Federal inspection record · CMS data as of October 1, 2026
Lakeside Lutheran Home
301 North Lawler Street, Emmetsburg, IA · (712) 852-4060
- Certified beds
- 55
- Residents per day
- 36
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 6, 2003
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Lakeside Lutheran Home carries 29 inspection points. That is fewer than 55% of Iowa's 385 rated homes.
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
22 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation7E
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- E
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Rights4D
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service4D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning2D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care2D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Environmental1D
- D
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Inspection history
2026-02-26
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2025-01-23
13 health deficiencies · 21 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)
2024-02-15
7 health deficiencies · 15 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h of nursing staff time a day, 45 min of it from a registered nurse.
This home
4 h
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 28% of nursing staff and 17% 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
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-23 | Payment Denial · 5 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.1 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.4 pts worse | 4.3 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse | 5.0% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts better | 1.8% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.2 pts worse | 26.2% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.5 pts worse | 23.3% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.5 pts better | 10.7% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.1 pts better | 16.5% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.8 pts worse | 3.2% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.7 pts worse | 6.1% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.6 pts better | 22.4% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.6% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.5 pts better | 94.5% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.8 pts better | 8.2% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication7.6 pts worse | 9.7% | 2.1% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.5 pts worse | 25.2% | 20.7% | 23.4% |
·
Who owns and runs it
37 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Iowa Trust & Savings Bank | 5% Or Greater Direct Ownership Interest · Organization | 50% | 1 facilities |
| Anderson, Hallie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Anderson, Hallie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Barber, Joan | Corporate Director · Individual | 0% | 1 facilities |
| Barber, Joan | Corporate Officer · Individual | 0% | 1 facilities |
| Bcg Holdings Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Blue Stone Therapy Inc | Adp Of The SNF · Organization | 0% | 27 facilities |
| Bodle, Jeri | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Burdof, Edwin | Corporate Director · Individual | 0% | 1 facilities |
| Cattail Bcg LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cattail Inc | Adp Of The SNF · Organization | 0% | 50 facilities |
| Ecsi Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Erickson-Welter, Shawn | Adp Of The SNF · Individual | 0% | 2 facilities |
| Evans, Mark | Corporate Director · Individual | 0% | 2 facilities |
| Getta, Thomas | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Getta, Thomas | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hoyman, Gregory | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hoyman, Steven | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hughes Pharmacy Services Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Iowa Health Care Association | Adp Of The SNF · Organization | 0% | 50 facilities |
| Iowa Trust & Savings Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Jenkins, Katelyn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kinnetz, William | Corporate Officer · Individual | 0% | 1 facilities |
| Lakeside Lutheran Home | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Lara, Jesus | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcewen, Lisa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Merrill, Kathy | Corporate Director · Individual | 0% | 1 facilities |
| Morlock, Frederick | Corporate Director · Individual | 0% | 1 facilities |
| Sonsken, Larry | Corporate Director · Individual | 0% | 1 facilities |
| Sonsken, Larry | Corporate Officer · Individual | 0% | 1 facilities |
| Veltri, Frank | Corporate Director · Individual | 0% | 1 facilities |
| Veltri, Frank | Corporate Officer · Individual | 0% | 1 facilities |
| Visual Edge It Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Weir, Heather | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Winther Stave & Co Llp | Adp Of The SNF · Organization | 0% | 2 facilities |
| Wolf, John | Corporate Director · Individual | 0% | 1 facilities |
·
Fire safety
40 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke14F
- F
Provide properly protected cooking facilities.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Construct fire resistant interior walls.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Construct fire resistant interior walls.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems9F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Miscellaneous7F
- F
Have simulated fire drills held at unexpected times.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have restrictions on the use of flammable curtains.
Emergency Preparedness6F
- E
Establish policies and procedures for volunteers.
- E
List the names and contact information of those in the facility.
- E
Conduct testing and exercise requirements.
- E
Include a process for Emergency Preparedness collaboration.
- F
Conduct testing and exercise requirements.
- F
Address patient/client population and determine types of services needed.
Egress4F
- F
Meet other general requirements.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Install emergency lighting that can last at least 1 1/2 hours.
·
Other homes nearby
-
Palo Alto County Hospital
Emmetsburg, IA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 45 min
- Fines
- $0
-
Emmetsburg Care Center
Emmetsburg, IA · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 38 min
- Fines
- $25,695
-
Ruthven Community Care Center
Ruthven, IA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 11 min
- Fines
- $0