Mount Vernon, IA

Hallmark Care Center

3-star overall rating with 4-star inspections with 5 recent health deficiencies

215 Highway 30 SW, Mount Vernon, IA

(319) 895-8891

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

55

Certified beds

Average residents

41

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1997-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Weekend hours

0.00

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.4
1.5
1.1 pts better
1.9
1.5 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
2.1
0.5 pts better
1.8
0.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.0%
94.0%
4 pts better
93.4%
4.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.5%
95.2%
2.3 pts better
95.5%
2 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 7.3%
3.7%
3.6 pts worse
3.3%
4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 4.9%
4.0%
0.9 pts worse
11.4%
6.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.7%
4.9%
2.2 pts better
5.4%
2.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.0%
20.6%
3.6 pts better
19.6%
2.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 22.2%
19.8%
2.4 pts worse
16.7%
5.5 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 18.0%
18.5%
0.5 pts better
16.3%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 15.0%
18.3%
3.3 pts better
14.9%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.7%
1.7 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.0%
2.5%
0.5 pts better
1.7%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 33.6%
26.0%
7.6 pts worse
19.8%
13.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 0.4%
4.3%
3.9 pts better
5.1%
4.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 69.7%
84.3%
14.6 pts worse
81.7%
12 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 6.9%
1.9%
5 pts worse
1.6%
5.3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 85.7%
73.3%
12.4 pts better
79.7%
6 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-20 · Fire 2025-03-20

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-05-22 · Fire 2024-05-22

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-08 · Fire 2023-03-08

1 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-20

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 2025-04-19

D · Potential for more than minimal harm 2025-03-20

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-04-19

D · Potential for more than minimal harm 2025-03-20

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-04-19

B · Minimal harm 2025-03-20

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-04-19

B · Minimal harm 2025-03-20

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-04-19

E · Potential for more than minimal harm 2024-05-22

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 2024-06-22

D · Potential for more than minimal harm 2024-05-22

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 2024-06-22

D · Potential for more than minimal harm 2023-03-08

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-04-08

Penalties and ownership

What sits behind the stars

Ownership

Beasley, Karla

Operational/Managerial Control · Individual

0% 29 facilities 2024-08-15
Behounek, Linsey

Operational/Managerial Control · Individual

0% 29 facilities 2024-08-15
Borcherding, Jenny

Operational/Managerial Control · Individual

0% 29 facilities 2024-08-15
Burken, Sheri

Operational/Managerial Control · Individual

0% 30 facilities 2024-08-15
Friedenberg, Laura

Operational/Managerial Control · Individual

0% 29 facilities 2024-08-15
Hedberg, Jennifer

Operational/Managerial Control · Individual

0% 29 facilities 2024-08-15
Hennager, Christina

Operational/Managerial Control · Individual

0% 14 facilities 2024-08-15
Heying, Larina

Operational/Managerial Control · Individual

0% 29 facilities 2024-08-15
Houston, Mindy

Operational/Managerial Control · Individual

0% 30 facilities 2024-08-15
Jaeger, Krystle

Operational/Managerial Control · Individual

0% 29 facilities 2024-08-15
Knutson, Michele

Operational/Managerial Control · Individual

0% 13 facilities 2024-08-15
Larson, Melissa

Operational/Managerial Control · Individual

0% 29 facilities 2024-08-15
Legacy Healthcare Financial Services LLC

Operational/Managerial Control · Organization

0% 67 facilities 2024-08-15
Mcclure, Dorothy

Operational/Managerial Control · Individual

0% 29 facilities 2024-08-15
Otterbeck, Patricia

Operational/Managerial Control · Individual

0% 29 facilities 2024-08-15
Rajchenbach, Chaim

Operational/Managerial Control · Individual

0% 46 facilities 2024-08-15
Schuett, Clayton

Operational/Managerial Control · Individual

0% 2 facilities 2024-08-15
Scott, Kathleen

Operational/Managerial Control · Individual

0% 13 facilities 2024-08-15
Seu, Joshua

Operational/Managerial Control · Individual

0% 13 facilities 2024-08-15
Shabat, Menachem

Operational/Managerial Control · Individual

0% 84 facilities 2024-08-15
Shear, Kiley

Operational/Managerial Control · Individual

0% 29 facilities 2024-08-15
Staudt, Sandra

Operational/Managerial Control · Individual

0% 13 facilities 2024-08-15
Van Veghel, Elizabeth

Operational/Managerial Control · Individual

0% 29 facilities 2024-08-15
Vanderploeg, Jessica

Operational/Managerial Control · Individual

0% 2 facilities 2024-08-15
Whalen, Abigail

Operational/Managerial Control · Individual

0% 1 facilities 2024-08-15
Wierschem, Bobbie

Operational/Managerial Control · Individual

0% 29 facilities 2024-08-15
Wood, Rosemary

Operational/Managerial Control · Individual

0% 13 facilities 2024-08-15
Wright, Amy

Operational/Managerial Control · Individual

0% 13 facilities 2024-08-15

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