Caring Acres Nursing and Rehab Center
Anita, Iowa
Skilled nursing facility in Anita, IA with 41 certified beds and a 1-star CMS overall rating.
Caring Acres Nursing and Rehab Center is a skilled nursing facility in Anita, Iowa (Cass County), with 41 Medicare/Medicaid-certified beds.
Address: 1000 Hillcrest Drive, Anita, IA 50020. Phone: (712) 762-3219.
Ownership: For profit - Limited Liability company. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has a resident council.
CMS Five-Star ratings (source: Medicare Care Compare): overall 1 of 5, health inspections 1, staffing 4, quality measures 2.
Levels of care
- Skilled nursing
Facility details
- Street address
- 1000 Hillcrest Drive
- City
- Anita
- State
- Iowa
- ZIP code
- 50020
- Phone
- (712) 762-3219
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 165217
- County
- Cass
- Ownership Type
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 41
- Avg Daily Residents
- 24.1
- Continuing Care Community
- No
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 1994-05-01
- Overall Rating
- 1
- Health Inspection Rating
- 1
- Staffing Rating
- 4
- Quality Measure Rating
- 2
- Total Nurse Hours Per Resident Day
- 3.59962
- Rn Hours Per Resident Day
- 1.31905
- Latitude
- 41.4356
- Longitude
- -94.767
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 165217. Ratings compare this home with other nursing homes; they are not a pass or fail.
CMS overall rating
1 / 5
Much below average- Certified beds
- 41
- Residents per day
- 23
- Ownership
- For profit - Limited Liability company
- Health citations (latest)
- 31
- Fines
- 1 ($51,773)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
Much below averageThe headline score, from 1 to 5 stars.
✗ Worse than the state average. State 3.1 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Much below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.8 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
AverageHow many nurses care for each resident, and how stable the nursing team is.
✗ Worse than the state average. State 3.8 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
Much below averageHow residents are actually doing.
✗ Worse than the state average. State 3.4 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
Flags CMS attaches to this home
- ⚑ Special Focus Facility: SFF Candidate. CMS's program for homes with a history of serious quality problems. Homes currently in it get no star ratings; candidates are rated but may be added to the program. [11]
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Staffing & turnover
More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.
Nurse hours per resident per day, by role
A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.
RN 1.13 · LPN 0.21 · Nurse aide 1.80. What the home's payroll records show.
RN 0.58 · LPN 0.72 · Nurse aide 1.96. What CMS predicts a home with these residents' needs would staff.
RN 1.35 · LPN 0.24 · Nurse aide 2.14. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with IA and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 3.13
✗ Worse than the state average. State 3.86 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 1.13
✓ Better than the state average. State 0.74 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 1.34
✓ Better than the state average. State 1.30 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 1.80
✗ Worse than the state average. State 2.56 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 2.87
✗ Worse than the state average. State 3.38 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.77
✓ Better than the state average. State 0.51 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.01
✗ Worse than the state average. State 0.04 · National 0.07
- Nursing staff turnover (%, lower is better)
- 80.6%
✗ Worse than the state average. State 44.1% · National 45.3%
- RN turnover (%, lower is better)
- 50.0%
✗ Worse than the state average. State 42.1% · National 42.5%
- Administrators who left (people, lower is better)
- 2
✗ Worse than the state average. State 0 · National 1
- Nursing case-mix index (index)
- 1.18
State 1.23 · National 1.41
Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
249.5 points — in IA that earns (Much below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in IA [10]
- 5 ★
- 0.000-7.000
- 4 ★
- 7.001-21.000
- 3 ★
- 21.001-41.000
- 2 ★
- 41.001-86.500
- 1 ★ (this home)
- >86.500
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Feb 12, 2026 | 31 (25) | 208 | 1 | 0 | 208 |
| Prior cycles (2 and 3) | Feb 20, 2025 | 32 (17) | 374 | 1 | 0 | 374 |
Health citations per inspection
Feb 12, 2026
Feb 20, 2025
Mar 21, 2024
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Feb 12, 2026
Feb 20, 2025
Mar 21, 2024
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Resident Assessment and Care Planning 7
- Resident Rights 7
- Quality of Life and Care 4
- Nutrition and Dietary 3
- Infection Control 3
- Freedom from Abuse and Neglect and Exploitation 2
- Environmental 2
- Administration 2
- Nursing and Physician Services 1
- Emergency Preparedness 1
What the latest fire-safety inspection cited
- Gas and Vacuum and Electrical Systems 3
- Egress 2
- Smoke 2
- Miscellaneous 2
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 2 | K · 100 pts 0 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 2 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 33 | E · 8 pts 24 | F · 16 pts 5 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 0 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (66) [2]
Inspection on Aug 26, 2026 · 14 citations
-
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has plan of correction (Sep 22, 2026) · From a complaint
-
E
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has plan of correction (Sep 22, 2026) · From a complaint
-
E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · Deficient, Provider has plan of correction (Sep 22, 2026) · From a complaint
-
E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · Deficient, Provider has plan of correction (Sep 22, 2026) · From a complaint
-
D
Have policies on smoking.
