nursing home in Waukon, IA
Northgate Care Center
960 4th Street NW, Waukon, IA 52172 · (563) 568-3493
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★3
- Special Focus candidate
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Northgate Care Center at a glance
Northgate Care Center is a 50-bed for-profit nursing home in Waukon, Iowa (Allamakee County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (March 4, 2026) found 18 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $87,160.
Nursing staff turnover is 34.3% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Legacy Healthcare
- Medicare-certified since
- August 1, 1997
- Resident/family council
- None
- County
- Allamakee County
- CMS Certification Number
- 165338
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.97 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.40 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.04 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.62 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 34.3% | 44% | 45.8% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 18 | 6 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 10 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 219.3 | 54.5 | 80.6 | Worse |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $87,160 | $19,286 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 65 | 107 | |
| Average residents per day | 41 | 52 | 86 | |
| Occupancy | 82.4% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6.3% | 4.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 24.6% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 9.7% | 17.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 9.7% | 16.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6.8% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 24.8% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 37.9% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.1% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.6% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 1 fire safety deficiency in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 4, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | L Immediate jeopardy, widespread | Corrected March 25, 2026 |
| March 4, 2026 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected April 2, 2026 |
| March 4, 2026 Complaint | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | F Potential harm, widespread | Corrected April 2, 2026 |
| March 4, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 2, 2026 |
| March 4, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected April 2, 2026 |
| March 4, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 2, 2026 |
| March 4, 2026 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected April 2, 2026 |
| March 4, 2026 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected April 2, 2026 |
| March 4, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 2, 2026 |
| March 4, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 2, 2026 |
| November 14, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected November 24, 2025 |
| November 14, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 8, 2025 |
| November 14, 2025 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected December 8, 2025 |
| November 14, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected December 8, 2025 |
| November 14, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected December 8, 2025 |
| November 14, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 8, 2025 |
| November 14, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 8, 2025 |
| November 14, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected December 8, 2025 |
| September 22, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected October 10, 2024 |
| April 25, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 8, 2024 |
| April 25, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 25, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $87,160 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 4, 2026 | Fine | $87,160 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BEASLEY, KARLA Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| BEHOUNEK, LINSEY Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| BORCHERDING, JENNY Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| BURKEN, SHERI Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| CASCADE CAPITAL HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| CASCADE CAPITAL PARTNERS LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| CCG GORGONA LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| FRIEDENBERG, LAURA Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| GORGONA HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| GORGONA PROPCO HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| GORGONA SUB HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| HEDBERG, JENNIFER Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| HENNAGER, CHRISTINA Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| HEYING, LARINA Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| HOUSTON, MINDY Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| JAEGER, KRYSTLE Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| LARSON, MELISSA Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| LOVE-STEIBER, ANDREA Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| MCCLURE, DOROTHY Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| MN8 RH HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| OTTERBECK, PATRICIA Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| RAJCHENBACH, CHAIM Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| SCHWARTZ, DAVID Individual | adp of the snf | NOT APPLICABLE | 03/10/2025 |
| SHEAR, KILEY Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| VAN VEGHEL, ELIZABETH Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| WAUKON IA PROPERTY HOLDINGS, LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| WIERSCHEM, BOBBIE Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| WIKAN, LOU ANN Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| SHABAT, MENACHEM Individual | corporate officer | NOT APPLICABLE | 08/15/2024 |
| FRIEDMAN, BRIAN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/11/2025 |
| RAJCHENBACH, AVRUM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/11/2025 |
| RAJCHENBACH, RIVKA Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/11/2025 |
| SHABAT, AHUVA Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/11/2025 |
| BEASLEY, KARLA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| BEHOUNEK, LINSEY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| BORCHERDING, JENNY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| BURKEN, SHERI Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| FRIEDENBERG, LAURA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| HEDBERG, JENNIFER Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
Showing 40 of 55 records.
Other nursing homes near Northgate Care Center
Good Samaritan - Waukon
21 East Main Street, Waukon, IA 52172 · under 1 mi
Non-profit · 60 beds · Part of Good Samaritan Society
★★★★★2Below average- ★★★★★4Above average
Thornton Manor Nursing and Care Center
1329 Main Street, Lansing, IA 52151 · 13.6 mi
Non-profit · 40 beds
★★★★★5Much above average- ★★★★★2Below average
- ★★★★★2Below average
Tweeten Lutheran Health Care Center
125 5th Avenue Southeast, Spring Grove, MN 55974 · 20.7 mi
Non-profit · 49 beds
- Special Focus candidate
★★★★★1Much below average
Frequently asked questions
What is Northgate Care Center's rating?
Northgate Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Northgate Care Center receive?
Its most recent standard health inspection found 18 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Northgate Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Northgate Care Center?
It is for profit - corporation and part of Legacy Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Northgate Care Center and how do I contact it?
Northgate Care Center is at 960 4th Street NW, Waukon, IA 52172. Phone: (563) 568-3493.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.