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
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.
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.
April 1, 2026Complaint inspection · 1 citation
- E 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 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
- D Ensure each resident receives an accurate assessment.
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.
- D Provide and implement an infection prevention and control program.
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
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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
- 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.
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.
- D Ensure services provided by the nursing facility meet professional standards of quality.
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.
- 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 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
- D Protect each resident from the wrongful use of the resident's belongings or money.
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.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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
- E Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
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.
- D Provide and implement an infection prevention and control program.
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
- J Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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
- 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, 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.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
- 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 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
- F Provide properly protected cooking facilities.
- 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 Ensure proper usage of power strips and extension cords.
- 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 Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- E Have proper medical gas storage and administration areas.
- 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.
- 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.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| November 6, 2025 | Fine | $9,113 |
| January 8, 2024 | Fine | $13,627 |
| January 8, 2024 | Payment 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.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.18 | 3.82 | 3.86 |
| Registered nurses | 0.53 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.83 | 3.37 | 3.42 |
| Nurse aides | 2.11 | ||
| Licensed practical nurses | 0.54 | ||
| Nursing staff turnover (share who left in a year) | 60.4% | 44.0% | 45.8% |
| Registered nurse turnover | 16.7% | 42.1% | 42.9% |
| Administrators who left | 0 |
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.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.18 | 0.53 | 3.32 | 2.83 | 0.8% | 0 of 90 | 53 |
| Oct to Dec 2025 | 3.08 | 0.59 | 3.24 | 2.69 | 7.2% | 0 of 92 | 53 |
| Jul to Sep 2025 | 3.19 | 0.57 | 3.35 | 2.76 | 24.1% | 0 of 92 | 57 |
| Apr to Jun 2025 | 3.25 | 0.49 | 3.43 | 2.80 | 18.7% | 0 of 91 | 51 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 15.9 | 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 | 0.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.1 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.2 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 35.8 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 9.2 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.3 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.1 | 1.8 |
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.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Shabat, Menachem | Managing control - governing body | Individual | 08/15/2024 | |
| Shabat, Menachem | Corporate officer | Individual | 08/15/2024 | |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | Organization | 08/15/2024 | |
| Beasley, Karla | Operational/managerial control | Individual | 08/15/2024 | |
| Behounek, Linsey | Operational/managerial control | Individual | 08/15/2024 | |
| Borcherding, Jenny | Operational/managerial control | Individual | 08/15/2024 | |
| Burken, Sheri | Operational/managerial control | Individual | 08/15/2024 | |
| Deford, Colin | Operational/managerial control | Individual | 01/01/2025 | |
| 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 | |
| Hunt, Amber | Operational/managerial control | Individual | 08/15/2024 | |
| Jaeger, Krystle | Operational/managerial control | Individual | 08/15/2024 | |
| Johnston, Roberta | 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 | |
| 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 | 04/01/2025 | |
| 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 | |
| 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 | |
| Independence Ia Property Holdings, LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Legacy Healthcare Financial Services LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Mn8 Rh Holdco LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Beasley, Karla | Adp of the SNF | Individual | 08/15/2024 | |
| Behounek, Linsey | Adp of the SNF | Individual | 08/15/2024 | |
| Borcherding, Jenny | Adp of the SNF | Individual | 08/15/2024 | |
| Burken, Sheri | Adp of the SNF | Individual | 08/15/2024 | |
| Deford, Colin | Adp of the SNF | Individual | 01/01/2025 | |
| 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 | |
| Hunt, Amber | Adp of the SNF | Individual | 08/15/2024 | |
| Jaeger, Krystle | Adp of the SNF | Individual | 08/15/2024 | |
| Johnston, Roberta | 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 | |
| Shear, Kiley | Adp of the SNF | Individual | 08/15/2024 | |
| 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 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."
- 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."
- 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."
- 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."
- 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
- Buchanan County Health Center Independence, 0.2 mi · 5 of 5 stars · 12 citations
- Oelwein Health Care Center Oelwein, 13.8 mi · 3 of 5 stars · 11 citations
- Grandview Healthcare Center Oelwein, 13.9 mi · 4 of 5 stars · 12 citations
- Laporte City Specialty Care La Porte City, 20.4 mi · 4 of 5 stars · 3 citations
- Virginia Gay Nursing & Rehab, LLC Vinton, 21.8 mi · 3 of 5 stars · 6 citations
- Good Neighbor Home Manchester, 22.2 mi · 4 of 5 stars · 6 citations
- Strawberry Point Lutheran Home Strawberry Point, 22.9 mi · 4 of 5 stars · 10 citations
- The Vinton Lutheran Home Vinton, 22.9 mi · 2 of 5 stars · 13 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 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
- 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.