Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Clark County Nursing Home during CMS and state inspections, most recent first.
A resident with a history of constipation, hemorrhoids, iron deficiency anemia, and opioid use experienced severe difficulty with bowel movements and rectal pain. An RN twice assessed the resident, found a large fecal impaction, and digitally removed the mass, but did not document the event or notify the physician. In the following days, the resident developed ongoing rectal bleeding and appeared pale, tired, and weak. Although a CBC was ordered after the bleeding was reported, staff were unable to obtain the blood sample for several days and did not notify the physician of this failure or the resident’s worsening condition until after critical lab results were finally obtained, at which point the resident was sent to the hospital.
Facility staff performed a urinary catheterization and urine drug screen on a cognitively intact resident without obtaining consent from the resident or their emergency contact and without a physician order for the drug screen. The DON conducted these procedures based on observed changes in the resident's condition and behavior, but there was no documentation of urinary retention or notification to the physician or family. Interviews confirmed that consent and proper orders were not obtained, and the facility lacked a policy for such procedures.
The facility failed to properly label and manage food items in storage and maintain cleanliness of food service equipment. Observations showed unlabeled and expired food items in storage, and a buildup of debris on the ice machine and dishwasher. Interviews revealed inconsistencies in staff responsibilities and cleaning schedules, contributing to these deficiencies.
The facility failed to follow infection control standards during blood glucose monitoring and did not properly store oxygen tubing and nebulizer equipment, leading to potential contamination risks. Additionally, the facility lacked a comprehensive Legionella control policy, failing to conduct a water assessment or develop a management program in line with CDC and ASHRAE standards.
The facility failed to complete federally mandated Significant Change in Status Assessments (SCSA) for four residents who experienced significant changes in their conditions. These residents showed declines in activities of daily living, weight loss, and new health issues, yet the required assessments were not performed. Interviews revealed a lack of adherence to guidelines, contributing to the deficiency.
The facility failed to follow proper medication administration techniques for insulin pens and eye drops for three residents. An RN did not wait the recommended time after administering insulin to two residents with diabetes, and a CMT did not apply pressure or instruct a resident to keep their eyes closed after administering ketotifen eye drops. These actions were inconsistent with the manufacturers' guidelines.
The facility failed to ensure safe wheelchair propulsion for three residents, leading to potential accident hazards. A resident with severe cognitive impairment was propelled without foot pedals, causing their feet to slide on the floor. Another resident, dependent on staff for long-distance mobility, was also propelled without foot pedals, struggling to keep their feet off the ground. A third resident's foot dragged on the floor while being pushed by staff. The DON and Administrator acknowledged the need for foot pedals to prevent injuries.
The facility failed to conduct necessary assessments and obtain informed consent for the use of bed rails for several residents, leading to deficiencies in care. A resident with severe cognitive impairment used side rails without documented assessment or consent. Another resident used side rails for mobility and boundary limitations without documented risk assessment or consent. A third resident had consent from a family member but lacked a documented entrapment risk assessment. The DON acknowledged the lack of documentation and consent.
The facility failed to properly label and dispose of medications, and did not securely store controlled substances. Insulin for two residents was not dated or discarded within 28 days, and Ativan was not stored in a locked compartment. Expired medications were not timely destroyed, including those of a deceased resident. Staff interviews revealed inconsistent responsibility for medication checks.
A facility failed to assess pressure alarms as restraints for a resident with severe cognitive impairment and a history of falls. The resident expressed agitation and a feeling of being restrained by the alarms, which were intended to prevent falls. Despite the resident's distress and attempts to disable the alarms, the facility did not evaluate their use as restraints. Interviews revealed the resident felt restricted and fearful, while the facility's leadership did not consider the alarms to be restraints.
Two residents in an LTC facility received inadequate pressure ulcer care, leading to deficiencies in their treatment and care plans. One resident developed an unstageable pressure ulcer on the right heel, with staff failing to update the care plan or implement proper interventions. Another resident had multiple pressure ulcers, with the facility failing to maintain the low air loss mattress at the correct weight setting. Observations and staff interviews revealed a lack of communication and oversight in implementing and maintaining appropriate interventions.