F0926 · Environmental Deficiencies · Deficient, Provider has plan of correction (Sep 22, 2026) · From a complaint
-
E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has plan of correction (Sep 22, 2026) · From a complaint
-
D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has plan of correction (Sep 22, 2026) · From a complaint
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has plan of correction (Sep 22, 2026) · From a complaint
-
E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · Deficient, Provider has plan of correction (Sep 22, 2026) · From a complaint
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has plan of correction (Sep 8, 2026) · From a complaint
-
D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has plan of correction (Sep 22, 2026) · From a complaint
-
E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has plan of correction (Sep 22, 2026) · From a complaint
-
E
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has plan of correction (Sep 22, 2026) · From a complaint
-
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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has plan of correction (Sep 22, 2026) · From a complaint
Inspection on Jun 4, 2026 · 7 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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 28, 2026) · From a complaint
-
F
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 28, 2026) · From a complaint
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jun 28, 2026) · From a complaint
-
E
Honor the resident's right to manage his or her financial affairs.
F0567 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 28, 2026) · From a complaint
-
E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
F0568 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 28, 2026) · From a complaint
-
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.
F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 28, 2026) · From a complaint
-
D
Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 28, 2026) · From a complaint
Inspection on Feb 12, 2026 · 7 citations
-
D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 13, 2026)
-
D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Mar 13, 2026)
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 13, 2026)
-
E
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 13, 2026) · From a complaint
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 13, 2026)
-
D
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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 13, 2026)
-
E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Mar 13, 2026)
Inspection on Oct 14, 2025 · 3 citations
-
E
Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies · Deficient, Provider has date of correction (Dec 4, 2025) · From a complaint
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Dec 4, 2025) · From a complaint
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Dec 4, 2025) · From a complaint
Inspection on Jun 19, 2025 · 6 citations
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 2, 2025) · From a complaint
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 2, 2025) · From a complaint
-
D
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 2, 2025) · From a complaint
-
D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 2, 2025) · From a complaint
-
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jul 2, 2025) · From a complaint
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance (Jun 19, 2025) · From a complaint
Inspection on Feb 20, 2025 · 17 citations
-
E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
F0887 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
D
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
F0606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
D
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
F0836 · Administration Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
E
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
E
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.
F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025) · From a complaint
-
F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
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.
F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
F
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025) · From a complaint
Inspection on Nov 26, 2024 · 4 citations
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Dec 20, 2024) · From a complaint
-
E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Dec 20, 2024) · From a complaint
-
D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · Deficient, Provider has date of correction (Dec 20, 2024) · From a complaint
-
E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Dec 20, 2024) · From a complaint
Inspection on Aug 2, 2024 · 3 citations
-
J
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 23, 2024) · From a complaint
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 23, 2024) · From a complaint
-
D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 23, 2024) · From a complaint
Inspection on Jun 25, 2024 · 2 citations
-
D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · Deficient, Provider has date of correction (Jul 12, 2024) · From a complaint
-
D
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 12, 2024) · From a complaint
Inspection on Mar 21, 2024 · 3 citations
-
D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 10, 2024)
-
D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 10, 2024)
-
D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 10, 2024)
All fire-safety citations (33) [3]
Inspection on Feb 12, 2026 · 10 citations
-
F
Provide a written emergency evacuation plan.
K0711 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Mar 9, 2026)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 9, 2026)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Mar 9, 2026)
-
E
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 9, 2026)
-
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K0914 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 9, 2026)
-
F
Ensure that testing and maintenance of electrical equipment is performed.
K0921 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 9, 2026)
-
E
Have properly located and lighted "Exit" signs.
K0293 · Egress Deficiencies · Deficient, Provider has date of correction (Mar 9, 2026)
-
F
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Mar 9, 2026)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 9, 2026)
-
F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
K0354 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 9, 2026)
Inspection on Feb 20, 2025 · 15 citations
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 17, 2025)
-
F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
K0354 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 28, 2025)
-
F
Ensure that testing and maintenance of electrical equipment is performed.
