Federal inspection record · CMS data as of October 1, 2026
Anamosa Care Center
1209 East Third Street, Anamosa, IA · (319) 462-4356
- Certified beds
- 64
- Residents per day
- 52
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1998
1
How this home got 4 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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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.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Anamosa Care Center carries 23 inspection points. That is fewer than 63% of Iowa's 385 rated homes.
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.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Rights2E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning2D
- D
Assess the resident when there is a significant change in condition
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services2E
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Observe each nurse aide's job performance and give regular training.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Environmental1E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspection history
2026-07-30
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-06-12
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2024-07-25
5 health deficiencies · 6 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 14 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 14 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 100% of nursing staff and 100% 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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 0.6 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts better | 0.2 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better | 97.5% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.3 pts better | 98.1% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts better | 0.5% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts better | 2.9% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.4 pts better | 0.0% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.6 pts better | 13.4% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.6 pts better | 17.2% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.4 pts better | 9.8% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.5 pts worse | 18.1% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 2.1% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.4 pts better | 0.0% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts worse | 25.3% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 3.0% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts worse | 3.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.1 pts better | 92.5% | 74.4% | 80.1% |
·
Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bates, Kelsie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bates, Kelsie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Campbell Street Services LLC | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Campbell Street Services LLC | Adp Of The SNF · Organization | 0% | 26 facilities |
| Dole, Isaac | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 27 facilities |
| Grubb, Kimberly | Corporate Officer · Individual | 0% | 2 facilities |
| John R Grubb Family Trust | Direct Ownership Interest · Organization | 0% | 2 facilities |
| John R Grubb Family Trust | Trustee Of The SNF · Organization | 0% | 2 facilities |
| John R Grubb Family Trust | Adp Of The SNF · Organization | 0% | 2 facilities |
| John W Grubb Trust | Direct Ownership Interest · Organization | 0% | 2 facilities |
| John W Grubb Trust | Trustee Of The SNF · Organization | 0% | 2 facilities |
| John W Grubb Trust | Adp Of The SNF · Organization | 0% | 2 facilities |
| Kimberly D Grubb Trust | Direct Ownership Interest · Organization | 0% | 2 facilities |
| Kimberly D Grubb Trust | Trustee Of The SNF · Organization | 0% | 2 facilities |
| Kimberly D Grubb Trust | Adp Of The SNF · Organization | 0% | 2 facilities |
| Meyers, Katherine | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Meyers, Katherine | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wirth, Ashley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wirth, Ashley | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Emergency Preparedness2F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
Construction1F
- F
Use approved construction type or materials.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Monticello Nursing & Rehab Center
Monticello, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 51 min
- Fines
- $0
-
Mechanicsville Specialty Care
Mechanicsville, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 14 min
- Fines
- $0
-
Rehabilitation Center of Lisbon
Lisbon, IA · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 33 min
- Fines
- $0