Average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Accura Healthcare Of Le Mars during CMS and state inspections, most recent first.
Food Handling and Hand Hygiene Deficiencies: Staff with visible facial hair worked without beard nets, a vent above the prep table had dust buildup, and staff handled ready-to-eat foods without proper hand hygiene or utensil use. During meal prep and service, utensils were placed directly on counters, and gloved hands were used to handle lettuce and bread instead of tongs or other utensils, contrary to facility policy.
Failure to report allegations of abuse and financial exploitation: A resident with Alzheimer’s disease and moderate cognitive impairment had concerns raised by a family member about fraudulent bank activity, POA misuse, and medical decision-making by the former Administrator, who was also the resident’s ex-stepdaughter. APS and facility leaders were informed, but staff did not treat the concerns as reportable allegations and instead documented them and kept an eye on the situation rather than reporting to DIAL as required by policy.
Failure to protect a resident with Alzheimer’s disease and moderate cognitive impairment from alleged financial exploitation and mistreatment. The resident’s family reported suspicious bank activity involving the resident’s ex-stepdaughter, who was also the facility Administrator and a POA, along with concerns about medical decision-making and care. APS and facility leadership were informed, but staff did not separate the alleged perpetrator from the resident or initiate immediate protection measures as required by policy.
Failure to Maintain ROM and Restorative Nursing Program: A resident with impaired movement of both arms and legs, cerebral palsy, arthritis, and a foot contracture had care plan interventions for restorative nursing and PROM, but the record showed no ongoing restorative nursing documentation and later noted no participation in the program. The DON and Regional Nurse Consultant acknowledged there was no nurse in charge of the restorative program and that the facility did not have a restorative nursing program in place, despite the facility assessment identifying restorative nursing and contracture prevention services.
A facility failed to follow the approved menu and portion control guidance during meal service. The cook served varying pork loin portions without weighing them, used a heaping scoop for goulash because the correct scoop was unavailable, and prepared pureed plates that did not match either the main or alternate pureed menu; the cook also did not puree asparagus because it was too difficult to modify. The DSM and Administrator acknowledged the incorrect portions and that staff did not provide the correct menu items or serving sizes.
Food was not prepared and served at required temperatures during meal service. A cook plated pureed goulash and mashed sides, microwaved some plates without rechecking temperatures, and also warmed several bowls of soup for service. The DSM stated soup and pureed foods should be temperature checked, but could not state the required reheating temperature, while the Administrator acknowledged food should be served at required temperatures.
An LPN provided wound care to a resident with a left heel pressure area but changed gloves multiple times without hand hygiene during the treatment. The resident had orders for daily cleansing with saline, Betadine, and a bandaid, and facility policy and competency guidance required hand hygiene after glove removal and before glove use.
A resident with a history of hemiplegia and other conditions, identified as a moderate fall risk, fell and fractured their femur due to inadequate supervision. The resident was assisted by only one CNA instead of the required two, and no gait belt was used. The CNA did not seek additional help due to fear of the nurse's reaction. The resident was hospitalized for surgery following the fall.
A resident with diabetes and hypertension fell from her bed due to a broken bed rail, resulting in a shoulder fracture. Staff interviews revealed the rail had been loose for some time, and maintenance checks were missed due to staffing changes. The Maintenance Director confirmed the rail's locking mechanism was compromised, and the facility's records showed no maintenance actions were recorded for the months leading up to the incident.
The facility failed to develop comprehensive care plans for residents taking high-risk medications and undergoing dialysis. A resident with diabetes, neurogenic bladder, and hypertension was on insulin, diuretics, and opioids, but their care plan lacked details on medication usage and monitoring. Another resident on insulin and opioids also had an incomplete care plan. A third resident receiving anticoagulation medication did not have this addressed in their care plan. Additionally, a resident with a dialysis fistula lacked care instructions in their plan. The DON acknowledged these omissions, which contravened the facility's policy on comprehensive care plans.
The facility failed to maintain sanitary conditions in the kitchen and food storage areas, with observations of food debris and dried liquid in various locations, and a thick layer of ice in the milk freezer. Cleaning schedules showed incomplete tasks, despite being signed off as completed. The Dietary Manager acknowledged the oversight, attributing it to her recent absence.
