Cycle 1
Health 2025-03-06 · Fire 2025-03-06
9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Sac City, IA
Park View Rehabilitation Center
2-star overall rating with 2-star inspections with 9 recent health deficiencies
601 Park Avenue, Sac City, IA
(712) 662-3818
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
77
Certified beds
Average residents
43
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Legacy Healthcare
Operator or chain grouping
Approved since
1997-06-01
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
0.47
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.80
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.37
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.65
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.11
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.49
CMS adjusted RN staffing hours
Adjusted total hours
3.80
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
86%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
673
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.58
Composite VBP score used to determine payment impact.
Payment multiplier
1.0197
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
8.01
Baseline 56.90% · Performance 30.95% · Measure score 8.01 · Achievement 8.01 · Improvement 7.60
Adjusted total nurse staffing
5.11
Baseline 3.83 hours · Performance 4.53 hours · Measure score 5.11 · Achievement 5.11 · Improvement 3.1
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.85% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 46 · Observed rate 4.35% · Lower 95% interval 6.03% |
| Discharge to community | 50.99% |
50.57%
0.4 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 51.35% · Lower 95% interval 39.75% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 28 · Denominator 28 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 28 |
| Discharge self-care score | 79.17% |
53.69%
25.5 pts better
|
Numerator 19 · Denominator 24 |
| Discharge mobility score | 66.67% |
50.94%
15.7 pts better
|
Numerator 16 · Denominator 24 |
| Pressure ulcers or injuries, new or worsened | 3.57% |
2.29%
1.3 pts worse
|
Numerator 1 · Denominator 28 · Adjusted rate 4.22% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 1.06% |
8.2%
7.1 pts worse
|
Numerator 1 · Denominator 94 |
| Staff flu vaccination coverage | 53.75% |
42%
11.8 pts better
|
Numerator 43 · Denominator 80 |
| Discharge function score | 75% |
56.45%
18.5 pts better
|
Numerator 18 · Denominator 24 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · 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 | 2.0 |
1.5
0.5 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
2.1
0.4 pts worse
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.0 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 80.3% |
94.0%
13.7 pts worse
|
93.4%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 83.3% · Q2 93.8% · Q3 100.0% · Q4 45.5% · 4Q avg 80.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% |
95.2%
1.9 pts better
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% |
3.7%
2.9 pts better
|
3.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · 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 | 1.8% |
4.9%
3.1 pts better
|
5.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.8% |
20.6%
0.8 pts better
|
19.6%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 10.7% · Q3 26.9% · Q4 31.0% · 4Q avg 19.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 36.8% |
19.8%
17 pts worse
|
16.7%
20.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.0% · Q2 43.5% · Q3 30.4% · Q4 25.0% · 4Q avg 36.8% · 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 | 18.5% |
18.5%
About the same
|
16.3%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.3% |
18.3%
7 pts better
|
14.9%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 18.5% · Q3 4.0% · Q4 10.7% · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.9% |
1.7%
1.2 pts worse
|
1.0%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.1% · Q4 8.2% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
2.5%
0.5 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 0.0% · Q4 9.1% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.1% |
26.0%
0.1 pts worse
|
19.8%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 27.6% · Q3 10.4% · Q4 38.8% · 4Q avg 26.1% |
| Percentage of long-stay residents with pressure ulcers | 7.5% |
4.3%
3.2 pts worse
|
5.1%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 7.8% · Q3 7.5% · Q4 7.1% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 61.5% |
84.3%
22.8 pts worse
|
81.7%
20.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 75.0% · Q3 60.6% · Q4 39.4% · 4Q avg 61.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.4% |
13.1%
5.3 pts worse
|
12.0%
6.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 16.7% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.3% |
1.9%
2.4 pts worse
|
1.6%
2.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 56.2% |
73.3%
17.1 pts worse
|