A facility failed to provide restorative nursing services to a resident who developed contractures in the knees and hips, despite being admitted without such limitations. The resident, with severe cognitive impairment and other diagnoses, became dependent on staff for several activities. The facility lacked a system to identify and prevent contractures, and the resident was not included in the restorative nursing program, nor were there orders for physical therapy evaluation or treatment.
A facility failed to provide trauma-informed care for a resident with PTSD, as their care plan lacked specific interventions for PTSD triggers. The resident avoided communal areas due to feeling overwhelmed, and staff relied on word of mouth to learn about triggers, which were not documented in care plans. The DON confirmed the absence of a trauma-informed care policy.
The facility failed to provide written notices of transfer to two residents when they were transferred to the hospital. One resident with moderate cognitive impairment was admitted with COVID-19 and hip pain, while another was transferred twice due to medical issues, including cardiac dysrhythmia. The Director of Nursing and Administrator were unaware of the requirement for written notices, and staff only verbally informed families of transfers.
The facility failed to provide a written bed hold policy notice to residents or their representatives during hospital transfers. This deficiency was identified for three residents who were transferred for medical evaluation and treatment. Interviews revealed that the facility did not issue bed hold notices, claiming they take all residents back and were unaware of the requirement.
Failure to Document Digital Fecal Impaction Removal and Notify Physician of Bleeding and Delayed Labs
Penalty
Summary
The deficiency involves the facility’s failure to ensure services met professional standards of quality by not documenting a significant procedure, not promptly notifying the physician of changes in condition, and not communicating inability to obtain ordered labs for one resident with constipation and hemorrhoids. The resident had a history of constipation, hemorrhoids, and iron deficiency anemia, and was receiving multiple laxatives, hemorrhoid treatments, low-dose aspirin, an iron supplement, and an opioid (tramadol). A Significant Change MDS from the prior month documented moderately impaired cognition, maximum assistance for toileting and transfers, and no constipation. Facility policy required prompt physician notification and documentation in the medical record when there were changes in a resident’s condition or a need to significantly alter treatment. On 1/11/26, the resident experienced severe difficulty having a bowel movement and reported feeling fecal material stuck in the rectum, causing pain. A CNA reported this to an RN, who assessed the resident twice that day. The RN found the rectum dilated with a firm, softball-sized fecal mass and, after initial lubrication and reassessment, digitally removed the fecal impaction in several passes, after which the resident passed additional loose stool. The RN later acknowledged not documenting the impaction, the digital removal procedure, or the resident’s complaints in the nurse’s notes, and did not notify the physician of the impaction or the intervention, stating he/she did not believe it was necessary because the resident was not bleeding and was able to have a bowel movement afterward. Nurse’s notes for that date contained no record of the impaction, the resident’s pain, or the digital removal. On 1/13/26, nurse’s notes documented rectal bleeding that continued even without bearing down, and administration of a hemorrhoidal suppository. On 1/14/26, the nurse documented speaking with the physician about bleeding hemorrhoids and blood loss, and a CBC was ordered; however, staff were unable to obtain the blood sample and there was no documentation that the physician was notified of this inability. On 1/16/26, notes showed the resident passed a bright red rectal clot larger than a quarter and then a large amount of dark blood, with the DON notified and a hemorrhoidal suppository given. The DON attempted multiple blood draws without success, and later that evening the resident was documented as very pale, tired, and weak, but there was still no documentation that the physician was notified of these changes or of the continued inability to obtain the ordered lab. The CBC was finally obtained on 1/17/26, and the lab reported a critically low hemoglobin of 5.5 g/dL and critically high white blood cell count to the charge nurse, after which the physician was notified and the resident was sent to the hospital. In interviews, the DON confirmed she did not notify the physician about the failed lab draws until 1/17/26, and the physician stated his expectation that he be notified when manual fecal removal is performed and when staff are unable to obtain ordered labs.
