nursing home in Nora Springs, IA
Nora Springs Care Center
907 W Congress, Nora Springs, IA 50458 · (641) 749-5331
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Nora Springs Care Center at a glance
Nora Springs Care Center is a 50-bed for-profit nursing home in Nora Springs, Iowa (Floyd County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Iowa average of 3.1.
Residents receive about 3.1 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (July 23, 2026) found 9 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 40.4% 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
- September 1, 1997
- Resident/family council
- None
- County
- Floyd County
- CMS Certification Number
- 165347
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.11 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.32 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.03 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.78 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 40.4% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 50% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 6 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 36 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 65 | 107 | |
| Average residents per day | 44 | 52 | 86 | |
| Occupancy | 88.2% | 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) | 8.7% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.3% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 9.7% | 19.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 2.7% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.5% | 17.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.9% | 16.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.2% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.9% | 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) | 9.6% | 20.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 26.5% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.6% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.3% | 94% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.9% | 2.1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 78.4% | 73.3% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 92.9% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 10 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 23, 2026 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | F Potential harm, widespread | Corrected July 23, 2026 |
| July 23, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected July 31, 2026 |
| July 23, 2026 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 July 23, 2026 |
| July 23, 2026 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected July 23, 2026 |
| July 23, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 1, 2026 |
| July 23, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected August 1, 2026 |
| July 23, 2026 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected August 1, 2026 |
| July 23, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected July 30, 2026 |
| July 23, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected July 23, 2026 |
| July 23, 2026 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 | F Potential harm, widespread | Corrected August 23, 2026 |
| July 23, 2026 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected August 23, 2026 |
| July 23, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected August 23, 2026 |
| July 23, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected August 23, 2026 |
| July 23, 2026 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected August 23, 2026 |
| April 14, 2026 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 April 16, 2026 |
| April 14, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected April 16, 2026 |
| January 8, 2026 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected January 15, 2026 |
| November 18, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected November 20, 2025 |
| May 29, 2025 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 June 5, 2025 |
| May 29, 2025 Fire safety | Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies · Tag K0700 | D Potential harm, isolated | Corrected May 28, 2025 |
| July 3, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected July 9, 2024 |
| July 3, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected July 15, 2024 |
| July 3, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected July 9, 2024 |
| July 3, 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 | D Potential harm, isolated | Corrected July 4, 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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BATES, KRISTINE Individual | adp of the snf | NOT APPLICABLE | 07/09/2025 |
| 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 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 |
| 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 |
| KAPLER, LISA 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 |
| 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 |
| NORA SPRINGS IA PROPERTY HOLDINGS 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 |
| SHABAT, MENACHEM Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| SHEAR, KILEY Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| THORSON, LINDSEY Individual | adp of the snf | NOT APPLICABLE | 07/08/2025 |
| VAN VEGHEL, ELIZABETH Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| WIERSCHEM, BOBBIE Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| SHABAT, MENACHEM Individual | corporate officer | NOT APPLICABLE | 08/15/2024 |
| DOROS GENERATION TRUST U/A/D 1/3/12 Organization | indirect ownership interest | NOT APPLICABLE | 08/15/2024 |
| GPN FAMILY TRUST U/A/D 4/28/08 Organization | indirect ownership interest | NOT APPLICABLE | 08/15/2024 |
| IOWA PORTFOLIO OPCO HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/15/2024 |
| OAKWAY OPERATIONS LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/15/2024 |
| FRIEDMAN, BRIAN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/02/2025 |
| RAJCHENBACH, AVRUM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/02/2025 |
| SHABAT, AHUVA Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/02/2025 |
| BATES, KRISTINE Individual | operational/managerial control | NOT APPLICABLE | 07/09/2025 |
| 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 |
Showing 40 of 58 records.
Other nursing homes near Nora Springs Care Center
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★★★★★1Much below averageRockwell Community Nursing Home
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★★★★★5Much above average
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Frequently asked questions
What is Nora Springs Care Center's rating?
Nora Springs Care Center has 3 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 Nora Springs Care Center receive?
Its most recent standard health inspection found 9 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Nora Springs 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 Nora Springs 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 Nora Springs Care Center and how do I contact it?
Nora Springs Care Center is at 907 W Congress, Nora Springs, IA 50458. Phone: (641) 749-5331.
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.