 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Rehabilitation Centers of Independence West Campus get at its last inspection?
2 health deficiencies at the standard inspection on December 11, 2025. The Iowa average is 6.5.
Has Rehabilitation Centers of Independence West Campus been fined?
Yes. CMS lists 2 fines totaling $22,740 in the last three years.
Does Rehabilitation Centers of Independence West Campus 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 Centers of Independence West Campus?
CMS lists 56 owners and managers, and links the home to Legacy Healthcare. Legal business name: INDEPENDENCE IA SKILLED NURSING FACILITY LLC.

Sources

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