A facility failed to refer a resident for a Level II PASRR evaluation after the resident was identified with new serious mental disorders, including anxiety, depression, and hallucinations. Despite receiving mental health services and having additional diagnoses of delusional disorder and dementia, the PASRR was not resubmitted. Interviews revealed a lack of understanding and policies regarding PASRR resubmission requirements.
A facility failed to update a resident's care plan to reflect a mechanical soft diet order, resulting in the resident being served peas, which could pose a choking hazard. The care plan had not been updated despite the facility's policy requiring timely updates. The DON acknowledged the care plan should reflect the current diet order.
A facility failed to include dementia care in the care plan of a resident diagnosed with Vascular Dementia. Despite the resident's MDS assessment showing no cognitive impairment, the active diagnosis of dementia was not reflected in the care plan. The DON admitted the oversight, noting the diagnosis was new.
A dietary staff member failed to follow the planned menu for a resident on a pureed diet. The meal served lacked pureed bread and margarine, contrary to the facility's policy and the dietitian's expectations.
A resident on a mechanical soft diet was served peas instead of the ordered waxed beans, which could pose a choking hazard. The care plan was not updated to reflect the diet order, and the dietitian confirmed the need to follow the mechanical soft diet menu. The DON acknowledged the requirement for dietary staff to serve the therapeutic diet as per the menu.
A resident with diabetes, neurogenic bladder, and hypertension fell from bed due to a malfunctioning bed rail, which staff knew was loose but did not repair. The incident was not documented in the resident's electronic health record, violating professional standards for maintaining accurate medical records.
Food Handling and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to prepare, serve, and distribute food in accordance with food service safety practices during meal service for a census of 40 residents. During kitchen observations, staff with visible facial hair were seen working without beard nets, and dust fluff was observed hanging from the vent above the preparation table. Staff also handled ready-to-eat food and meal items without following the facility’s hand hygiene and glove-use practices, including donning gloves without hand hygiene and touching lettuce and bread with gloved hands after handling other items. During meal preparation and serving, serving utensils were placed directly on counters and the preparation table without barriers. Staff used gloved hands to handle bread packaging, remove sliced bread, butter the bread, and place it on plates, and room trays and dining room meals were served using utensils for steam table foods. The Dietary Services Manager stated staff with beards were expected to wear beard nets and that hand hygiene should be completed before donning gloves, with utensils used instead of gloved hands for bread and lettuce. The facility’s Food Safety and Sanitation Policy required beard nets when facial hair was visible, and the Hand Hygiene Policy required hand hygiene before donning gloves and after removing gloves.
Failure to Report Allegations of Abuse and Financial Exploitation
Penalty
Summary
The facility failed to implement necessary interventions to protect one resident from abuse. The resident had diagnoses of Alzheimer’s disease, depression, and diabetes mellitus, and the MDS documented a BIMS score of 08, indicating moderate cognitive impairment. The resident’s niece reported that the banking institution notified her of potentially fraudulent charges involving checks written by the resident’s ex-stepdaughter, who was also the facility Administrator and one of the resident’s powers of attorney. The niece also reported concerns about medical decisions and care, and stated that she filed a protection order on behalf of the resident against the former Administrator, which was served on 3/30/26. Facility documentation showed that APS came to see the resident and requested a medication list, and the note stated APS planned to return but did not come back. An APS worker reported that she informed the Executive Director of Operations of allegations of financial exploitation by the former Administrator and concerns that the resident was sleeping on the couch. The APS worker stated that when she raised the allegations, the Executive Director of Operations responded that they were allegations and would remain allegations until APS completed the report. The APS worker also provided that on 03/13/2026, the Executive Director of Operations was informed of the concerns and stated that the former Administrator would remain in place until completion of the assessment. The former DON acknowledged that the resident’s niece had expressed concerns about financial and medical decisions made by the former Administrator, including hospice care and POA issues, and stated she communicated those concerns to the Executive Director of Operations. However, she stated that until something was proven, there was nothing the facility could do, and that the concerns did not warrant reporting to DIAL. Instead of initiating an investigation or report, she stated that the Executive Director of Operations instructed her to document and keep an eye on it. The facility policy required all allegations of abuse to be reported immediately to the charge nurse and then to the Administrator or designated representative, with abuse reported to the Iowa Department of Inspections and Appeals not later than two hours after the allegation was made.