Failure to Obtain Consent for Urinary Catheterization and Drug Screen
Penalty
Summary
Facility staff failed to honor a resident's rights by performing a urinary catheterization and obtaining a urine drug screen without notifying or obtaining permission from the resident or their emergency contact. The resident was documented as cognitively intact, alert, and oriented, and was their own responsible party. The facility's policy states that residents have the right to be fully informed about their care and to make decisions regarding their treatment, including the right to refuse care and to have their physician and family notified of significant changes. The resident's medical record showed an open-ended order for straight catheterization as needed for urinary retention, but there was no documentation of urinary retention at the time of the procedure, nor was there a physician order for urine collection or drug screening. Nursing notes indicated that the Director of Nursing (DON) performed the straight catheterization and drug screen based on observed changes in the resident's condition and behavior, as well as reports of possible marijuana use. However, there was no documentation that the resident or their emergency contact was informed or gave consent for these procedures, and no physician order was obtained for the drug screen. Interviews with facility staff, including the DON and the Administrator, confirmed that no permission or physician order was obtained prior to the procedures. The DON acknowledged that she should have obtained consent from the resident or their emergency contact and that the facility lacked a policy for obtaining drug screens or following physician orders for such procedures. The resident's physician also stated that staff should probably get permission before performing a urine drug screen.
Deficiencies in Food Labeling and Equipment Maintenance
Penalty
Summary
The facility failed to properly label and manage food items in both the dry storage and walk-in cooler areas. Observations revealed that several food items, such as cornflakes, pork gravy mix, and cheddar cheese sauce mix, were opened and resealed without proper labeling of opened dates or expiration dates. Additionally, prepared food items like egg salad and tomato sauce in the walk-in cooler were not discarded after their labeled use-by dates. Interviews with the Dietary Manager and Supervisor confirmed that dietary staff were expected to label food items correctly and remove expired items, but these practices were not consistently followed. The facility also failed to maintain cleanliness and proper maintenance of food service equipment, specifically the ice machine and dishwasher. Observations showed a buildup of white scaly material and rust-colored run marks on the ice machine, as well as debris accumulation on the dishwasher's surfaces and piping. The Dietary Manager and Supervisor indicated that dietary staff were responsible for cleaning these machines, but there was uncertainty about the frequency of cleaning. The Maintenance Technician was unaware of the condition of the ice machine and stated that it was due for cleaning. Interviews with the Administrator highlighted that both the dietary and maintenance departments were responsible for ensuring the cleanliness and proper labeling of food items and equipment. However, the lack of consistent monitoring and adherence to cleaning schedules contributed to the deficiencies observed. The Administrator expected staff to label food items when opened and remove items past their use-by dates, as well as maintain clean and sanitized equipment areas.
Infection Control and Legionella Management Deficiencies
Penalty
Summary
The facility failed to adhere to infection control standards during blood glucose monitoring for three residents. Staff did not appropriately sanitize the glucometer after use, nor did they use a barrier to prevent contamination. The glucometer was cleaned with alcohol wipes instead of the recommended Clorox Healthcare Hydrogen Peroxide Cleaner Disinfectant wipes, as per the manufacturer's instructions. This improper cleaning method was due to incorrect guidance from nurse managers, as reported by the staff involved. Additionally, the facility did not store oxygen tubing and nebulizer equipment properly when not in use, leading to potential contamination risks for three residents. Oxygen tubing was found lying on the floor or bed without being stored in a protective bag, and nebulizer equipment was left uncovered on surfaces. Staff interviews revealed a lack of awareness and adherence to proper storage protocols, contributing to the deficiency. The facility also lacked a comprehensive policy for Legionella control, failing to conduct a facility water assessment or develop a water management program in line with CDC and ASHRAE standards. The facility's policy did not include a water management team, a water flow map, or specific control parameters for water monitoring. Interviews with staff indicated a lack of knowledge and implementation of necessary measures to prevent Legionella growth, further contributing to the deficiency.
