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Traditions Memory Care of Newton

2130 West 18th Street South, Newton, IA 50208 · Jasper County · (641) 791-1127

46 certified beds, about 45 residents a day · For profit - Corporation · Medicare and Medicaid since 2000

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165420 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 3, 2025, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).

None of its 7 health citations since June 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 2.99 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.23 of those hours.

21.2% of nursing staff left within the year CMS measured (Iowa average 44.0%).

CMS links it to Accura Healthcare, an affiliated group of 41 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 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
2E
0F
Potential for minimal harm
0A
0B
0C
October 28, 2025Complaint inspection · 2 citations
  1. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on observation, clinical record review, policy review, and staff interviews, the facility failed to develop effective care plan interventions protect the resident's right to be free from physical abuse for 4 of 7 residents reviewed for resident to resident altercations(Residents #2, #5, #6, #7). The facility reported a census of 46 residents.
  2. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on observation, clinical record review, policy review, and staff interview, the facility failed to provide adequate supervision to protect the resident's right to be free from physical abuse for 4 of 7 residents reviewed for resident -to-resident altercations (Residents #2, #5, #6, #7). The facility reported a census of 46 residents.
July 3, 2025Standard inspection · 2 citations
  1. 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 · Corrected (the home has a date of correction) July 31, 2025
    Inspectors wroteBased on record review, observation, staff interview, and policy review, facility failed to properly transfer a resident with a mechanical lift for 2 of 2 mechanical lift observations (Residents #27). The facility reported a census of 44.
  2. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 31, 2025
    Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to ensure 2 of 5 residents reviewed for immunizations were provided up-to-date pneumococcal vaccinations (Resident #38 and #1). The facility also failed to ensure 3 of 5 residents reviewed for immunizations were offered or received the Influenza vaccine for 2024 (Resident #38, #1, and #40). The facility reported a census of 44 residents.
August 11, 2024Standard inspection · 3 citations
  1. 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 · Corrected (the home has a date of correction) August 19, 2024
    Inspectors wroteBased on clinical record review, observation, resident interview, staff interview, and facility policy review, the facility failed to develop a comprehensive care plan that included targeted behaviors for 2 of 5 residents reviewed for unnecessary medication review (Resident #37, #19). The facility also failed to develop a comprehensive care plan that included focus, goal, and intervention for 1 of 1 residents reviewed for Edema (Resident #19). The facility reported a census of 44 residents.
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 19, 2024
    Inspectors wroteBased on clinical record review, observation, staff interview, and facility policy review, the facility failed to revise the Care Plan for 2 of 12 residents reviewed for revision of care plan (Resident #37, #31). The facility reported a census 44 residents.
  3. 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 · Corrected (the home has a date of correction) August 19, 2024
    Inspectors wroteBased on clinical record review, observations, staff interview, and facility policy review, the facility failed to provide staff assistance for activities of daily living by not offering an opportunity to complete oral hygiene for 1 of 2 residents reviewed (Resident #197). The facility reported a census of 44 residents.
June 8, 2023Standard inspection · 0 citations

Fire safety inspections

13 fire safety citations on file: 4 on July 3, 2025, 5 on August 11, 2024, 4 on June 8, 2023.

Every fire safety citation13 citations
  1. F
    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 · July 3, 2025 · Corrected (the home has a date of correction)
  2. F
    Install an approved automatic sprinkler system.
    K 351 · July 3, 2025 · Corrected (the home has a date of correction)
  3. D
    Provide properly protected cooking facilities.
    K 324 · July 3, 2025 · Corrected (the home has a date of correction)
  4. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · July 3, 2025 · Corrected (the home has a date of correction)
  5. F
    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 · August 11, 2024 · Corrected (the home has a date of correction)
  6. F
    Install proper backup exit lighting.
    K 281 · August 11, 2024 · Corrected (the home has a date of correction)
  7. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · August 11, 2024 · Corrected (the home has a date of correction)
  8. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 11, 2024 · Corrected (the home has a date of correction)
  9. D
    Use approved construction type or materials.
    K 161 · August 11, 2024 · Corrected (the home has a date of correction)
  10. F
    Provide properly protected cooking facilities.
    K 324 · June 8, 2023 · Corrected (the home has a date of correction)
  11. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 8, 2023 · Corrected (the home has a date of correction)
  12. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 8, 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 · June 8, 2023 · 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)2.993.823.86
Registered nurses0.230.740.69
All nursing staff on weekends2.763.373.42
Nurse aides2.03
Licensed practical nurses0.73
Nursing staff turnover (share who left in a year)21.2%44.0%45.8%
Registered nurse turnovernot reported42.1%42.9%
Administrators who leftnot reported

CMS expects 2.98 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 3.08 on weekdays and 2.76 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.06 in April to June 2025 to 2.99 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.990.233.082.76 0.5%11 of 9045
Oct to Dec 20253.240.393.402.83 0.0%1 of 9244
Jul to Sep 20253.200.333.322.89 0.0%1 of 9245
Apr to Jun 20253.060.323.182.77 0.0%0 of 9145
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Iowa

JobMedianMiddle halfEmployed
Iowa, all employers
CNAs (nursing assistants)$18.92$17.96 to $21.9522,670
LPNs and LVNs$30.11$27.12 to $34.065,510
Registered nurses$37.80$32.83 to $41.3234,420
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

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
18.217.113.9
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
1.72.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.13.83.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
16.116.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.14.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
54.019.415.4

Owners and operators

Legal business name: CAREAGE OF NEWTON LLC. CMS links this home to Accura Healthcare, a group of 41 nursing homes averaging 2.5 stars overall.

NameRoleTypeShareSince
Leneave, Thomas5% or greater indirect ownership interestIndividual30%01/01/2016
Conner, RobertW-2 managing employeeIndividual01/01/2024
Ferguson, RachelW-2 managing employeeIndividual01/01/2023
Toti, LisaW-2 managing employeeIndividual01/01/2020
Toti, LisaCorporate directorIndividual01/01/2020
Leneave, TedCorporate officerIndividual01/01/2016
Leneave, ThomasCorporate officerIndividual01/01/2016
American Healthcare Management Services LLCOperational/managerial controlOrganization01/01/2016

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. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 28, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  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 October 28, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on July 3, 2025: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
  4. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.76 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 Traditions Memory Care of Newton's Medicare star rating?
CMS rates Traditions Memory Care of Newton 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Traditions Memory Care of Newton get at its last inspection?
2 health deficiencies at the standard inspection on July 3, 2025. The Iowa average is 6.5.
Has Traditions Memory Care of Newton been fined?
CMS lists no fines in the last three years.
Does Traditions Memory Care of Newton 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 Traditions Memory Care of Newton?
CMS lists 8 owners and managers, and links the home to Accura Healthcare. Legal business name: CAREAGE OF NEWTON LLC.

Sources

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