Mason City, IA

Heritage Care And Rehabilitation Center

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

501 South Kentucky Ave, Mason City, IA

(641) 423-2121

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

71

Certified beds

Average residents

61

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1997-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

90 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

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

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

2,340

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

50.08

Composite VBP score used to determine payment impact.

Payment multiplier

1.0042

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.42

Baseline 18.33% · Performance 19.85% · Measure score 3.42 · Achievement 3.42 · Improvement 0

Healthcare-associated infections

2.60

Baseline 5.85% · Performance 7.06% · Measure score 2.60 · Achievement 2.60 · Improvement 0

Total nurse turnover

10

Baseline 53.42% · Performance 21.67% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

4.02

Baseline 4.40 hours · Performance 4.22 hours · Measure score 4.02 · Achievement 4.02 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.55%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 80 · Observed rate 10% · Lower 95% interval 7.36%
Discharge to community	41.6%	50.57% 9 pts worse	No Different than the National Rate · Eligible stays 56 · Observed rate 33.93% · Lower 95% interval 30.77%
Medicare spending per beneficiary	0.64	1.02 0.4 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 50 · Denominator 50
Falls with major injury	2%	0.77% 1.2 pts worse	Numerator 1 · Denominator 50
Discharge self-care score	42.11%	53.69% 11.6 pts worse	Numerator 16 · Denominator 38
Discharge mobility score	47.37%	50.94% 3.6 pts worse	Numerator 18 · Denominator 38
Pressure ulcers or injuries, new or worsened	2%	2.29% 0.3 pts better	Numerator 1 · Denominator 50 · Adjusted rate 2.19%
Healthcare-associated infections requiring hospitalization	7.06%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 47 · Observed rate 6.38% · Lower 95% interval 4.42%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 91
Staff flu vaccination coverage	20.57%	42% 21.4 pts worse	Numerator 29 · Denominator 141
Discharge function score	55.26%	56.45% 1.2 pts worse	Numerator 21 · Denominator 38
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 22 · Denominator 22
Resident COVID-19 vaccinations up to date	41.38%	25.2% 16.2 pts better	Numerator 12 · Denominator 29

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.7	1.5 0.8 pts better	1.9 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.5	2.1 0.4 pts worse	1.8 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.1 · Expected 1.4 · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 98.0% · Q4 100.0% · 4Q avg 99.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.0%	95.2% 2.8 pts better	95.5% 2.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.5%	3.7% 1.2 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 4.0% · Q4 1.9% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.1%	4.0% 2.1 pts worse	11.4% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 9.3% · Q3 4.5% · Q4 4.3% · 4Q avg 6.1%
Percentage of long-stay residents who lose too much weight	5.7%	4.9% 0.8 pts worse	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.0% · Q3 12.2% · Q4 2.1% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.3%	20.6% 0.7 pts worse	19.6% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 22.5% · Q3 19.5% · Q4 21.3% · 4Q avg 21.3%
Percentage of long-stay residents who received an antipsychotic medication	29.9%	19.8% 10.1 pts worse	16.7% 13.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.6% · Q2 30.6% · Q3 32.4% · Q4 25.6% · 4Q avg 29.9% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	12.7%	18.5% 5.8 pts better	16.3% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 14.4% · Q3 14.3% · Q4 20.2% · 4Q avg 12.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.7%	18.3% 7.6 pts better	14.9% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 13.2% · Q3 7.9% · Q4 4.5% · 4Q avg 10.7% · Used in QM five-star
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 · Q1 0.0% · Q2 2.4% · Q3 2.2% · Q4 1.6% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.0%	2.5% 1.5 pts better	1.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.6%	26.0% 3.4 pts better	19.8% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 22.4% · Q3 17.1% · Q4 23.1% · 4Q avg 22.6%
Percentage of long-stay residents with pressure ulcers	5.3%	4.3% 1 pts worse	5.1% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.9% · Q3 7.9% · Q4 9.2% · 4Q avg 5.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.3%	84.3% 11 pts better	81.7% 13.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 90.9% · Q3 94.6% · Q4 96.5% · 4Q avg 95.3%
Percentage of short-stay residents who had an outpatient emergency department visit	12.5%	13.1% 0.6 pts better	12.0% 0.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 12.5% · Expected 11.1% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	81.6%	73.3% 8.3 pts better	79.7% 1.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 81.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	40.1%	21.3% 18.8 pts worse	23.9% 16.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 40.1% · Observed 37.5% · Expected 22.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-14 · Fire 2025-08-14

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

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

Cycle 2 Health 2024-09-12 · Fire 2024-09-12

2 health deficiencies

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

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

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

0 health deficiencies

No concentrated health issue counts in this cycle.

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-14

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-08-14

F · Potential for more than minimal harm 2025-08-14

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-08-27

E · Potential for more than minimal harm 2024-09-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-09-17

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

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-06-30

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

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-26

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

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-26

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

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-06-20

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

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-06-21

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

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-06-26

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

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-06-26

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

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2023-06-20

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-14

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-09-09

E · Potential for more than minimal harm 2025-08-14

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 2025-09-09

E · Potential for more than minimal harm 2025-08-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-09

D · Potential for more than minimal harm 2025-08-14

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-09-09

D · Potential for more than minimal harm 2025-08-14

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-09

G · Actual harm 2024-06-20

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-08

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

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-07-08

Penalties and ownership

What sits behind the stars

Ownership

Chaim Rajchenbach Descendants Tr Ua 04282008

5% Or Greater Indirect Ownership Interest · Organization

46% 83 facilities 2024-08-15

Beasley, Karla