Failure to Protect Resident From Alleged Exploitation
Penalty
Summary
The facility failed to implement measures to prevent further potential abuse, neglect, exploitation, or mistreatment for one resident with diagnoses of Alzheimer's disease, depression, and diabetes mellitus. The resident's MDS documented a BIMS score of 08, indicating moderate cognitive impairment. The concern involved allegations that the resident's ex-stepdaughter, who was also the facility Administrator and one of the resident's POAs, may have engaged in financial exploitation through potentially fraudulent charges and checks written on the resident's personal account. The resident's niece reported that the bank notified her of the suspicious charges and that she also had concerns about medical decisions and care provided by the ex-stepdaughter. She stated that she filed a protection order on behalf of the resident against the ex-stepdaughter, and the order was served. The resident's progress note documented that APS came to see the resident and requested a medication list. An APS worker reported that she informed the Executive Director of Operations of the allegations of financial exploitation and concerns about the resident sleeping on the couch, and that he responded that they were only allegations until APS completed its report. Facility staff acknowledged awareness of the concerns but did not initiate an investigation or separate the alleged victim from the alleged perpetrator as required by policy. The former DON stated that the concerns about financial and medical decisions, including hospice care, nursing care, and POA issues, were communicated to the Executive Director of Operations, but she believed there was nothing to report until something was proven. The facility policy required immediate protection measures upon receiving an allegation of abuse, neglect, exploitation, or mistreatment, including separating the accused employee from residents during the investigation. During interview, the Administrator confirmed the facility was required to separate and protect the alleged victim from the alleged perpetrator.
Failure to Maintain ROM and Restorative Nursing Program
Penalty
Summary
The facility failed to develop and implement a program to maintain a resident’s range of motion (ROM) and contracture management needs based on the comprehensive assessment and under the direct guidance of an RN for 1 of 2 residents reviewed. Resident #1 had documented short-term and long-term memory deficits, severe impairment in daily decision making, impaired movement of both arms and both legs, arthritis, cerebral palsy, and a contracture of an unspecified foot. The resident’s MDS assessments coded 0 days of at least 15 minutes in the prior 7 days for restorative nursing programs. The care plan revised 6/13/25 included a restorative nursing focus area with interventions for group exercises through the restorative nursing assistant, activities department, and CNA, as well as PROM for the upper and lower body by nursing, RNA, and CNA. The record also included a focus area for potential pain due to limited mobility and contractures with interventions for pain medication, repositioning, and observation for signs of pain. However, the clinical record’s point of care documentation showed no restorative nursing program documentation, and the plan of care history showed PROM programs for the upper and lower body with resolved dates of 2/27/26. Progress notes showed intermittent restorative nursing documentation earlier in the record, including notes that the resident completed restorative programming and later had PROM without signs of pain or discomfort, but a later quarterly assessment documented that the resident did not participate in a restorative nursing program. During interviews, the DON and Regional Nurse Consultant stated there was not a nurse in charge of the Restorative Nursing Program and acknowledged the facility did not have a restorative nursing program. The Administrator and Regional Nurse Consultant could not explain why or when the program stopped, and the DON stated she had recognized the program was not in place and was working to address staffing and scheduling.
Incorrect meal portions and failure to follow approved menus
Penalty
Summary
The facility failed to provide a well balanced diet that met residents’ nutritional and special dietary needs by not following the approved menu and portion guidance during meal service. During continuous observation of the noon meal service, the cook removed pork loins from the oven and cut them into serving sizes without weighing them, and the pork loin portions varied in size. For the goulash, the cook stated he did not have a #6 scoop and used the closest scoop available with heaping servings to reach 6 oz. The cook also prepared pureed plates for three residents that included goulash, cauliflower with cheese, mashed sweet potatoes, and twisted strawberry shortcake, but stated he did not puree the asparagus because it was too difficult to modify due to being a stringy vegetable. The facility’s menu spreadsheet showed the regular menu was to include glazed pork loin, baked yam, cauliflower with cheese, bread with margarine, and twisted strawberry shortcake, while the pureed menu called for pureed pork loin, mashed sweet potatoes, cauliflower with cheese, pureed bread with margarine, and pureed twisted strawberry shortcake. The alternate pureed menu consisted of pureed goulash and asparagus, but staff did not follow either the main or alternate pureed menu when preparing the plates. The Dining Services Manager stated staff should have used the proper serving scoop, measured modified foods, and weighed meat portions, and acknowledged the residents did not receive the correct serving sizes. The Administrator also acknowledged the incorrect scoop use and that the mixed menu items and omission of asparagus may have been the cook’s choice. The facility’s Portion Control Policy stated residents should receive the appropriate portions outlined on the menu, menus should be posted at the tray line, meat portions should be weighed, and scoops should be leveled.
