Algona, IA

Algona Manor Care Center

4-star overall rating with 4-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

2221 East McGregor Street, Algona, IA

(515) 295-3505

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

46

Certified beds

Average residents

29

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2003-10-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.56

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.59

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.96

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

4.11

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.15

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.65

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.57

CMS adjusted RN staffing hours

Adjusted total hours

4.19

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,347

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

29.99

Composite VBP score used to determine payment impact.

Payment multiplier

0.9857

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

4.32

Performance 6.54% · Measure score 4.32 · Achievement 4.32 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

3.35

Baseline 57.78% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 1.86

Adjusted total nurse staffing

1.33

Baseline 3.85 hours · Performance 3.46 hours · Measure score 1.33 · Achievement 1.33 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.87%
10.72%
0.1 pts worse
No Different than the National Rate · Eligible stays 72 · Observed rate 8.33% · Lower 95% interval 7.07%
Discharge to community 47.52%
50.57%
3 pts worse
No Different than the National Rate · Eligible stays 56 · Observed rate 48.21% · Lower 95% interval 35.52%
Medicare spending per beneficiary 0.8
1.02
0.2 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 45 · Denominator 45
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 45
Discharge self-care score 67.57%
53.69%
13.9 pts better
Numerator 25 · Denominator 37
Discharge mobility score 62.16%
50.94%
11.2 pts better
Numerator 23 · Denominator 37
Pressure ulcers or injuries, new or worsened 2.22%
2.29%
0.1 pts better
Numerator 1 · Denominator 45 · Adjusted rate 2.17%
Healthcare-associated infections requiring hospitalization 6.54%
7.12%
0.6 pts better
No Different than the National Rate · Eligible stays 44 · Observed rate 2.27% · Lower 95% interval 3.25%
Staff COVID-19 vaccination coverage 4.55%
8.2%
3.6 pts worse
Numerator 3 · Denominator 66
Staff flu vaccination coverage 35.29%
42%
6.7 pts worse
Numerator 24 · Denominator 68
Discharge function score 67.57%
56.45%
11.1 pts better
Numerator 25 · Denominator 37
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 24%
25.2%
1.2 pts worse
Numerator 6 · Denominator 25

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.4
1.5
0.1 pts better
1.9
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.6
2.1
0.5 pts worse
1.8
0.8 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
94.0%
3.3 pts better
93.4%
3.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 96.4% · Q3 96.3% · Q4 100.0% · 4Q avg 97.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.8%
95.2%
1.6 pts better
95.5%
1.3 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8%
Percentage of long-stay residents experiencing one or more falls with major injury 1.8%
3.7%
1.9 pts better
3.3%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 3.7% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 9.5%
4.0%
5.5 pts worse
11.4%
1.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 20.8% · Q3 7.7% · Q4 12.0% · 4Q avg 9.5%
Percentage of long-stay residents who lose too much weight 4.7%
4.9%
0.2 pts better
5.4%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 4.2% · Q3 7.7% · Q4 3.8% · 4Q avg 4.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.5%
20.6%
0.9 pts worse
19.6%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 25.0% · Q3 19.2% · Q4 22.2% · 4Q avg 21.5%
Percentage of long-stay residents who received an antipsychotic medication 14.1%
19.8%
5.7 pts better
16.7%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 13.6% · Q3 13.6% · Q4 20.0% · 4Q avg 14.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 10.5%
18.5%
8 pts better
16.3%
5.8 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 15.2%
18.3%
3.1 pts better
14.9%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 13.6% · Q3 29.2% · Q4 8.0% · 4Q avg 15.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.9%
1.7%
0.8 pts better
1.0%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.7%
2.5%
0.2 pts worse
1.7%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 28.2%
26.0%
2.2 pts worse
19.8%
8.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 23.8% · Q3 52.4% · Q4 15.4% · 4Q avg 28.2%
Percentage of long-stay residents with pressure ulcers 1.9%
4.3%
2.4 pts better
5.1%
3.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 2.5% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.2%
84.3%
4.1 pts worse
81.7%
1.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 63.6% · Q2 80.0% · Q3 90.5% · 4Q avg 80.2%
Percentage of short-stay residents who had an outpatient emergency department visit 13.4%
13.1%
0.3 pts worse
12.0%
1.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 13.6% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.9%
1.9 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 76.0%
73.3%
2.7 pts better
79.7%
3.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.3%
21.3%
6 pts worse
23.9%
3.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 27.3% · Observed 27.3% · Expected 23.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-12 · Fire 2025-06-12

2 health deficiencies

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

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-08-08 · Fire 2024-08-08

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2023-09-28 · Fire 2023-09-28

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-12

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-24

F · Potential for more than minimal harm 2025-06-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-06-18

F · Potential for more than minimal harm 2025-06-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-06-24

F · Potential for more than minimal harm 2025-06-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-06-25

F · Potential for more than minimal harm 2025-06-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-10

F · Potential for more than minimal harm 2024-08-08

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-10

F · Potential for more than minimal harm 2024-08-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-23

F · Potential for more than minimal harm 2024-08-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-08-08

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-09-10

E · Potential for more than minimal harm 2024-08-08

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-20

E · Potential for more than minimal harm 2024-08-08

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-08-12

F · Potential for more than minimal harm 2023-09-28

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-10-11

F · Potential for more than minimal harm 2023-09-28

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-10-20

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-06-12

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-07-11

D · Potential for more than minimal harm 2025-06-12

F644 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-07-11

D · Potential for more than minimal harm 2024-10-08

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-04

E · Potential for more than minimal harm 2024-08-08

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-08-08

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-08-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-08-08

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-08-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-08-08

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-09-06

E · Potential for more than minimal harm 2024-04-09

F725 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2024-05-07

D · Potential for more than minimal harm 2023-09-28

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-10-24

C · Minimal harm 2023-09-28

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-10-24

Penalties and ownership

What sits behind the stars

Ownership

Thomas F Juckette Marital Trust

5% Or Greater Direct Ownership Interest · Organization

100% 4 facilities 2014-11-01
Capstone Management LLC

Operational/Managerial Control · Organization

0% 3 facilities 2014-11-01
Frideres, Angela

Operational/Managerial Control · Individual

0% 1 facilities 2006-10-16
Frideres, Sawyer

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-30
Irvin, Vicki

Operational/Managerial Control · Individual

0% 3 facilities 2014-11-01
Juckette, Linda

Operational/Managerial Control · Individual

0% 3 facilities 2014-11-01
Juckette, Linda

Corporate Officer · Individual

0% 3 facilities 2014-11-01
Knecht, Amanda

Operational/Managerial Control · Individual

0% 1 facilities 2007-10-10
Leider, John

Operational/Managerial Control · Individual

0% 1 facilities 2018-07-19
Miller, Mary

Operational/Managerial Control · Individual

0% 3 facilities 1994-03-21
Reffer, Holly

Operational/Managerial Control · Individual

0% 1 facilities 2020-07-15
Schantzen, John

Operational/Managerial Control · Individual

0% 1 facilities 2022-04-20

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