Waukon, IA

Northgate Care Center

3-star overall rating with 3-star inspections with 8 recent health deficiencies

960 4th Street NW, Waukon, IA

(563) 568-3493

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

41

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1997-08-01

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

0.37

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.51

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

1.92

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

2.80

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

0.88

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.49

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.26

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.44

CMS adjusted RN staffing hours

Adjusted total hours

3.36

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

24%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,042

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

Performance score

60.65

Composite VBP score used to determine payment impact.

Payment multiplier

1.0158

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

10

Baseline 21.21% · Performance 9.38% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

2.13

Baseline 3.54 hours · Performance 3.68 hours · Measure score 2.13 · Achievement 2.13 · Improvement 0.14

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.73%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 44 · Observed rate 4.55% · Lower 95% interval 6.24%
Discharge to community	41.68%	50.57% 8.9 pts worse	No Different than the National Rate · Eligible stays 32 · Observed rate 31.25% · Lower 95% interval 29.84%
Medicare spending per beneficiary	0.8	1.02 0.2 pts better
Drug regimen review with follow-up	88%	95.27% 7.3 pts worse	Numerator 22 · Denominator 25
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 25
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	4%	2.29% 1.7 pts worse	Numerator 1 · Denominator 25 · Adjusted rate 3.38%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	24.56%	8.2% 16.4 pts better	Numerator 14 · Denominator 57
Staff flu vaccination coverage	19.67%	42% 22.3 pts worse	Numerator 12 · Denominator 61
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
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	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.0	1.5 0.5 pts better	1.9 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.1 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.8	2.1 0.7 pts worse	1.8 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.8 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.6%	94.0% 2.6 pts better	93.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 92.5% · Q3 97.3% · Q4 100.0% · 4Q avg 96.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.2% 4.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.4%	3.7% 0.3 pts better	3.3% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 5.0% · Q3 5.4% · Q4 0.0% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.0% 4 pts better	11.4% 11.4 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 who lose too much weight	6.8%	4.9% 1.9 pts worse	5.4% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.5% · Q3 8.1% · Q4 11.8% · 4Q avg 6.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.2%	20.6% 6.6 pts worse	19.6% 7.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 25.0% · Q3 24.3% · Q4 31.4% · 4Q avg 27.2%
Percentage of long-stay residents who received an antipsychotic medication	28.0%	19.8% 8.2 pts worse	16.7% 11.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.1% · Q2 23.3% · Q3 29.0% · Q4 27.6% · 4Q avg 28.0% · 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	16.6%	18.5% 1.9 pts better	16.3% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 31.1% · Q3 11.9% · Q4 11.7% · 4Q avg 16.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.6%	18.3% 1.7 pts better	14.9% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 30.0% · Q3 19.4% · Q4 5.9% · 4Q avg 16.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.9%	1.7% 0.8 pts better	1.0% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.4%	2.5% 1.1 pts better	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	36.2%	26.0% 10.2 pts worse	19.8% 16.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 30.8% · Q3 43.4% · Q4 48.7% · 4Q avg 36.2%
Percentage of long-stay residents with pressure ulcers	5.1%	4.3% 0.8 pts worse	5.1% About the same	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 6.3% · Q3 7.3% · Q4 3.4% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.3%	84.3% 7 pts better	81.7% 9.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.0% · Q3 92.0% · Q4 93.1% · 4Q avg 91.3%
Percentage of short-stay residents who had an outpatient emergency department visit	25.1%	13.1% 12 pts worse	12.0% 13.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.1% · Observed 25.9% · Expected 11.5% · 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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.3%	21.3% 4 pts better	23.9% 6.6 pts better	Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 18.5% · Expected 25.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-20 · Fire 2025-02-20

8 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-25 · Fire 2024-04-25

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

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

Cycle 3 Health 2023-01-05 · Fire 2023-01-05

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-05-08

F · Potential for more than minimal harm 2023-01-05

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Health

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

Corrected 2024-05-25

Penalties and ownership

What sits behind the stars

Ownership

Iowa Portfolio Opco Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 20 facilities 2024-08-15

Chaim Rajchenbach Descendants Tr Ua 04282008

5% Or Greater Indirect Ownership Interest · Organization

46% 83 facilities 2024-08-15

Oakway Operations LLC

5% Or Greater Indirect Ownership Interest · Organization

23% 48 facilities 2024-08-15

Doros Generation Trust U/A/D 1/3/12

5% Or Greater Indirect Ownership Interest · Organization

5% 78 facilities 2024-08-15

Beasley, Karla