Food Served at Improper Temperatures
Penalty
Summary
The facility failed to prepare, serve, and distribute food in accordance with professional standards by not providing food at a palatable, attractive, and safe appetizing temperature for 7 of 40 meals provided. During continuous observation of noon meal service, a cook prepared 3 pureed servings of goulash using almond milk, added pureed cauliflower and cheese and mashed sweet potatoes, then checked the first plate and found the goulash at 119 degrees. The plate was microwaved for 1 minute and retaken at 132 degrees before being sent to the serving window. The second and third plates were also microwaved for 1 minute and placed in the serving window without temperatures being taken. During the same meal service, the cook warmed 4 individual cans of soup by pouring each into a bowl, microwaving for 1 minute, and serving them to the dining room or on room trays. On interview, the Dining Services Manager stated soup should be poured into a bowl, microwaved, and then temperature checked to ensure the correct temperature. The manager also stated that after the pureeing process, food temperature should be checked to ensure it was at the correct serving temperature of 135 degrees, and if not, it needed to be reheated in the microwave to reach the correct temperature. The manager could not provide the temperature required for foods that required reheating in the microwave. The Administrator acknowledged that foods should be provided at the required temperatures. The facility's policy stated reheated cooked, cooled, and reheated food must reach 165 degrees for 15 seconds, while food taken from a commercially processed, hermetically sealed container or intact package must reach 135 degrees with no specific time.
Hand Hygiene Not Performed During Wound Care
Penalty
Summary
Infection prevention and control measures were not provided during wound care for a resident with a pressure area on the left heel. The resident’s record showed an in-progress admission MDS and Medicare 5-day MDS, and the care plan identified the left heel pressure area with interventions including repositioning every 2 hours as tolerated, use of a pressure-reducing mattress, and monitoring of skin areas. The physician’s order directed staff to cleanse the left heel with saline, paint with Betadine, cover with a bandaid daily and as needed, continue to offload the heel at all times, and notify the physician if the wound worsened. During observation of wound care, an LPN completed hygiene on entering the room, donned a gown and gloves, and performed the treatment, but changed gloves multiple times without hand hygiene. The staff cleansed the wound, applied Betadine, and placed a bandaid, then changed gloves again without hand hygiene while gathering dirty supplies and later handling clean supplies. Interviews with the Administrator and DON confirmed the expectation that hand hygiene should be completed with each glove change, using sanitizer or washing hands. Facility policies and competency materials also stated that hand hygiene should occur after glove removal and before putting on gloves, and that glove changes should occur when contaminated.
Inadequate Supervision Leads to Resident Fall and Injury
Penalty
Summary
The facility failed to provide adequate nursing supervision to prevent a fall that resulted in a distal femur fracture for a resident. The resident, who had a history of hemiplegia, seizure disorder, and traumatic brain injury, was identified as a moderate fall risk and required assistance from two staff members for transfers and toileting hygiene. Despite these requirements, the resident was assisted by only one Certified Nursing Assistant (CNA) while using the urinal, which led to the resident losing balance and falling. The incident occurred when the CNA assisted the resident to stand and use the urinal without the required second staff member and without using a gait belt, as the resident usually refused it. During the process, the resident attempted to pull up his pants, leaned forward, and fell, hitting his head on the bedside commode and complaining of left leg pain. The CNA admitted to not asking for additional help because her partner was on break and she feared the nurse's reaction. The Director of Nursing (DON) acknowledged that the CNA did not follow the resident's care plan by failing to wait for another staff member and not using a gait belt. The facility lacked specific policies related to gait belt usage and falls, which contributed to the incident. The resident was subsequently hospitalized for a left distal femur fracture, requiring surgical intervention and a non-weight-bearing status for several weeks.
