Anamosa, IA

Anamosa Care Center

5-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1209 East Third Street, Anamosa, IA

(319) 462-4356

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

64

Certified beds

Average residents

53

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Healthcare Of Iowa

Operator or chain grouping

Approved since

1998-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.57

Registered nurse staffing

LPN hours / resident day

0.47

Licensed practical nurse staffing

Aide hours / resident day

2.28

Nurse aide staffing

Weekend hours

2.82

Weekend nurse staffing

RN turnover

44%

Annual RN turnover

Total nurse turnover

52%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.6
1.5
0.9 pts better
1.9
1.3 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
2.1
1.4 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.2%
94.0%
3.2 pts better
93.4%
3.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.2%
4.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.5%
3.7%
3.2 pts better
3.3%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
4.0%
4 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.5%
4.9%
0.4 pts better
5.4%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.4%
20.6%
6.2 pts better
19.6%
5.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 9.0%
19.8%
10.8 pts better
16.7%
7.7 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 9.8%
18.5%
8.7 pts better
16.3%
6.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 9.0%
18.3%
9.3 pts better
14.9%
5.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.8%
1.7%
0.9 pts better
1.0%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.9%
2.5%
1.6 pts better
1.7%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.0%
26.0%
3 pts better
19.8%
3.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.6%
4.3%
0.7 pts better
5.1%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
84.3%
14.7 pts better
81.7%
17.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 1.7%
1.9%
0.2 pts better
1.6%
0.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
73.3%
26.7 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

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

2 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-07-25 · Fire 2024-07-25

5 health deficiencies

Top issue: Environmental (1 deficiency)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 3 Health 2023-06-15 · Fire 2023-06-15

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

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

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-13

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

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-06-16

E · 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 2025-06-13

F · Potential for more than minimal harm 2025-01-06

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-01-09

F · Potential for more than minimal harm 2024-07-25

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-08-07

F · Potential for more than minimal harm 2024-07-25

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-08-06

F · Potential for more than minimal harm 2024-07-25

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-06

F · Potential for more than minimal harm 2024-07-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-07

F · Potential for more than minimal harm 2024-07-25

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-08-07

E · Potential for more than minimal harm 2024-07-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-07

F · Potential for more than minimal harm 2023-06-15

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-06-15

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-07-07

F · Potential for more than minimal harm 2023-06-15

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-06-23

F · Potential for more than minimal harm 2023-06-15

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-06-23

F · Potential for more than minimal harm 2023-06-15

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-06-28

F · Potential for more than minimal harm 2023-06-15

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-07-07

F · Potential for more than minimal harm 2023-06-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-27

F · Potential for more than minimal harm 2023-06-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-07-20

E · Potential for more than minimal harm 2023-06-15

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 2023-06-27

E · Potential for more than minimal harm 2023-06-15

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-07

Inspection history

Recent health citations

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

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-06-30

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

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 2025-06-30

G · Actual harm 2024-07-25

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-06

E · Potential for more than minimal harm 2024-07-25

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-08-06

E · Potential for more than minimal harm 2024-07-25

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-08-06

D · Potential for more than minimal harm 2024-07-25

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 2024-08-06

D · Potential for more than minimal harm 2024-03-21

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-03-22

D · Potential for more than minimal harm 2023-06-15

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-06-29

Penalties and ownership

What sits behind the stars

Ownership

John W Grubb Trust

5% Or Greater Direct Ownership Interest · Organization

44% 2 facilities 2021-08-19
Kimberly D Grubb Trust

5% Or Greater Direct Ownership Interest · Organization

44% 2 facilities 2021-08-19
John R Grubb Family Trust

5% Or Greater Direct Ownership Interest · Organization

12% 2 facilities 2004-10-31
Bates, Kelsie

Operational/Managerial Control · Individual

0% 1 facilities 2019-01-10
Gentzler, Nick

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-16
Grubb, John

Corporate Officer · Individual

0% 2 facilities 2022-01-01
Meyers, Katherine

Operational/Managerial Control · Individual

0% 1 facilities 2018-09-27
Purdy, Angelena

Operational/Managerial Control · Individual

0% 2 facilities 2024-10-01

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