Federal inspection record · CMS data as of October 1, 2026

Algona Manor Care Center

2221 East McGregor Street, Algona, IA · (515) 295-3505

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
46
Residents per day
38
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 15, 2003

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Iowa homes

Algona Manor Care Center carries 9 inspection points. That is fewer than 85% of Iowa's 385 rated homes.

5★4★3★2★1★+12 homes above 18305102550100inspection points → fewer is better on the leftThis home · 9 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–7 pts
  • 4★ 7–21 pts
  • 3★ 21–41 pts
  • 2★ 41–86.5 pts
  • 1★ over 86.5 pts

Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

11 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts
E 3 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care3D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    October 8, 2024 · Complaint · F677 · Corrected November 4, 2024

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 8, 2024 · Standard · F684 · Corrected September 6, 2024

  3. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    August 8, 2024 · Standard · F686 · Corrected September 6, 2024

Nursing and Physician Services2E
  1. D

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    July 23, 2026 · Standard · F725 · Corrected August 20, 2026

  2. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    April 9, 2024 · Complaint · F725 · Corrected May 7, 2024

Resident Assessment and Care Planning2D
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    June 12, 2025 · Standard · F644 · Corrected July 11, 2025

  2. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    August 8, 2024 · Standard · F657 · Corrected September 6, 2024

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    August 8, 2024 · Standard · F880 · Corrected September 6, 2024

  2. D

    Implement a program that monitors antibiotic use.

    August 8, 2024 · Standard · F881 · Corrected September 6, 2024

Freedom from Abuse, Neglect, and Exploitation1E
  1. E

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    June 12, 2025 · Standard · F607 · Corrected July 11, 2025

Nutrition and Dietary1E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 8, 2024 · Standard · F812 · Corrected September 6, 2024

Inspection history

  1. 2026-07-23

    1 health deficiencies · 1 fire-safety deficiencies

    Top issue: Nursing and Physician Services (1 deficiency)

  2. 2025-06-12

    3 health deficiencies · 5 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

  3. 2024-08-08

    7 health deficiencies · 6 fire-safety deficiencies

    Top issue: Infection Control (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 24 min of nursing staff time a day, 25 min of it from a registered nurse.

This home

3 h 24 min

Iowa average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 31% of nursing staff and 50% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts better1.01.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better1.51.91.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better98.2%94.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better100.0%95.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better3.6%3.9%3.2%
Percentage of long-stay residents who have depressive symptoms4.3 pts worse8.5%4.2%13.5%
Percentage of long-stay residents who lose too much weight1.7 pts better2.7%4.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.5 pts worse22.5%21.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication8.1 pts better11.7%19.8%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened10.5 pts better4.7%15.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.1 pts better9.5%16.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better0.0%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection2.4 pts better0.0%2.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts worse27.1%25.0%18.3%
Percentage of long-stay residents with pressure ulcers3.1 pts better1.0%4.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts better88.9%84.0%82.3%
Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same2.1%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.3 pts worse74.1%74.4%80.1%

·

Who owns and runs it

30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Thomas F Juckette Marital Trust5% Or Greater Direct Ownership Interest · Organization100%3 facilities
Bcg Holdings IncAdp Of The SNF · Organization0%49 facilities
Brighton Consulting Group LLCAdp Of The SNF · Organization0%73 facilities
Capstone Management LLCOperational/Managerial Control · Organization0%3 facilities
Capstone Management LLCAdp Of The SNF · Organization0%3 facilities
Cattail Bcg LLCAdp Of The SNF · Organization0%50 facilities
Cattail IncAdp Of The SNF · Organization0%50 facilities
Coppage Ltc Pharmacy Consulting PlcAdp Of The SNF · Organization0%5 facilities
Creative Planning Hold Co LLCAdp Of The SNF · Organization0%7 facilities
Ecsi IncAdp Of The SNF · Organization0%49 facilities
Erickson-Welter, ShawnAdp Of The SNF · Individual0%2 facilities
Frideres, AngelaOperational/Managerial Control · Individual0%1 facilities
Frideres, AngelaAdp Of The SNF · Individual0%1 facilities
Frideres, SawyerOperational/Managerial Control · Individual0%1 facilities
Integrated Health Systems Intermediate, LLCAdp Of The SNF · Organization0%3 facilities
Iowa Health Care AssociationAdp Of The SNF · Organization0%50 facilities
Irvin, VickiOperational/Managerial Control · Individual0%3 facilities
Juckette, LindaCorporate Officer · Individual0%3 facilities
Juckette, LindaOperational/Managerial Control · Individual0%3 facilities
Juckette, LindaIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%3 facilities
Knecht, AmandaOperational/Managerial Control · Individual0%1 facilities
Leider, JohnOperational/Managerial Control · Individual0%1 facilities
Lodden, TelfordTrustee Of The SNF · Individual0%3 facilities
Millennium Rehab & Consulting IncAdp Of The SNF · Organization0%18 facilities
Miller, MaryOperational/Managerial Control · Individual0%3 facilities
Reffer, HollyOperational/Managerial Control · Individual0%1 facilities
Schantzen, JohnOperational/Managerial Control · Individual0%1 facilities
Schantzen, JohnAdp Of The SNF · Individual0%1 facilities
Thomas F Juckette Marital TrustAdp Of The SNF · Organization0%3 facilities
Traverse Point PanthersAdp Of The SNF · Organization0%3 facilities

·

Fire safety

12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5F
  1. F

    Provide properly protected cooking facilities.

    July 23, 2026 · K324 · Corrected January 10, 2027

  2. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    June 12, 2025 · K345 · Corrected June 24, 2025

  3. F

    Install corridor and hallway doors that block smoke.

    June 12, 2025 · K363 · Corrected June 18, 2025

  4. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    August 8, 2024 · K345 · Corrected September 10, 2024

  5. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 8, 2024 · K321 · Corrected August 20, 2024

Gas, Vacuum, and Electrical Systems5F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    June 12, 2025 · K918 · Corrected June 25, 2025

  2. F

    Ensure proper usage of power strips and extension cords.

    June 12, 2025 · K920 · Corrected June 10, 2025

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    August 8, 2024 · K918 · Corrected August 21, 2024

  4. F

    Ensure that testing and maintenance of electrical equipment is performed.

    August 8, 2024 · K921 · Corrected September 10, 2024

  5. E

    Meet requirements for the use and maintenance of medical gas equipment.

    August 8, 2024 · K922 · Corrected August 12, 2024

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    June 12, 2025 · K712 · Corrected June 24, 2025

  2. F

    Have simulated fire drills held at unexpected times.

    August 8, 2024 · K712 · Corrected August 23, 2024

·

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