Failure to Inspect Bed Rails Leads to Resident Injury
Penalty
Summary
The facility failed to appropriately inspect bed rails, leading to an incident involving a resident with a history of diabetes mellitus, neurogenic bladder, and hypertension, who had no cognitive impairment. The resident experienced a fall from her bed when a loose bed rail broke off during assistance, resulting in a visit to the emergency room for left shoulder pain. Subsequent medical evaluations revealed an acute intra-articular fracture of the anterior aspect of the glenoid. Interviews with staff revealed that the bed rail had been loose for some time, and maintenance checks were not conducted in November or December due to the retirement of the previous maintenance person. The Maintenance Director noted that the bed rail's locking mechanism was compromised due to wear and tear. The facility's work history report showed no recorded action for preventative maintenance tasks due in November and December, indicating a lapse in regular inspections and maintenance of bed rails.
Deficiencies in Comprehensive Care Plans for High-Risk Medications and Dialysis
Penalty
Summary
The facility failed to develop comprehensive care plans for several residents, leading to deficiencies in addressing high-risk medication usage and dialysis care. Resident #8, who had diagnoses of diabetes mellitus, neurogenic bladder, and hypertension, was taking insulin, diuretics, and opioids. However, the care plan lacked information on the usage of these medications and the signs and symptoms to monitor. Similarly, Resident #15, with diagnoses of diabetes mellitus, anemia, and hypertension, was on insulin and opioid medications, but the care plan did not include details on these medications or their potential side effects. Resident #32, diagnosed with atrial fibrillation, heart failure, and hypertension, was receiving anticoagulation medication. The care plan for this resident did not address the anticoagulant medication, its potential side effects, or monitoring requirements. The Director of Nursing (DON) acknowledged that the care plan should have included this information. Additionally, Resident #2, who had renal failure and a fistula for dialysis, did not have the fistula or its care instructions included in the care plan. The DON confirmed that the fistula should have been documented in the care plan. The facility's policy on comprehensive care plans, dated January 30, 2024, mandates the development of person-centered care plans with measurable objectives and timeframes to meet residents' medical, nursing, and psychosocial needs. However, the facility did not adhere to this policy, resulting in incomplete care plans for the residents mentioned. The DON expressed expectations for high-risk medications and dialysis care to be included in the care plans, indicating a gap between policy and practice.
Sanitation Deficiencies in Kitchen and Food Storage Areas
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen and food storage areas, as observed during an initial kitchen tour. The inspection revealed an accumulation of food debris and dried liquid at the bottom of refrigerators and freezers, on the kitchen and dishwashing area floors, and on open shelving beneath preparation tables. Additionally, the snack cart and vegetable storage bin were found with scattered food debris, and the handles on the snack cart were grimy. A milk freezer was noted to have a thick layer of ice buildup. The facility's cleaning schedules for May 2024 indicated that staff did not complete cleaning tasks on most days, except for one. Despite this, the cleaning schedule showed that the milk cooler cleaning task was signed off as completed. The facility's policy from 2021 required regular cleaning and sanitizing of refrigerators and thorough cleaning of the kitchen daily. The Dietary Manager acknowledged the oversight, noting that the staff signed off on cleaning tasks that were not completed, and attributed the lapse to her recent absence from work.
Failure to Resubmit PASRR for Resident with New Mental Health Diagnoses
Penalty
Summary
The facility failed to refer a resident with a negative Level I PASRR result for a Level II PASRR evaluation after the resident was identified with newly evident or possible serious mental disorders. The resident, identified as Resident #19, had diagnoses of anxiety disorder, depression, psychotic disorder, and hallucinations documented in the Minimum Data Set (MDS) assessment. Despite these diagnoses, the facility did not resubmit the PASRR for further evaluation, even though the resident was receiving mental health services and had additional diagnoses of delusional disorder, hallucination disorder, and dementia. The clinical record review revealed that the facility did not follow up or resubmit the PASRR with the updated diagnoses. Interviews with the Director of Nursing (DON) and the Social Worker (SW) indicated a lack of understanding and policies regarding the need for resubmission of PASRR when there are changes in mental health diagnoses or services. The SW admitted to not resubmitting the PASRR due to a misunderstanding that a dementia diagnosis did not require resubmission, regardless of changes in mental health conditions.