Failure to Complete Significant Change Assessments
Penalty
Summary
The facility failed to complete a Significant Change in Status Assessment (SCSA) Minimum Data Set (MDS) for four residents, despite significant changes in their conditions. This assessment is federally mandated and should be completed within 14 days after a significant change in a resident's physical or mental condition that impacts more than one area of their health status. The report highlights that the facility did not perform these assessments for four residents out of a sample of 22, despite observable declines in their activities of daily living (ADL) and other health indicators. Resident #18 experienced a decline in ADL functions, requiring increased assistance for oral hygiene, dressing, and transfers, and became occasionally incontinent of bowel. Despite these changes, no SCSA was completed. Similarly, Resident #8 showed a decline in independence, requiring more assistance in various ADL areas, experienced significant weight loss, and developed a new swallowing disorder, yet no SCSA was documented. Resident #13 also had changes in hearing, range of motion, and required more assistance in ADL areas, but again, no SCSA was completed. Resident #28 had changes in mobility, weight, and required more assistance in ADL areas, with new pain management interventions, but the facility did not complete an SCSA. Interviews with the MDS coordinator and the Director of Nursing revealed a lack of understanding and adherence to the RAI manual guidelines, contributing to the failure to complete the necessary assessments. The MDS coordinator admitted to not using the RAI manual properly, and the Director of Nursing expected the SCSA to be initiated within a few days of a change, but this was not done as required.
Improper Medication Administration Techniques
Penalty
Summary
The facility failed to adhere to proper medication administration techniques for insulin pens and eye drops for three residents. Resident #58, diagnosed with diabetes mellitus, received an insulin injection from RN B who did not wait for the recommended count of six after administering 40 units of Tresiba insulin. Similarly, Resident #2, also with diabetes mellitus, was administered eight units of Humalog insulin by RN B, who again did not wait for the recommended count of five after administration. These actions were contrary to the administration instructions provided by the manufacturers of the insulin pens. Additionally, Resident #21, who had an order for ketotifen eye drops for allergic conjunctivitis, did not receive the medication according to professional standards. CMT C administered the eye drops without applying pressure to the lacrimal gland or instructing the resident to keep their eyes closed for the recommended two to three minutes. This was inconsistent with the administration guidelines for ketotifen ophthalmic eye drops. Both RN B and CMT C acknowledged their deviations from the expected procedures during interviews.
Failure to Use Wheelchair Foot Pedals Poses Accident Hazards
Penalty
Summary
The facility failed to ensure that three residents in wheelchairs were propelled safely, leading to potential accident hazards. Resident #28, who had severe cognitive impairment and was dependent on wheelchair mobility, was observed being propelled by a CNA/CMT without foot pedals on the wheelchair. The resident's feet slid on the floor, creating a sliding sound, and the staff did not apply foot pedals or ensure the resident's feet were safe, despite being instructed to always use foot pedals to prevent injury. Resident #17, who had moderate cognitive impairment and was dependent on staff for wheelchair mobility over long distances, was also propelled without foot pedals. The resident struggled to keep their feet off the ground, causing the wheelchair to stop when their feet hit the floor. Despite the resident's care plan indicating the need for staff assistance with long-distance wheelchair mobility, staff did not use foot pedals, citing busyness as a reason for not retrieving them. Resident #11, who used a wheelchair for mobility and had a history of falls, was pushed by the Social Services Director without foot pedals. The resident's foot dragged on the floor during the transport, which the staff did not notice. The Director of Nursing and the Administrator acknowledged that staff should not propel residents without foot pedals, especially over long distances, and that foot pedals were available in bags on the wheelchairs.
Failure to Assess and Obtain Consent for Bed Rail Use
Penalty
Summary
The facility failed to complete necessary assessments and obtain informed consent for the use of bed rails for several residents, leading to deficiencies in care. Resident #17, who had severe cognitive impairment and a history of falls, was using one-fourth side rails for assistance with bed positioning. However, there was no documentation of a side rail assessment or an assessment of the resident's risk for entrapment prior to the use of the side rails. The Director of Nursing (DON) acknowledged that while she completed a mental assessment, she did not document it, intending to do so at a later date. Resident #54, who also had severe cognitive impairment and required substantial assistance for mobility, was using one-fourth side rails for bed mobility and boundary limitations. The facility did not document an assessment of the resident's risk for entrapment, nor did they obtain consent from the resident or family for the use of the side rails. The DON admitted that she could not find a consent form for the resident and explained that the resident used the side rail to identify the edges of the bed. Resident #18, with a history of falls and severe cognitive impairment, was using one-fourth side rails for assistance and boundary limitations. Although a family member had signed a consent form, there was no documentation of an assessment for the risk of entrapment. The resident's care plan indicated the use of side rails for assistance, but the facility failed to document the necessary assessments prior to their use. The DON confirmed that assessments should be completed before using side rails and that consent should be obtained beforehand.