K0921 · Gas, Vacuum, and Electrical Systems Deficiencies · Waiver has been granted (Mar 24, 2025)
-
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K0211 · Egress Deficiencies · Deficient, Provider has date of correction (Feb 18, 2025)
-
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K0914 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
E
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 13, 2025)
-
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 28, 2025)
-
F
Conduct risk assessment and an All-Hazards approach.
E0006 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Feb 18, 2025)
-
E
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.
K0222 · Egress Deficiencies · Deficient, Provider has date of correction (Mar 13, 2025)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 19, 2025)
-
E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Mar 4, 2025)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Feb 28, 2025)
-
F
List the names and contact information of those in the facility.
E0030 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Feb 18, 2025)
-
E
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Feb 27, 2025)
Inspection on Mar 21, 2024 · 8 citations
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Apr 10, 2024)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Apr 10, 2024)
-
E
Have properly located and lighted "Exit" signs.
K0293 · Egress Deficiencies · Deficient, Provider has date of correction (Apr 10, 2024)
-
F
Establish roles under a Waiver declared by secretary.
E0026 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Apr 1, 2024)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 26, 2024)
-
E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Mar 26, 2024)
-
D
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Apr 10, 2024)
-
D
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Apr 1, 2024)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 1 State avg 0.6 · National 0.9
- Total fined
- $51,773 State avg 18,804 · National 30,351
- Payment denials
- 0 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Aug 2, 2024 | Fine | $51,773 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 94.9
≈ About the state average. State 94.2 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 82.8
✗ Worse than the state average. State 95.8 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 2.0
✓ Better than the state average. State 3.9 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 7.8
✗ Worse than the state average. State 4.2 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 6.5
✗ Worse than the state average. State 4.4 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 32.9
✗ Worse than the state average. State 21.0 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 38.8
✗ Worse than the state average. State 19.8 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 1.0
✗ Worse than the state average. State 0.2 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 10.6
✓ Better than the state average. State 15.2 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 17.5
✗ Worse than the state average. State 16.6 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 8.1
✗ Worse than the state average. State 1.4 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 3.1
✗ Worse than the state average. State 2.4 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 25.4
≈ About the state average. State 25.0 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 6.9
✗ Worse than the state average. State 4.1 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
- Number of hospitalizations per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.9
- 2.1
✗ Worse than the state average. State 1.4 · National 1.8
- Number of outpatient emergency department visits per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.9
- 2.9
✗ Worse than the state average. State 1.9 · National 1.7
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- For profit - Limited Liability company
- Legal business name
- ANEW HEALTHCARE OPERATIONS - ANITA LLC
- Certified for
- Medicare and Medicaid
- Certified beds
- 41
- Residents per day (average)
- 22.8
- In Medicare/Medicaid since
- May 1, 1994
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Cass
- Located in a hospital
- No
Owners, officers and managers (15) [6]
Adp Of The Snf
- 1000 HILLCREST DRIVE PROPCO LLC (organization, NOT APPLICABLE, since 11/01/2022)
- CORNERSTONE SERVICES LLC (organization, NOT APPLICABLE, since 04/01/2026)
- FLANAGAN, MICHAEL (individual, NOT APPLICABLE, since 08/12/2024)
- MILLER, DANIEL (individual, NOT APPLICABLE, since 09/01/2025)
- PETERSON, REBECCA (individual, NOT APPLICABLE, since 02/16/2026)
- THOREN, TRACY (individual, NOT APPLICABLE, since 08/25/2025)
5% Or Greater Direct Ownership Interest
- ANEW HOLDINGS IOWA LLC (organization, 100%, since 11/01/2022)
Operational/Managerial Control
- CORNERSTONE SERVICES LLC (organization, NOT APPLICABLE, since 03/01/2026)
- FLANAGAN, MICHAEL (individual, NOT APPLICABLE, since 08/12/2024)
- MILLER, DANIEL (individual, NOT APPLICABLE, since 09/01/2025)
- PETERSON, REBECCA (individual, NOT APPLICABLE, since 02/16/2026)
- THOREN, TRACY (individual, NOT APPLICABLE, since 08/25/2025)
Managing Control - Governing Body
- FLANAGAN, MICHAEL (individual, NOT APPLICABLE, since 08/12/2024)
Corporate Officer
- HASTINGS, MARK (individual, NOT APPLICABLE, since 11/01/2022)
5% Or Greater Indirect Ownership Interest
- HASTINGS, MARK (individual, 100%, since 11/01/2022)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
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