Federal inspection record · CMS data as of October 1, 2026
Northgate Care Center
960 4th Street NW, Waukon, IA · (563) 568-3493
- Special Focus Facility
- Certified beds
- 50
- Residents per day
- 37
- Ownership
- For-Profit
- Chain
- Legacy Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1997
1
How this home got 1 star
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.
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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.
-
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Northgate Care Center carries 219.25 inspection points. That is fewer than 2% 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
20 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 (2)
-
L
Ensure that residents are free from significant medication errors.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Pharmacy Service3F
- F
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure that residents are free from significant medication errors.
Resident Rights3D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning3D
- 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.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Administration1F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Nursing and Physician Services1D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-03-04
18 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-02-20
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-04-25
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 26 min of nursing staff time a day, 35 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: 55% of nursing staff and 40% 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
$56,655 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-04 | Fine | $56,655 |
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 daysAbout the same | 1.4 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse | 2.9 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.5 pts better | 98.7% | 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 injury3.2 pts better | 0.7% | 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 weight1.1 pts worse | 5.5% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.8 pts worse | 23.8% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3 pts worse | 22.8% | 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 worsened7.4 pts better | 7.8% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.6 pts better | 7.0% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.4 pts better | 0.0% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6 pts worse | 31.0% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts worse | 6.7% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.5 pts better | 96.5% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
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Who owns and runs it
55 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 |
|---|---|---|---|
| Beasley, Karla | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Beasley, Karla | Adp Of The SNF · Individual | 0% | 29 facilities |
| Behounek, Linsey | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Behounek, Linsey | Adp Of The SNF · Individual | 0% | 29 facilities |
| Borcherding, Jenny | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Borcherding, Jenny | Adp Of The SNF · Individual | 0% | 29 facilities |
| Burken, Sheri | Operational/Managerial Control · Individual | 0% | 30 facilities |
| Burken, Sheri | Adp Of The SNF · Individual | 0% | 30 facilities |
| Cascade Capital Holdings LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Cascade Capital Partners LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Ccg Gorgona LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Friedenberg, Laura | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Friedenberg, Laura | Adp Of The SNF · Individual | 0% | 29 facilities |
| Friedman, Brian | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 28 facilities |
| Gorgona Holdco LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Gorgona Propco Holdings LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Gorgona Sub Holdco LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Hedberg, Jennifer | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Hedberg, Jennifer | Adp Of The SNF · Individual | 0% | 29 facilities |
| Hennager, Christina | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Hennager, Christina | Adp Of The SNF · Individual | 0% | 14 facilities |
| Heying, Larina | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Heying, Larina | Adp Of The SNF · Individual | 0% | 29 facilities |
| Houston, Mindy | Operational/Managerial Control · Individual | 0% | 30 facilities |
| Houston, Mindy | Adp Of The SNF · Individual | 0% | 30 facilities |
| Jaeger, Krystle | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Jaeger, Krystle | Adp Of The SNF · Individual | 0% | 29 facilities |
| Larson, Melissa | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Larson, Melissa | Adp Of The SNF · Individual | 0% | 29 facilities |
| Legacy Healthcare Financial Services LLC | Operational/Managerial Control · Organization | 0% | 78 facilities |
| Legacy Healthcare Financial Services LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Love-Steiber, Andrea | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Love-Steiber, Andrea | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mcclure, Dorothy | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Mcclure, Dorothy | Adp Of The SNF · Individual | 0% | 29 facilities |
| Mn8 Rh Holdco LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Otterbeck, Patricia | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Otterbeck, Patricia | Adp Of The SNF · Individual | 0% | 29 facilities |
| Rajchenbach, Avrum | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 27 facilities |
| Rajchenbach, Chaim | Operational/Managerial Control · Individual | 0% | 55 facilities |
| Rajchenbach, Chaim | Adp Of The SNF · Individual | 0% | 55 facilities |
| Rajchenbach, Rivka | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 28 facilities |
| Schwartz, David | Adp Of The SNF · Individual | 0% | 1 facilities |
| Shabat, Ahuva | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 29 facilities |
| Shabat, Menachem | Corporate Officer · Individual | 0% | 86 facilities |
| Shabat, Menachem | Operational/Managerial Control · Individual | 0% | 86 facilities |
| Shear, Kiley | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Shear, Kiley | Adp Of The SNF · Individual | 0% | 29 facilities |
| Van Veghel, Elizabeth | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Van Veghel, Elizabeth | Adp Of The SNF · Individual | 0% | 29 facilities |
| Waukon Ia Property Holdings, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Wierschem, Bobbie | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Wierschem, Bobbie | Adp Of The SNF · Individual | 0% | 29 facilities |
| Wikan, Lou Ann | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wikan, Lou Ann | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
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- J
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-
Wellington Place
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-
Thornton Manor Nursing and Care Center
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