5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Estherville, IA
2-star overall rating with 3-star inspections with 5 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
2001 First Avenue North, Estherville, IA
(712) 362-3594
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
46
Certified beds
Average residents
35
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Beacon Health Management
Operator or chain grouping
Approved since
2004-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.72
Registered nurse staffing
LPN hours / resident day
0.84
Licensed practical nurse staffing
Aide hours / resident day
2.07
Nurse aide staffing
Weekend hours
3.01
Weekend nurse staffing
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.5
0.2 pts worse
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.2 |
2.1
1.1 pts worse
|
1.8
1.4 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 62.4% |
94.0%
31.6 pts worse
|
93.4%
31 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.8% |
95.2%
10.4 pts worse
|
95.5%
10.7 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.8% |
3.7%
1.1 pts worse
|
3.3%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 3.7% |
4.0%
0.3 pts better
|
11.4%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 14.8% |
4.9%
9.9 pts worse
|
5.4%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.7% |
20.6%
18.1 pts worse
|
19.6%
19.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 34.4% |
19.8%
14.6 pts worse
|
16.7%
17.7 pts worse
|
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 | 24.7% |
18.5%
6.2 pts worse
|
16.3%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.7% |
18.3%
9.4 pts worse
|
14.9%
12.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.8% |
1.7%
2.1 pts worse
|
1.0%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
2.5%
0.8 pts better
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.3% |
26.0%
4.7 pts better
|
19.8%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 10.6% |
4.3%
6.3 pts worse
|
5.1%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 25.9% |
84.3%
58.4 pts worse
|
81.7%
55.8 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.1% |
13.1%
2 pts better
|
12.0%
0.9 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.2% |
1.9%
4.3 pts worse
|
1.6%
4.6 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 30.4% |
73.3%
42.9 pts worse
|
79.7%
49.3 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.5% |
21.3%
0.8 pts better
|
23.9%
3.4 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Resident Assessment and Care Planning (2 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Rights (2 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Meet other general requirements.
Corrected 2025-09-17
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-09-17
Fire Safety
Install proper backup exit lighting.
Corrected 2025-09-25
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-09-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-10-28
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-11-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-09-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-17
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-09-17
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-12-24
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-12-23
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-12-24
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-12-20
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-12-26
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-15
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-12-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-15
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-12-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-12-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-10
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-10-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-10
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 2023-10-10
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-10-01
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-10-01
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-10-16
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-10-16
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-12-24
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-12-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-12-24
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-24
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-11-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-18
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-12-07
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-12-07
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-12-07
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2023-12-07
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-12-07
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-12-07
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-12-07
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-12-07
Health
Respond appropriately to all alleged violations.
Corrected 2023-09-16
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-04-06
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-04-06
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-04-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-06
Penalties and ownership
Nearby options
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Armstrong, IA
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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