Medication Management Deficiencies in LTC Facility
Penalty
Summary
The facility failed to ensure proper labeling and timely disposal of medications, as well as secure storage of controlled substances. Insulin vials and pens for two residents were not dated when opened, and one insulin vial was not discarded within the designated 28-day period after opening. Additionally, a schedule IV controlled substance, Ativan, was not stored in a separately locked compartment as required, and expired medications were not destroyed in a timely manner. Specifically, a bottle of liquid Ativan was found in an unlocked refrigerator, and expired Xanax tablets were found in the emergency narcotic box. Further observations revealed that expired medications belonging to a deceased resident were not destroyed, including albuterol sulfate inhalation solutions and nystatin topical powder. Interviews with staff indicated that there was a lack of consistent responsibility for checking and disposing of expired medications, with the Licensed Practical Nurse and Director of Nursing acknowledging that all nursing staff should be involved in this process. The facility's failure to adhere to medication management protocols resulted in deficiencies related to medication labeling, storage, and disposal.
Failure to Assess Pressure Alarms as Restraints
Penalty
Summary
The facility failed to assess the use of pressure alarms as a restraint for a resident with severe cognitive impairment and a history of falls. The resident, who was admitted to the facility due to repeated falls at home, was equipped with pressure alarms on both the bed and chair as a fall prevention measure. Despite the alarms being intended for safety, the resident expressed agitation and a feeling of being restrained, as documented in staff notes and interviews. The resident's medical history included dementia with behavioral disturbances, Parkinsonism, and major depressive disorder, among other conditions. The resident required assistance with mobility and had a durable power of attorney for healthcare decisions. Despite the resident's severe cognitive impairment, there was no evidence that the facility evaluated the use of the alarms as a restraint, even after the resident expressed distress and attempted to disable the alarms. Interviews with the resident and their spouse revealed dissatisfaction with the alarms, which the resident felt restricted their freedom and caused fear of getting up. The Director of Nursing and the Administrator did not consider the alarms to be restraints, as they believed the alarms did not prevent movement. However, the resident's repeated expressions of feeling trapped and the lack of a documented assessment of the alarms as restraints highlight a deficiency in the facility's approach to the resident's care.
Inadequate Pressure Ulcer Care and Prevention
Penalty
Summary
The facility failed to provide adequate pressure ulcer care and prevention for two residents, leading to deficiencies in their treatment and care plans. Resident #42, who had severe cognitive impairment and a diagnosis of diabetes mellitus, osteoporosis, and dementia, developed an unstageable pressure ulcer on the right heel. The facility staff did not update the resident's care plan to include the new wound or the intervention to float the resident's heels. Observations showed that the resident's heels were pressed against a pillow, contrary to the care plan, and the bed did not have a pressure-reducing mattress as documented. The resident experienced pain during wound care, and the wound was not treated with Betadine as ordered. Resident #1, with severe cognitive impairment and diagnoses of Alzheimer's disease, dementia, and anxiety disorder, had multiple pressure ulcers, including on the right buttocks and elbow. The facility failed to maintain the low air loss mattress at the correct weight setting, which was overinflated and too firm for the resident's weight. The care plan did not document the development of new open areas or the discontinuation of the feather tick mattress and addition of an air mattress. Observations confirmed the mattress was consistently set too high, and the resident's wounds showed signs of worsening. Interviews with staff, including the Wound Care Nurse and the Director of Nursing, revealed a lack of communication and oversight in implementing and maintaining appropriate interventions for pressure ulcer care. The Wound Care Nurse was responsible for overseeing wound care and quality measures but acknowledged gaps in ensuring interventions were followed. The Director of Nursing expected staff to ensure proper mattress settings and heel positioning, but these expectations were not met, contributing to the deficiencies in care for both residents.
