Cycle 1
Health 2025-03-13 · Fire 2025-03-13
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Hiawatha, IA
Hiawatha Care Center
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
405 North 15th Avenue, Hiawatha, IA
(319) 378-8583
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
109
Certified beds
Average residents
99
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2004-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.62
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.61
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.66
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.90
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.58
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.56
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
4.13
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
820
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.33
Composite VBP score used to determine payment impact.
Payment multiplier
1.0181
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.62
Baseline 17.62% · Performance 18.37% · Measure score 6.62 · Achievement 6.62 · Improvement 0
Healthcare-associated infections
9.14
Baseline 5.96% · Performance 5.10% · Measure score 9.14 · Achievement 9.14 · Improvement 8.39
Total nurse turnover
5.15
Baseline 48.94% · Performance 42.62% · Measure score 5.15 · Achievement 5.15 · Improvement 2.12
Adjusted total nurse staffing
4.42
Baseline 4.37 hours · Performance 4.34 hours · Measure score 4.42 · Achievement 4.42 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.54% |
10.72%
2.2 pts better
|
No Different than the National Rate · Eligible stays 261 · Observed rate 5.75% · Lower 95% interval 5.9% |
| Discharge to community | 62.35% |
50.57%
11.8 pts better
|
Better than the National Rate · Eligible stays 264 · Observed rate 57.95% · Lower 95% interval 56.11% |
| Medicare spending per beneficiary | 0.85 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.49% |
95.27%
4.2 pts better
|
Numerator 196 · Denominator 197 |
| Falls with major injury | 0.51% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 197 |
| Discharge self-care score | 46.11% |
53.69%
7.6 pts worse
|
Numerator 77 · Denominator 167 |
| Discharge mobility score | 45.51% |
50.94%
5.4 pts worse
|
Numerator 76 · Denominator 167 |
| Pressure ulcers or injuries, new or worsened | 1.02% |
2.29%
1.3 pts better
|
Numerator 2 · Denominator 197 · Adjusted rate 1.28% |
| Healthcare-associated infections requiring hospitalization | 5.1% |
7.12%
2 pts better
|
No Different than the National Rate · Eligible stays 148 · Observed rate 2.03% · Lower 95% interval 2.92% |
| Staff COVID-19 vaccination coverage | 3.59% |
8.2%
4.6 pts worse
|
Numerator 7 · Denominator 195 |
| Staff flu vaccination coverage | 62.45% |
42%
20.5 pts better
|
Numerator 143 · Denominator 229 |
| Discharge function score | 51.5% |
56.45%
5 pts worse
|
Numerator 86 · Denominator 167 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 124 · Denominator 124 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 22 · Denominator 22 |
| Resident COVID-19 vaccinations up to date | 44.23% |
25.2%
19 pts better
|
Numerator 46 · Denominator 104 |
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 · Adjusted 0.9 · Observed 0.7 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
2.1
1 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.0%
6 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.6% |
95.2%
1.4 pts better
|
95.5%
1.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
3.7%
2.1 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.5% · Q3 1.3% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
4.0%
3.7 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 4.6% |
4.9%
0.3 pts better
|
5.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 7.9% · Q3 2.7% · Q4 2.6% · 4Q avg 4.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.4% |
20.6%
2.8 pts worse
|
19.6%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 23.1% · Q3 25.3% · Q4 24.7% · 4Q avg 23.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.0% |
19.8%
1.2 pts worse
|
16.7%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 18.6% · Q3 18.2% · Q4 23.8% · 4Q avg 21.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.6% |
0.2%
0.4 pts worse
|
0.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.3% |
18.5%
2.2 pts better
|
16.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 20.2% · Q3 12.0% · Q4 22.5% · 4Q avg 16.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.5% |
18.3%
1.8 pts better
|
14.9%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 18.8% · Q3 11.9% · Q4 14.7% · 4Q avg 16.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 7.6% |
1.7%
5.9 pts worse
|
1.0%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 7.8% · Q3 7.9% · Q4 8.3% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
2.5%
1.2 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.4% |
26.0%
3.4 pts worse
|
19.8%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.8% · Q2 32.2% · Q3 30.7% · Q4 25.6% · 4Q avg 29.4% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
4.3%
1 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.8% · Q3 3.4% · Q4 3.0% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% |
84.3%
14.1 pts better
|
81.7%
