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Valley Vue Care Center

108 Second Ave, Armstrong, IA 50514 · Emmet County · (712) 864-3567

40 certified beds, about 35 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165353 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 12, 2026, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).

None of its 11 health citations since February 2024 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 3.86 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.

35.0% 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 11 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
0E
0F
Potential for minimal harm
0A
0B
0C
March 12, 2026Standard inspection · 2 citations
  1. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2026
    Inspectors wroteBased on record review, manufacturer's guidelines and staff interview, the facility failed to assure residents insulin pen was primed prior to insulin administration preventing a significant medication error for 1 of 1 resident reviewed (Resident #12). The facility reported a census of 32 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) April 7, 2026
    Inspectors wroteBased on observation, infection control policy and staff interview, the facility failed perform proper hand hygiene and adhere to infection control guidelines during medication pass for 1 of 4 residents observed (Resident #12) The facility reported a total census of 32 residents.
February 13, 2025Standard inspection, Complaint inspection · 6 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 13, 2025
    Inspectors wroteBased on observation, clinical record review, staff interviews and policy review, the facility failed to complete and document appropriate assessments and interventions for the necessary care and services, to maintain the residents' highest practical physical well-being for 2 of 13 residents reviewed (Resident #8 and #17). The facility failed to obtain and complete a treatment order for Resident #8's open area to the right buttocks. The facility also failed to complete neurological assessments after an unwitnessed fall and failed to document urinary assessment after suspecting a urinary tract infection after the fall for Resident #17. The facility reported a census of 38 residents.
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2025
    Inspectors wroteBased on observation, staff interview, and clinical record review the facility failed to provide appropriate catheter care for 2 of 2 residents reviewed (Resident #12 and #31). The facility reported a census of 38 residents.
  3. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 13, 2025
    Inspectors wroteBased on clinical record review, staff interviews and policy review the facility failed to conduct appropriate assessments, interventions and timely Physician notifications for 1 of 3 residents reviewed (Resident #17) for weight loss. The facility reported a census of 38 residents.
  4. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2025
    Inspectors wroteBased on record review and staff interview, the facility failed ensure a resident had a current order for administration of as needed (PRN) psychotropic medications for 1 of 5 residents reviewed (Resident #28). The facility reported a census of 38 residents.
  5. D
    Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
    F811 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2025
    Inspectors wroteBased on clinical record review, staff interviews and policy review, the facility failed to utilize a Paid Nutritional Assistant (PNA) appropriately for 1 of 6 residents reviewed (Resident #14). The facility reported a census of 38 residents.
  6. 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) March 13, 2025
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident received a pneumococcal vaccine for 1 of 5 residents reviewed (Resident #28). The facility reported a census of 38 residents.
February 29, 2024Standard inspection, Complaint inspection · 3 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 29, 2024
    Inspectors wroteBased on observation, record review, and staff interview, the facility failed to assure each resident received care in a manner that promoted enhancement of their quality of life for 3 of 3 residents reviewed, (Resident #82, #21 and #12). The facility reported a census of 30 residents.
  2. 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) March 29, 2024
    Inspectors wroteBased on observation, record and chart review the facility failed to accurately document a resident's specific need for 2 of 15 residents reviewed (Resident #7 and Resident #29). The facility reported a census of 30 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) March 29, 2024
    Inspectors wroteBased on observation, record review, and staff interview, the facility failed to have sufficient staff to answer call lights in a timely manner for 1 of 3 residents reviewed (Resident #82) and multiple call light times greater than 15 minutes in the 7 day look back period. The facility reported a census of 30 residents.

Fire safety inspections

9 fire safety citations on file: 2 on March 12, 2026, 4 on February 13, 2025, 3 on February 29, 2024.

Every fire safety citation9 citations
  1. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 12, 2026 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 12, 2026 · Corrected (the home has a date of correction)
  3. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · February 13, 2025 · Corrected (the home has a date of correction)
  4. F
    Have properly located and lighted "Exit" signs.
    K 293 · February 13, 2025 · Corrected (the home has a date of correction)
  5. F
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · February 13, 2025 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 13, 2025 · Waiver
  7. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · February 29, 2024 · Corrected (the home has a date of correction)
  8. E
    Install corridor and hallway doors that block smoke.
    K 363 · February 29, 2024 · Corrected (the home has a date of correction)
  9. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · February 29, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

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

MeasureThis homeIowaUnited States
All nursing staff (RN, LPN and aides)3.863.823.86
Registered nurses0.740.740.69
All nursing staff on weekends3.433.373.42
Nurse aides2.43
Licensed practical nurses0.69
Nursing staff turnover (share who left in a year)35.0%44.0%45.8%
Registered nurse turnover28.6%42.1%42.9%
Administrators who left1

CMS expects 3.11 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 4.03 on weekdays and 3.43 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.86 in April to June 2025 to 3.86 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.860.744.033.43 6.8%0 of 9035
Oct to Dec 20253.710.713.853.34 9.4%0 of 9235
Jul to Sep 20254.120.894.313.65 3.6%0 of 9232
Apr to Jun 20253.860.803.993.54 11.9%0 of 9132
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. If you work here, your report helps start one.

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.