Failure to Update Care Plan for Mechanical Soft Diet
Penalty
Summary
The facility failed to update the care plan for a resident to reflect the current diet order of a mechanical soft texture, as prescribed by the physician on 4/22/24. During a meal service observation on 5/29/24, the resident, who was on a mechanical soft diet, was served peas instead of the prescribed waxed beans, which could pose a choking hazard according to the dietitian. The resident's care plan had not been updated to reflect the mechanical soft diet order, despite the facility's policy requiring timely updates to ensure the resident's highest practicable well-being. The Director of Nursing acknowledged that the care plan should reflect the current diet order.
Failure to Address Dementia Care in Resident's Care Plan
Penalty
Summary
The facility failed to address dementia care for a resident diagnosed with Non-Alzheimer's Dementia. The Minimum Data Set (MDS) assessment indicated that the resident had a BIMS score of 13, suggesting no cognitive impairment, yet the resident had an active diagnosis of Vascular Dementia with mood disturbance. Despite this diagnosis being recorded, the care plan for the resident, revised on a later date, lacked any information regarding dementia care. During an interview, the Director of Nursing acknowledged that the dementia diagnosis was relatively new for the resident and should have been addressed in the care plan.
Failure to Follow Pureed Diet Menu
Penalty
Summary
The facility staff failed to adhere to the planned menu for a resident requiring a pureed diet. On the specified date, the Week 1 menu for a pureed lunch meal included pureed swiss steak, mashed potatoes, pureed peas, pureed bread with margarine, a pureed candy bar, and milk. However, during observation, Staff G, a dietary staff member, did not puree the bread and margarine as required. The meal was plated and served to the resident without the pureed bread and margarine. The facility's policy from 2021 mandates that food should be served at the appropriate temperature and with the correct serving size according to the planned menu. The dietitian confirmed that pureed diets should be served as per the menu.
Failure to Serve Correct Diet Texture
Penalty
Summary
The facility failed to ensure that the food served to a resident met their dietary needs according to their assessment and diet orders. During a meal service observation, a resident who was on a mechanical soft diet was served peas instead of the ordered waxed beans. The resident's physician's order and diet type report both indicated a mechanical soft diet, but the care plan had not been updated to reflect this order. The dietitian confirmed that peas could pose a choking hazard for the resident and emphasized the requirement for staff to follow the mechanical soft diet menu. The Director of Nursing acknowledged that dietary staff should adhere to the therapeutic diet as per the menu.
Failure to Maintain Accurate Resident Records and Address Equipment Malfunction
Penalty
Summary
The facility failed to maintain accurate resident records for one of its residents, identified as Resident #8. The incident involved a malfunctioning bed rail that led to the resident falling out of bed. The Minimum Data Set (MDS) assessment for Resident #8 documented diagnoses of diabetes mellitus, neurogenic bladder, and hypertension, with a Brief Interview for Mental Status (BIMS) score indicating no cognitive impairment. On December 25, 2023, while being repositioned in bed, the side rail became disengaged, causing the resident to fall and sustain a shoulder injury. The incident was not documented in the resident's electronic health record, which is a failure to maintain accurate medical records as per professional standards. Interviews with staff members revealed that the bed rail had been loose for some time, but no action was taken to repair it. Staff B, a Certified Nursing Assistant (CNA), admitted to noticing the looseness but did not believe it would break. The Director of Nursing confirmed that the incident should have been charted in the Progress Notes, indicating a lapse in proper documentation procedures. The lack of documentation and the failure to address the known issue with the bed rail contributed to the deficiency in safeguarding resident-identifiable information and maintaining accurate medical records.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 98 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Le Mars
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan - Lemars | 1.3 mi | ★★★★★ | 3 | 0 |
| Happy Siesta Health Care Center | 9.7 mi | ★★★★★ | 0 | 0 |
| Kingsley Specialty Care | 16.2 mi | ★★★★★ | 7 | 1 |
| Prairie Ridge Care Center | 16.9 mi | ★★★★★ | 6 | 0 |
| Heartland Care Center | 18 mi | ★★★★★ | 7 | 0 |
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