16.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 99.4% · Q3 98.1% · Q4 97.5% · 4Q avg 98.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.4% |
13.1%
2.7 pts better
|
12.0%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.4% · Observed 10.7% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.9%
0.9 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.1% · Q3 1.9% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| 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 · 4Q avg 87.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.7% |
21.3%
3.4 pts worse
|
23.9%
0.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.7% · Observed 24.4% · Expected 23.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-09 · Fire 2024-05-09
3 health deficiencies
Top issue: Resident Rights (2 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Cycle 3
Health 2023-01-26 · Fire 2023-01-26
7 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-13
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-13
F · Potential for more than minimal harm
2025-03-13
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-13
E · Potential for more than minimal harm
2025-03-13
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-13
F · Potential for more than minimal harm
2024-05-09
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-06-14
F · Potential for more than minimal harm
2024-05-09
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-06-14
F · Potential for more than minimal harm
2024-05-09
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-14
E · Potential for more than minimal harm
2024-05-09
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-06-14
F · Potential for more than minimal harm
2023-01-26
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-03-01
F · Potential for more than minimal harm
2023-01-26
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-01
F · Potential for more than minimal harm
2023-01-26
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-01
E · Potential for more than minimal harm
2023-01-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-01
E · Potential for more than minimal harm
2023-01-26
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-03-01
Inspection history
Recent health citations
G · Actual harm
2025-10-29
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 2025-11-03
E · Potential for more than minimal harm
2025-03-13
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-04-12
E · Potential for more than minimal harm
2025-03-13
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 2025-04-12
D · Potential for more than minimal harm
2025-03-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-12
D · Potential for more than minimal harm
2025-01-08
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 2025-02-08
E · Potential for more than minimal harm
2024-05-09
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 2024-06-08
D · Potential for more than minimal harm
2024-05-09
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-06-08
F · Potential for more than minimal harm
2023-01-26
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 2023-03-01
F · Potential for more than minimal harm
2023-01-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-01
E · Potential for more than minimal harm
2023-01-26
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-03-01
D · Potential for more than minimal harm
2023-01-26
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-03-01
D · Potential for more than minimal harm
2023-01-26
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-03-01
D · Potential for more than minimal harm
2023-01-26
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-03-01
D · Potential for more than minimal harm
2023-01-26
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-03-01
Penalties and ownership
What sits behind the stars
Ownership
Thomas F Juckette Marital Trust
5% Or Greater Direct Ownership Interest · Organization
Moore, Eugene
5% Or Greater Direct Ownership Interest · Individual
Reitmeier, Ronald
5% Or Greater Direct Ownership Interest · Individual
Carlson, Kenneth
5% Or Greater Direct Ownership Interest · Individual
Steven M. Webbliving Trust Dated May 8, 2014
5% Or Greater Direct Ownership Interest · Organization
Webb, Dana
5% Or Greater Direct Ownership Interest · Individual
Carlson, Kenneth
Corporate Director · Individual
Carlson, Kenneth
Corporate Officer · Individual
Lauterwasser, Amanda
W-2 Managing Employee · Individual
Moore, Eugene
Corporate Director · Individual
Reitmeier, Ronald
Corporate Director · Individual
Reitmeier, Ronald
Corporate Officer · Individual
Young, Nancy
W-2 Managing Employee · Individual
Nearby options
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1-star overall rating with 1-star inspections with $38,787 in total fines with 18 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
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5-star overall rating with 5-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Hallmar Village
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2-star overall rating with 2-star inspections with $11,960 in total fines with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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