Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hubbard Care Center during CMS and state inspections, most recent first.
The facility failed to document accurate information in a timely manner, routinely saving and altering drafts before finalizing them. This practice affected several residents' care plans and assessments, with staff confirming that drafts were reviewed and altered by others before finalization, leading to delays and potential alterations of original documentation.
The facility allowed a CNA to start work before completing a required background check. The CNA began their shift before the Single Contact License & Background Check (SING) was finalized, contrary to the facility's policy requiring checks before hire. The Administrator confirmed this oversight during an interview.
A facility failed to notify a resident 48 hours in advance of the termination of their Medicare Part A coverage. The resident, with intact cognition, was informed on the same day that their skilled services would end, contrary to the required notice period. Interviews revealed the facility lacked a policy for completing the necessary forms, despite following Medicare guidelines.
Inaccurate and Delayed Documentation Practices
Penalty
Summary
The facility failed to document accurate information in a timely manner, as revealed through interviews, electronic health records, and policy review. It was discovered that the facility routinely saved documentation as drafts and altered these drafts before finalizing them into the record. During the survey, three progress notes were found to have been finalized from drafts with alterations made after the creation date for three residents. Additionally, one resident had an initial fall assessment struck out with no subsequent fall assessment added. For Resident #99, discrepancies were noted in the Plan of Care Nursing Notes, where alterations were made to the dietary and feeding instructions between the draft and finalized versions. Similarly, Resident #31's Long-Term Nursing Evaluation template initially contained placeholder fields, which were later filled with detailed information in the finalized document. Resident #12's Plan of Care Nursing Note also showed changes between the draft and finalized versions, particularly in dietary instructions and adaptive equipment usage. The facility's practice of saving documentation in draft form was confirmed by staff interviews. Staff reported that drafts were reviewed and altered by other staff members before being finalized, a practice that was allegedly done to ensure documentation appeared favorable for inspections. This practice led to delays in finalizing documentation, with some drafts remaining unfinalized for weeks. Staff expressed concerns about the appropriateness of this practice, noting that it could potentially alter the original documentation and timeline of events, particularly in cases involving falls or other significant incidents.
Failure to Complete Background Check Before Employment
Penalty
Summary
The facility failed to prevent an employee from starting work before completing a required background check. Specifically, Staff A, a Certified Nurse Aide (CNA), began working on May 28, 2024, from 5:55 AM to 2:31 PM, before their Single Contact License & Background Check (SING) was completed at 1:57 PM on the same day. The facility's policy, dated October 2022, mandates that an Iowa criminal record check and dependent adult/child abuse registry check be conducted on all prospective employees before hire, as prescribed under 481 Iowa Administrative Code 58.11(3). During an interview on January 9, 2025, the Administrator acknowledged that Staff A began working prior to the completion of their background check.
Failure to Provide 48-Hour Notice for Medicare Coverage Termination
Penalty
Summary
The facility failed to provide a resident with the required 48-hour notice regarding the termination of Medicare Part A coverage. Resident #50, who had intact cognition as indicated by a BIMS score of 14, was admitted on a specified date and received skilled services from 11/14/24 to 11/19/24. The SNF Beneficiary Protection Notification form indicated the end of these services on 11/19/24. However, the SNF Advanced Beneficiary Notice and the Notice of Medicare Non-Coverage forms, both dated 11/19/24, were signed verbally by the resident, indicating that they may have to pay out of pocket for services starting 11/20/24. Interviews with the Social Worker and Administrator confirmed that the facility did not provide the required 48-hour notice and lacked a policy for completing these forms, although they claimed to follow Medicare guidelines.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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 72 citations issued within 25 miles in the last 12 months — 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hubbard
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Zearing Health Care, Llc | 9.6 mi | ★★★★★ | 9 | 0 |
| Eldora Specialty Care | 9.9 mi | ★★★★★ | 10 | 0 |
| Scenic Manor | 15.8 mi | ★★★★★ | 0 | 0 |
| Bethany Life | 17.5 mi | ★★★★★ | 17 | 0 |
| State Center Specialty Care | 20.4 mi | ★★★★★ | 11 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.