Remsen, IA

Happy Siesta Health Care Center

3-star overall rating with 3-star inspections with $9,835 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

423 Roosevelt St, Remsen, IA

(712) 786-1125

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 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

62

Certified beds

Average residents

51

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1999-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.82

Registered nurse staffing

LPN hours / resident day

0.35

Licensed practical nurse staffing

Aide hours / resident day

2.69

Nurse aide staffing

Weekend hours

3.37

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 0.9
1.5
0.6 pts better
1.9
1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.8
2.1
0.3 pts better
1.8
About the same
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
94.0%
5.5 pts better
93.4%
6.1 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 2.0%
3.7%
1.7 pts better
3.3%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.1%
4.0%
2.9 pts better
11.4%
10.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.8%
4.9%
0.1 pts better
5.4%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.8%
20.6%
7.2 pts worse
19.6%
8.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 28.9%
19.8%
9.1 pts worse
16.7%
12.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 13.7%
0.2%
13.5 pts worse
0.1%
13.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 15.9%
18.5%
2.6 pts better
16.3%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 18.6%
18.3%
0.3 pts worse
14.9%
3.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.5%
1.7%
0.2 pts better
1.0%
0.5 pts worse
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 30.7%
26.0%
4.7 pts worse
19.8%
10.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.1%
4.3%
3.2 pts better
5.1%
4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.6%
84.3%
4.3 pts better
81.7%
6.9 pts better
Short Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87.0%
73.3%
13.7 pts better
79.7%
7.3 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

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

4 health deficiencies

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

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-06-20 · Fire 2024-06-20

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-05-18 · Fire 2023-05-18

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

10 fire-safety deficiencies

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

Fire safety

Fire-safety citations

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 2025-06-11

F · Potential for more than minimal harm 2024-06-20

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-06-27

F · Potential for more than minimal harm 2024-06-20

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-07-19

D · Potential for more than minimal harm 2024-06-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-06-27

F · Potential for more than minimal harm 2023-05-18

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2023-05-31

F · Potential for more than minimal harm 2023-05-18

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-06-01

F · Potential for more than minimal harm 2023-05-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-06

F · Potential for more than minimal harm 2023-05-18

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-05-26

F · Potential for more than minimal harm 2023-05-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-05-25

F · Potential for more than minimal harm 2023-05-18

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-06-07

E · Potential for more than minimal harm 2023-05-18

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-05-23

D · Potential for more than minimal harm 2023-05-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-23

D · Potential for more than minimal harm 2023-05-18

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-06-08

D · Potential for more than minimal harm 2023-05-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-05-23

Inspection history

Recent health citations

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

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 2025-06-25

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

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-06-25

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

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-06-25

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

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-06-25

G · Actual harm 2024-04-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-04

J · Immediate jeopardy 2023-07-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-07-14

Penalties and ownership

What sits behind the stars

$9,835 2023-07-13

Fine

Fine · fine $9,835

Fine

Ownership

Cornerstone Senior Communities Of Remsen

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2005-07-19
Cody, Mark

Operational/Managerial Control · Individual

0% 1 facilities 2012-01-01
Cody, Mark

Corporate Director · Individual

0% 1 facilities 2012-01-01
Cornerstone Senior Communities Of Remsen

Operational/Managerial Control · Organization

0% 1 facilities 2005-04-20
Cronin, Cheryl

Operational/Managerial Control · Individual

0% 1 facilities 2023-01-01
Cronin, Cheryl

Corporate Director · Individual

0% 1 facilities 2023-01-01
Draper, Thomas

Operational/Managerial Control · Individual

0% 1 facilities 2023-01-01
Draper, Thomas

Corporate Director · Individual

0% 1 facilities 2023-01-01
Geha, Andrew

Operational/Managerial Control · Individual

0% 1 facilities 2020-01-01
Gergen, Elizabeth

Operational/Managerial Control · Individual

0% 1 facilities 2017-03-10
Heidesch, Margaret

Operational/Managerial Control · Individual

0% 1 facilities 2023-01-01
Heidesch, Margaret

Corporate Director · Individual

0% 1 facilities 2023-01-01
Kuiken, Jennifer

Operational/Managerial Control · Individual

0% 1 facilities 2016-03-22
Ltc Accounting Services, LLC

Operational/Managerial Control · Organization

0% 7 facilities 2020-07-01
Owens, Valerie

Operational/Managerial Control · Individual

0% 1 facilities 2023-10-18
Premier Senior Management LLC

Operational/Managerial Control · Organization

0% 4 facilities 2020-07-01
Sanow, Brian

Operational/Managerial Control · Individual

0% 1 facilities 2021-09-27
Schultz, Judith

Operational/Managerial Control · Individual

0% 1 facilities 2023-01-01
Schultz, Judith

Corporate Director · Individual

0% 1 facilities 2023-01-01
Sievers, Susan

Operational/Managerial Control · Individual

0% 1 facilities 2023-01-01
Sievers, Susan

Corporate Director · Individual

0% 1 facilities 2023-01-01
Staab, Jackie

Operational/Managerial Control · Individual

0% 1 facilities 2001-11-07
Steele, Helen

Operational/Managerial Control · Individual

0% 1 facilities 2023-01-01
Steele, Helen

Corporate Director · Individual

0% 1 facilities 2023-01-01
Williams & Company Pc

Operational/Managerial Control · Organization

0% 2 facilities 2020-01-01

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