Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 St Luke's Helen G Nassif Transitional Care Center during CMS and state inspections, most recent first.
Failure to Maintain Resident Dignity: A cognitively intact resident with CHF, DM, and morbid obesity reported that a CMA made rude and humiliating comments when asked for help with transfers and wheelchair pushing, including saying the resident was too heavy to push and telling the resident to mind her own business. The resident also reported a staff member spit in a garbage can beside her while she was eating, and the DON acknowledged concerns about the staff member’s harsh tone and demanding manner.
Medication administration was not completed within the ordered 1-hour before to 1-hour after time frame for 3 residents. MAR audits showed multiple late or early doses across several days, and the clinical record lacked documentation of provider notification. The DON stated staff are expected to follow the med pass window and notify the provider if meds are given outside that time frame.
A resident with multiple diagnoses, including dementia and Parkinson's, was not provided with necessary toileting assistance as per their care plan. Despite being frequently incontinent and requiring substantial assistance, the resident was left in a recliner for several hours after appearing to void in the chair, without receiving incontinence care. The facility lacked a specific policy on toileting, relying on the care plan, which was not followed in this instance.
The facility failed to review the Baseline Care Plan with a resident or their legal representative. The MDS Coordinator completed the plan electronically, but it was not provided to or discussed with the resident or family, despite the resident having moderate cognitive loss. Staff interviews confirmed the oversight, and the facility's policy requiring documentation of the review was not followed.
Failure to Maintain Resident Dignity
Penalty
Summary
The facility failed to ensure Resident #3 was treated in a dignified manner. Resident #3 was cognitively intact with a BIMS of 15 out of 15 and had diagnoses including chronic diastolic congestive heart failure, diabetes mellitus, and morbid obesity. The resident required substantial staff assistance for chair/bed-to-chair transfer and walking ten feet, and the care plan identified the resident as at risk for falling related to impaired mobility, weakness, debility, GI infection, obesity, and pain. The care plan intervention directed staff to ambulate the resident with assist of 1 using a wheelchair and walker in the room and to the nurses station and dining room. During interview, Resident #3 reported that Staff A made rude comments, including telling the resident to push the wheelchair herself and stating the resident was too heavy for Staff A to push, which the resident said made her feel humiliated. The resident also reported another incident in which Staff A told another staff member that the resident could do it herself and then told the resident to mind her own business. A typed facility document showed the DON and ADON had spoken with the resident about an incident in which a staff member spit in a garbage can in the dining room beside the resident while she was eating, causing her to lose her appetite and push her food away. Staff A acknowledged telling the resident she was too heavy to push and said she tried to apologize. The DON stated she was aware of a clash of personalities and that Staff A could come across as harsh or demanding, and the facility disciplinary record noted tone when speaking to a resident and spitting in a garbage can.
Medication Administration Not Given Within Ordered Time Frame
Penalty
Summary
The facility failed to follow physician orders by not administering medications within the ordered time frame of 1 hour before to 1 hour after the scheduled time for 3 of 3 residents reviewed. Resident #6 had an admission date of 1/29/26 and a discharge date of 2/27/26, and the Order Recap Report showed medications ordered up to 2 times per day. The Medication Admin Audit Report for February showed medications were not given within the required time frame on 4 separate days, and the clinical record did not contain documentation of provider notification. Resident #21 was admitted on 2/19/26 and discharged on 3/4/26. The Order Recap Report showed medications ordered up to 4 times per day, and the Medication Admin Audit Report for February and March showed medications were not given within the required time frame on 10 separate days, with no documentation of provider notification in the clinical record. Resident #27, admitted on 2/20/26 and not yet discharged, had medications ordered up to 3 times per day, and the Medication Admin Report for February and March showed medications were not given within the required time frame on 7 separate days. During interview, the resident stated medications could be late and that insulin was given around mealtime, while pills were more variable. The DON stated staff have 1 hour before and 1 hour after the ordered time to give medications and that the provider should be notified if medications are early or late for any reason; the facility policy also required physician notification when administration occurred outside the time frame.
Failure to Provide Toileting Assistance
Penalty
Summary
The facility failed to provide adequate toileting assistance to a resident diagnosed with Parkinson's disease, dementia, adult failure to thrive, and schizophrenia, who was frequently incontinent of bowel and bladder. The resident required substantial assistance with toileting and was dependent on staff for toileting hygiene. The care plan directed staff to assist with toileting before and after meals, at bedtime, and as needed, as well as to provide incontinence care after each episode. However, on the observed date, the resident was not toileted after being moved from the dining room to a recliner in the lounge area, where he subsequently appeared to void in his chair. Despite the resident's apparent incontinence at 12:38 PM, staff did not provide toileting assistance or incontinence care for several hours. The resident remained in the recliner until at least 3:00 PM, with the carpet beneath him visibly stained. The Assistant Director of Nursing confirmed that staff were expected to toilet residents before and after meals, at bedtime, and every two hours at night, but the facility lacked a specific policy on how and when to toilet residents, relying instead on the care plan. This oversight resulted in the resident sitting in soiled conditions for an extended period, indicating a failure to adhere to the care plan and provide necessary assistance.
Failure to Review Baseline Care Plan with Resident or Representative
Penalty
Summary
The facility failed to address the Baseline Care Plan with the resident or the resident's legal representative for a resident who was admitted to the facility. The Baseline Care Plan was completed electronically by the MDS Coordinator, but the Resident and Resident Representative Signatures Lines were left blank, and there were no notations indicating that the Baseline Care Plan had been reviewed with the resident or family. The resident had a moderate cognitive loss, as indicated by a BIMS score of 10 out of 15. Progress notes from the relevant period lacked documentation that the resident or the resident's representative received a copy of the Baseline Care Plan or that it had been reviewed with them. Interviews with staff and the resident's family confirmed that the Baseline Care Plan was neither provided to nor discussed with the resident or their family. The MDS Coordinator and the DON had different understandings of the process, with the MDS Coordinator believing that the DON would handle the review and signature process. The DON acknowledged that the Baseline Care Plan should have been reviewed with the resident or family and documented accordingly, but this was not done. The facility's policy required that a written summary of the Baseline Care Plan be provided to the resident and their representative, with documentation in the medical record, but this was not followed in this case.
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 164 citations issued within 25 miles in the last 12 months — including the 2 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
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 Cedar Rapids
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Northbrook Healthcare And Rehabilitation Center | 1.6 mi | ★★★★★ | 24 | 0 |
| Hiawatha Care Center | 1.9 mi | ★★★★★ | 7 | 0 |
| Cottage Grove Place | 2.3 mi | ★★★★★ | 2 | 1 |
| Harmony Cedar Rapids | 2.3 mi | ★★★★★ | 12 | 0 |
| Meth-wick Health Center | 2.6 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for St Luke's Helen G Nassif Transitional Care Center.
100% money-back within 48 hours.
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.