Work here? Share your pay anonymously

For Valley Vue Care Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
15.117.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.91.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.52.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.33.83.2
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
16.816.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.74.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
27.719.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.620.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.113.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.92.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Valley Vue Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

49.5% this home

No different from the national rate

US median of homes 51.5% · Iowa: 28 better, 21 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 33 eligible stays.

Potentially preventable readmissions

11.1% this home

No different from the national rate

US median of homes 10.7% · Iowa: 1 better, 1 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 45 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Iowa: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 24 eligible stays.

Self-care and mobility at discharge

62.1% this home

Median of homes: Iowa56.7% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 29 residents counted.

Falls with major injury

0.0% this home

Median of homes: Iowa0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 33 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Iowa1.8% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 33 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Iowa100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 10 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

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

NameRoleTypeShareSince
Doros Generation Trust U/a/D 1/3/12Indirect ownership interestOrganization08/15/2024
Oakway Operations LLCIndirect ownership interestOrganization08/15/2024
Shabat, MenachemManaging control - governing bodyIndividual08/15/2024
Legacy Healthcare Financial Services LLCOperational/managerial controlOrganization08/15/2024
Beasley, KarlaOperational/managerial controlIndividual08/15/2024
Behounek, LinseyOperational/managerial controlIndividual08/15/2024
Borcherding, JennyOperational/managerial controlIndividual08/15/2024
Burken, SheriOperational/managerial controlIndividual08/15/2024
Davis, TaylorOperational/managerial controlIndividual08/15/2024
Friedenberg, LauraOperational/managerial controlIndividual08/15/2024
Hedberg, JenniferOperational/managerial controlIndividual08/15/2024
Hennager, ChristinaOperational/managerial controlIndividual08/15/2024
Heying, LarinaOperational/managerial controlIndividual08/15/2024
Houston, MindyOperational/managerial controlIndividual08/15/2024
Jaeger, KrystleOperational/managerial controlIndividual08/15/2024
Knutson, MicheleOperational/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
Runksmeier, DawnOperational/managerial controlIndividual08/15/2024
Scott, KathleenOperational/managerial controlIndividual08/15/2024
Seu, JoshuaOperational/managerial controlIndividual08/15/2024
Shabat, MenachemOperational/managerial controlIndividual08/15/2024
Shear, KileyOperational/managerial controlIndividual08/15/2024
Slama, TimothyOperational/managerial controlIndividual08/15/2024
Staudt, SandraOperational/managerial controlIndividual08/15/2024
Van Veghel, ElizabethOperational/managerial controlIndividual08/15/2024
Wierschem, BobbieOperational/managerial controlIndividual08/15/2024
Wood, RosemaryOperational/managerial controlIndividual08/15/2024
Wright, AmyOperational/managerial controlIndividual08/15/2024
Armstrong Ia Property Holdings, LLCAdp of the SNFOrganization08/15/2024
Cascade Capital Holdings LLCAdp of the SNFOrganization08/15/2024
Cascade Capital Partners LLCAdp of the SNFOrganization08/15/2024
Ccg Gorgona LLCAdp of the SNFOrganization08/15/2024
Gorgona Holdco LLCAdp of the SNFOrganization08/15/2024
Gorgona Propco Holdings LLCAdp of the SNFOrganization08/15/2024
Gorgona Sub Holdco LLCAdp of the SNFOrganization08/15/2024
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
Davis, TaylorAdp of the SNFIndividual08/15/2024
Friedenberg, LauraAdp of the SNFIndividual08/15/2024
Hedberg, JenniferAdp of the SNFIndividual08/15/2024
Hennager, ChristinaAdp of the SNFIndividual08/15/2024
Heying, LarinaAdp of the SNFIndividual08/15/2024
Houston, MindyAdp of the SNFIndividual08/15/2024
Jaeger, KrystleAdp of the SNFIndividual08/15/2024
Knutson, MicheleAdp 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
Runksmeier, DawnAdp of the SNFIndividual08/15/2024
Scott, KathleenAdp of the SNFIndividual08/15/2024
Seu, JoshuaAdp of the SNFIndividual08/15/2024
Shabat, MenachemAdp of the SNFIndividual08/15/2024
Shear, KileyAdp of the SNFIndividual08/15/2024
Slama, TimothyAdp of the SNFIndividual08/15/2024
Staudt, SandraAdp of the SNFIndividual08/15/2024
Van Veghel, ElizabethAdp of the SNFIndividual08/15/2024
Wierschem, BobbieAdp of the SNFIndividual08/15/2024
Wood, RosemaryAdp of the SNFIndividual08/15/2024
Wright, AmyAdp of the SNFIndividual08/15/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 13, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 12, 2026: "Ensure that residents are free from significant medication errors."
  3. 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 March 12, 2026: "Provide and implement an infection prevention and control program."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on February 13, 2025: "Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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 Valley Vue Care Center's Medicare star rating?
CMS rates Valley Vue Care Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Valley Vue Care Center get at its last inspection?
2 health deficiencies at the standard inspection on March 12, 2026. The Iowa average is 6.5.
Has Valley Vue Care Center been fined?
CMS lists no fines in the last three years.
Does Valley Vue Care Center 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 Valley Vue Care Center?
CMS lists 67 owners and managers, and links the home to Legacy Healthcare. Legal business name: ARMSTRONG IA SKILLED NURSING FACILITY LLC.

Sources

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