Nursing Home Lookup

Federal inspection record · CMS data as of October 1, 2026

Lake Mills Care Center

406 South Tenth Avenue East, Lake Mills, IA · (641) 592-4900

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
61
Residents per day
44
Ownership
For-Profit
Chain
Legacy Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 1, 1997

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Iowa homes

Lake Mills Care Center carries 33 inspection points. That is fewer than 50% of Iowa's 385 rated homes.

5★4★3★2★1★+12 homes above 18305102550100inspection points → fewer is better on the leftThis home · 33 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–7 pts
  • 4★ 7–21 pts
  • 3★ 21–41 pts
  • 2★ 41–86.5 pts
  • 1★ over 86.5 pts

Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

9 health citations on record since 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 6 4 pts
E 1 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

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

    October 16, 2025 · Complaint inspection · Quality of Life and Care · F697 · Corrected October 27, 2025

Everything else, by area of care

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    August 18, 2026 · Complaint · F600 · Not yet marked corrected

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    August 18, 2026 · Complaint · F609 · Not yet marked corrected

  3. D

    Respond appropriately to all alleged violations.

    August 18, 2026 · Complaint · F610 · Not yet marked corrected

Quality of Life and Care2D
  1. D

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

    April 9, 2025 · Standard · F684 · Corrected April 30, 2025

  2. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    April 9, 2025 · Standard · F686 · Corrected April 30, 2025

Nutrition and Dietary1E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 15, 2026 · Standard · F812 · Corrected May 1, 2026

Resident Assessment and Care Planning1D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    April 9, 2025 · Standard · F656 · Corrected April 30, 2025

Nursing and Physician Services1C
  1. C

    Post nurse staffing information every day.

    April 9, 2025 · Standard · F732 · Corrected April 30, 2025

Inspection history

  1. 2026-04-15

    5 health deficiencies · 3 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  2. 2025-04-09

    4 health deficiencies · 4 fire-safety deficiencies

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

  3. 2024-06-05

    0 health deficiencies · 3 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 3 h 26 min of nursing staff time a day, 21 min of it from a registered nurse.

This home

3 h 26 min

Iowa average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 33% of nursing staff and 0% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better1.21.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better1.61.91.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better100.0%94.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better97.6%95.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts worse6.1%3.9%3.2%
Percentage of long-stay residents who have depressive symptoms4.2 pts better0.0%4.2%13.5%
Percentage of long-stay residents who lose too much weight2.9 pts better1.5%4.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication17.4 pts better3.6%21.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication18.1 pts better1.7%19.8%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.1 pts better9.1%15.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.6 pts better8.0%16.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better0.0%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection1.8 pts better0.6%2.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.2 pts worse26.2%25.0%18.3%
Percentage of long-stay residents with pressure ulcers2.9 pts better1.2%4.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.6 pts better98.6%84.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1 pts worse14.0%13.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse2.4%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.7 pts better94.1%74.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.1 pts worse20.8%20.7%23.4%

