Nora Springs, IA

Nora Springs Care Center

4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

907 W Congress, Nora Springs, IA

(641) 749-5331

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 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

50

Certified beds

Average residents

44

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.34

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.66

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.44

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.45

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.01

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.94

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.39

CMS adjusted RN staffing hours

Adjusted total hours

3.92

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

36%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,480

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

Performance score

44.12

Composite VBP score used to determine payment impact.

Payment multiplier

0.9972

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.76

Baseline 18.25% · Performance 19.23% · Measure score 4.76 · Achievement 4.76 · Improvement 0

Healthcare-associated infections

2.40

Baseline 5.77% · Performance 7.12% · Measure score 2.40 · Achievement 2.40 · Improvement 0

Total nurse turnover

6.48

Baseline 37.50% · Performance 37.21% · Measure score 6.48 · Achievement 6.48 · Improvement 0

Adjusted total nurse staffing

4.01

Baseline 3.93 hours · Performance 4.22 hours · Measure score 4.01 · Achievement 4.01 · Improvement 1.03

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.1%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 63 · Observed rate 12.7% · Lower 95% interval 7.81%
Discharge to community	45.58%	50.57% 5 pts worse	No Different than the National Rate · Eligible stays 40 · Observed rate 37.5% · Lower 95% interval 32.41%
Medicare spending per beneficiary	0.54	1.02 0.5 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 48 · Denominator 48
Falls with major injury	2.08%	0.77% 1.3 pts worse	Numerator 1 · Denominator 48
Discharge self-care score	54.55%	53.69% 0.9 pts better	Numerator 18 · Denominator 33
Discharge mobility score	57.58%	50.94% 6.6 pts better	Numerator 19 · Denominator 33
Pressure ulcers or injuries, new or worsened	2.08%	2.29% 0.2 pts better	Numerator 1 · Denominator 48 · Adjusted rate 2.3%
Healthcare-associated infections requiring hospitalization	7.12%	7.12% About the same	No Different than the National Rate · Eligible stays 29 · Observed rate 6.9% · Lower 95% interval 3.65%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 77
Staff flu vaccination coverage	17.72%	42% 24.3 pts worse	Numerator 14 · Denominator 79
Discharge function score	72.73%	56.45% 16.3 pts better	Numerator 24 · Denominator 33
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	50%	25.2% 24.8 pts better	Numerator 12 · Denominator 24

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.5 0.3 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	2.1 0.5 pts better	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · 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	97.6%	95.2% 2.4 pts better	95.5% 2.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6%
Percentage of long-stay residents experiencing one or more falls with major injury	7.3%	3.7% 3.6 pts worse	3.3% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 5.7% · Q3 5.3% · Q4 10.0% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.8%	4.0% 3.2 pts better	11.4% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 0.8%
Percentage of long-stay residents who lose too much weight	7.0%	4.9% 2.1 pts worse	5.4% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 10.0% · Q3 9.1% · Q4 0.0% · 4Q avg 7.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.9%	20.6% 9.7 pts better	19.6% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 13.3% · Q3 6.1% · Q4 5.6% · 4Q avg 10.9%
Percentage of long-stay residents who received an antipsychotic medication	12.0%	19.8% 7.8 pts better	16.7% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 13.0% · Q3 10.3% · Q4 10.0% · 4Q avg 12.0% · 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	7.3%	18.5% 11.2 pts better	16.3% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 4.3% · Q3 8.5% · Q4 7.4% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.4%	18.3% 9.9 pts better	14.9% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 7.4% · Q3 10.0% · Q4 3.0% · 4Q avg 8.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.7% 1.7 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.6%	2.5% 0.1 pts worse	1.7% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.7% · Q3 0.0% · Q4 2.5% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.4%	26.0% 3.6 pts better	19.8% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 20.8% · Q3 24.7% · Q4 27.1% · 4Q avg 22.4%
Percentage of long-stay residents with pressure ulcers	3.8%	4.3% 0.5 pts better	5.1% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.1% · Q3 6.1% · Q4 2.5% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.4%	84.3% 5.1 pts better	81.7% 7.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 85.2% · Q2 81.1% · Q3 89.7% · Q4 100.0% · 4Q avg 89.4%
Percentage of short-stay residents who had an outpatient emergency department visit	21.0%	13.1% 7.9 pts worse	12.0% 9 pts worse	Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 19.1% · Expected 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.4%	1.9% 0.5 pts worse	1.6% 0.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.3% · Q4 3.8% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	78.4%	73.3% 5.1 pts better	79.7% 1.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 78.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	32.2%	21.3% 10.9 pts worse	23.9% 8.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 32.2% · Observed 27.7% · Expected 20.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-29 · Fire 2025-05-29

2 health deficiencies

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

2 fire-safety deficiencies

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

Cycle 2 Health 2024-07-03 · Fire 2024-07-03

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

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

4 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-05-29

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2025-05-28

F · Potential for more than minimal harm 2024-07-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-07-09

F · Potential for more than minimal harm 2024-07-03

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-07-03

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-07-09

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 2023-05-26

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

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-05-24

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

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-08

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2026-01-15

D · Potential for more than minimal harm 2025-11-18

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 2025-11-20

D · Potential for more than minimal harm 2024-07-03

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 2024-07-04

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

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 2023-06-18

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

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-06-18

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

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 2023-06-18

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

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 2023-06-18

Penalties and ownership