Failure to Provide Restorative Nursing Services for Resident with Contractures
Penalty
Summary
The facility failed to provide restorative nursing services to a resident who was initially admitted without contractures and had no limitations in range of motion. Over time, the resident developed contractures in the knees and hips, which were not addressed by the facility's restorative nursing program. The facility lacked a system to identify residents at risk for decreased range of motion or to prevent the development of contractures. The Director of Nursing confirmed that there was no policy in place for range of motion, contractures, or their prevention and improvement. The resident, who had severe cognitive impairment and diagnoses including heart dysrhythmia and diabetes mellitus, was initially independent in many activities of daily living. However, as the resident's condition changed, they became dependent on staff for several activities and developed contractures in both knees. Despite these changes, the resident was not included in the facility's restorative nursing program, and there were no physician orders for physical therapy evaluation or treatment. Observations showed the resident in a fetal position with contractures, and staff confirmed the resident's contracted state.
Deficiency in Trauma-Informed Care for Resident with PTSD
Penalty
Summary
The facility failed to implement a system to ensure trauma-informed care for residents with PTSD, as evidenced by the case of a resident with PTSD and major depressive disorder. The resident's care plan lacked specific interventions to address PTSD triggers, and there was no documentation of trauma-informed care assessments in the resident's medical record. The resident expressed that the facility did not provide counseling and that he/she avoided the dining room and group activities due to feeling overwhelmed by commotion. The facility's Director of Nursing confirmed the absence of a policy for trauma-informed care and acknowledged that staff were still learning about residents' triggers, which were not consistently documented in care plans. Interviews with facility staff, including the MDS Coordinator and the DON, revealed that the facility did not have specific interventions for residents with PTSD and relied on word of mouth to communicate residents' triggers. The MDS Coordinator was unsure if the resident's care plan included PTSD-related behavioral issues, and the DON admitted that triggers and behaviors were not systematically monitored or included in care plans. The Administrator stated that all residents were treated as if they had PTSD, but the lack of formalized procedures and documentation indicated a deficiency in providing trauma-informed care.
Failure to Provide Written Notice of Transfer
Penalty
Summary
The facility failed to provide a written notice of discharge with the required information to two residents when they were transferred to the hospital. Resident #13, who had moderate cognitive impairment, was sent to the hospital with a high fever and was admitted with COVID-19 and hip pain. There was no documentation in the resident's medical record indicating that a written notice of transfer was issued to the resident or their representative. Similarly, Resident #48, who had a durable power of attorney for healthcare decisions, was transferred to the hospital on two occasions due to medical issues, including a cardiac dysrhythmia and syncopal episodes, but no written notice of transfer was provided to the resident's representative. During interviews, the Director of Nursing and the Administrator acknowledged that the facility did not issue written notices of transfer for facility-initiated transfers and were unaware of the requirement to do so. The Director of Nursing stated that staff verbally informed families when a resident was going to the hospital but did not provide information on how to appeal the transfer, ombudsman contact information, or information on mental health advocacy. The facility's failure to provide written notices of transfer with the required information was identified as a deficiency during the survey.
Failure to Provide Bed Hold Policy Notice During Hospital Transfers
Penalty
Summary
The facility failed to provide a written notice of the bed hold policy to residents or their representatives when residents were transferred to the hospital for medical evaluation and treatment. This deficiency was identified for three residents out of a sample of 22. Resident #13, who had moderate cognitive impairment, was sent to the hospital with a high fever and was diagnosed with COVID-19 and hip pain. There was no documentation that the resident or their representative received a bed hold policy notice upon hospital admission. Similarly, Resident #61, who had a durable power of attorney for healthcare, was sent to the hospital due to shortness of breath, and no bed hold policy notice was documented. Resident #48, also with a durable power of attorney, was transferred to the hospital twice for medical issues, including a cardiac dysrhythmia, but again, no bed hold policy notice was provided. Interviews with the Director of Nursing and the Administrator revealed that the facility did not issue bed hold policy notices because they claimed to take all residents back and were unaware of the requirement to provide such notices during transfers or discharges. This lack of awareness and failure to provide the necessary documentation led to the deficiency being cited by surveyors.
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Illustrative
What surveyors actually found near you
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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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Kahoka
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| River Hills Village In Keokuk | 16.1 mi | ★★★★★ | 6 | 0 |
| Southeast Iowa Healthcare Center | 16.4 mi | ★★★★★ | 6 | 0 |
| Aspire Of Donnellson | 16.6 mi | — | 0 | 0 |
| Montrose Health Center | 17 mi | ★★★★★ | 4 | 0 |
| Mississippi Valley | 17.1 mi | ★★★★★ | 1 | 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.