·

Who owns and runs it

69 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Beasley, KarlaOperational/Managerial Control · Individual0%29 facilities
Beasley, KarlaAdp Of The SNF · Individual0%29 facilities
Behounek, LinseyOperational/Managerial Control · Individual0%29 facilities
Behounek, LinseyAdp Of The SNF · Individual0%29 facilities
Borcherding, JennyOperational/Managerial Control · Individual0%29 facilities
Borcherding, JennyAdp Of The SNF · Individual0%29 facilities
Burken, SheriOperational/Managerial Control · Individual0%30 facilities
Burken, SheriAdp Of The SNF · Individual0%30 facilities
Cascade Capital Holdings LLCAdp Of The SNF · Organization0%30 facilities
Cascade Capital Partners LLCAdp Of The SNF · Organization0%30 facilities
Ccg Gorgona LLCAdp Of The SNF · Organization0%29 facilities
Friedenberg, LauraOperational/Managerial Control · Individual0%29 facilities
Friedenberg, LauraAdp Of The SNF · Individual0%29 facilities
Friedman, BrianTrustee Of The SNF · Individual0%28 facilities
Gorgona Holdco LLCAdp Of The SNF · Organization0%28 facilities
Gorgona Propco Holdings LLCAdp Of The SNF · Organization0%29 facilities
Gorgona Sub Holdco LLCAdp Of The SNF · Organization0%29 facilities
Hedberg, JenniferOperational/Managerial Control · Individual0%29 facilities
Hedberg, JenniferAdp Of The SNF · Individual0%29 facilities
Helgeson, JulieOperational/Managerial Control · Individual0%1 facilities
Helgeson, JulieAdp Of The SNF · Individual0%1 facilities
Hennager, ChristinaOperational/Managerial Control · Individual0%14 facilities
Hennager, ChristinaAdp Of The SNF · Individual0%14 facilities
Heying, LarinaOperational/Managerial Control · Individual0%29 facilities
Heying, LarinaAdp Of The SNF · Individual0%29 facilities
Houston, MindyOperational/Managerial Control · Individual0%30 facilities
Houston, MindyAdp Of The SNF · Individual0%30 facilities
Jaeger, KrystleOperational/Managerial Control · Individual0%29 facilities
Jaeger, KrystleAdp Of The SNF · Individual0%29 facilities
Knutson, MicheleOperational/Managerial Control · Individual0%13 facilities
Knutson, MicheleAdp Of The SNF · Individual0%13 facilities
Lake Mills Ia Property Holdings, LLCAdp Of The SNF · Organization0%1 facilities
Larson, MelissaOperational/Managerial Control · Individual0%29 facilities
Larson, MelissaAdp Of The SNF · Individual0%29 facilities
Legacy Healthcare Financial Services LLCOperational/Managerial Control · Organization0%78 facilities
Legacy Healthcare Financial Services LLCAdp Of The SNF · Organization0%78 facilities
Mcclure, DorothyOperational/Managerial Control · Individual0%29 facilities
Mcclure, DorothyAdp Of The SNF · Individual0%29 facilities
Mn8 Rh Holdco LLCAdp Of The SNF · Organization0%28 facilities
Otterbeck, PatriciaOperational/Managerial Control · Individual0%29 facilities
Otterbeck, PatriciaAdp Of The SNF · Individual0%29 facilities
Rajchenbach, ChaimOperational/Managerial Control · Individual0%55 facilities
Rajchenbach, ChaimAdp Of The SNF · Individual0%55 facilities
Rajchenbach, RivkaTrustee Of The SNF · Individual0%28 facilities
Scott, KathleenOperational/Managerial Control · Individual0%13 facilities
Scott, KathleenAdp Of The SNF · Individual0%13 facilities
Seu, JoshuaOperational/Managerial Control · Individual0%13 facilities
Seu, JoshuaAdp Of The SNF · Individual0%13 facilities
Shabat, AhuvaTrustee Of The SNF · Individual0%29 facilities
Shabat, MenachemManaging Control - Governing Body · Individual0%86 facilities
Shabat, MenachemCorporate Officer · Individual0%86 facilities
Shabat, MenachemOperational/Managerial Control · Individual0%86 facilities
Shabat, MenachemAdp Of The SNF · Individual0%86 facilities
Shear, KileyOperational/Managerial Control · Individual0%29 facilities
Shear, KileyAdp Of The SNF · Individual0%29 facilities
Staudt, SandraOperational/Managerial Control · Individual0%13 facilities
Staudt, SandraAdp Of The SNF · Individual0%13 facilities
Thoe, KrystalOperational/Managerial Control · Individual0%2 facilities
Thoe, KrystalAdp Of The SNF · Individual0%2 facilities
Van Veghel, ElizabethOperational/Managerial Control · Individual0%29 facilities
Van Veghel, ElizabethAdp Of The SNF · Individual0%29 facilities
Waletzko Bartz, BrittanyOperational/Managerial Control · Individual0%2 facilities
Waletzko Bartz, BrittanyAdp Of The SNF · Individual0%2 facilities
Wierschem, BobbieOperational/Managerial Control · Individual0%29 facilities
Wierschem, BobbieAdp Of The SNF · Individual0%29 facilities
Wood, RosemaryOperational/Managerial Control · Individual0%13 facilities
Wood, RosemaryAdp Of The SNF · Individual0%13 facilities
Wright, AmyOperational/Managerial Control · Individual0%14 facilities
Wright, AmyAdp Of The SNF · Individual0%14 facilities

·

Fire safety

10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems4F
  1. F

    Ensure that testing and maintenance of electrical equipment is performed.

    April 15, 2026 · K921 · Corrected May 8, 2026

  2. F

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

    April 9, 2025 · K918 · Corrected April 10, 2025

  3. F

    Ensure that testing and maintenance of electrical equipment is performed.

    April 9, 2025 · K921 · Corrected April 10, 2025

  4. F

    Ensure that testing and maintenance of electrical equipment is performed.

    June 5, 2024 · K921 · Corrected July 13, 2024

Smoke3F
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    April 15, 2026 · K353 · Corrected April 20, 2026

  2. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    April 9, 2025 · K321 · Corrected April 15, 2025

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    June 5, 2024 · K353 · Corrected July 2, 2024

Services1E
  1. E

    Have elevators that firefighters can control in the event of a fire.

    April 15, 2026 · K531 · Corrected April 15, 2026

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    April 9, 2025 · K712 · Corrected April 10, 2025

Emergency Preparedness1F
  1. F

    Develop and maintain an Emergency Preparedness Program (EP).

    June 5, 2024 · E4 · Corrected July 13, 2024

·

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