79.7%
23.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 56.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 37.6% |
21.3%
16.3 pts worse
|
23.9%
13.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 37.6% · Observed 25.0% · Expected 15.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-25 · Fire 2024-04-25
1 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-02-20 · Fire 2023-02-20
10 health deficiencies
Top issue: Resident Rights (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-08
F551 · Resident Rights Deficiencies
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2026-01-09
D · Potential for more than minimal harm
2026-01-08
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-01-09
D · Potential for more than minimal harm
2026-01-08
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-09
G · Actual harm
2025-09-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-18
G · Actual harm
2025-09-04
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-18
D · Potential for more than minimal harm
2025-09-04
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-10-02
E · Potential for more than minimal harm
2025-03-06
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-03-06
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 2025-04-05
D · Potential for more than minimal harm
2025-03-06
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-05
D · Potential for more than minimal harm
2024-04-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-25
D · Potential for more than minimal harm
2023-11-01
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 2023-12-01
D · Potential for more than minimal harm
2023-11-01
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-01
D · Potential for more than minimal harm
2023-11-01
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-12-01
E · Potential for more than minimal harm
2023-02-20
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-03-17
E · Potential for more than minimal harm
2023-02-20
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-03-17
E · Potential for more than minimal harm
2023-02-20
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-03-17
D · Potential for more than minimal harm
2023-02-20
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-03-17
D · Potential for more than minimal harm
2023-02-20
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-03-17
D · Potential for more than minimal harm
2023-02-20
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-03-17
D · Potential for more than minimal harm
2023-02-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-17
Penalties and ownership
What sits behind the stars
Ownership
Beasley, Karla
Operational/Managerial Control · Individual
Behounek, Linsey
Operational/Managerial Control · Individual
Borcherding, Jenny
Operational/Managerial Control · Individual
Burken, Sheri
Operational/Managerial Control · Individual
Cascade Capital Partners LLC
5% Or Greater Indirect Ownership Interest · Organization
Ccg Gorgona LLC
5% Or Greater Indirect Ownership Interest · Organization
Chaim Rajchenbach Descendants Tr Ua 04282008
5% Or Greater Indirect Ownership Interest · Organization
Doros Generation Trust U/A/D 1/3/12
5% Or Greater Indirect Ownership Interest · Organization
Friedenberg, Laura
Operational/Managerial Control · Individual
Gorgona Holdco LLC
5% Or Greater Indirect Ownership Interest · Organization
Gorgona Propco Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Gorgona Sub Holdco LLC
5% Or Greater Indirect Ownership Interest · Organization
Hedberg, Jennifer
Operational/Managerial Control · Individual
Hennager, Christina
Operational/Managerial Control · Individual
Heying, Larina
Operational/Managerial Control · Individual
Houston, Mindy
Operational/Managerial Control · Individual
Iowa Portfolio Opco Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Jaeger, Krystle
Operational/Managerial Control · Individual
Knutson, Michele
Operational/Managerial Control · Individual
Larson, Melissa
Operational/Managerial Control · Individual
Legacy Healthcare Financial Services LLC
Operational/Managerial Control · Organization
Marczewski, Leszek
Operational/Managerial Control · Individual
Mcclure, Dorothy
Operational/Managerial Control · Individual
Mn8 Rh Holdco LLC
5% Or Greater Indirect Ownership Interest · Organization
Oakway Operations LLC
5% Or Greater Indirect Ownership Interest · Organization
Otterbeck, Patricia
Operational/Managerial Control · Individual
Rajchenbach, Chaim
Operational/Managerial Control · Individual
Scott, Kathleen
Operational/Managerial Control · Individual
Seu, Joshua
Operational/Managerial Control · Individual
Shabat, Menachem
5% Or Greater Direct Ownership Interest · Individual
Shabat, Menachem
Operational/Managerial Control · Individual
Shabat, Menachem
Corporate Officer · Individual
Shear, Kiley
Operational/Managerial Control · Individual
Shull, Kayla
Operational/Managerial Control · Individual
Staudt, Sandra
Operational/Managerial Control · Individual
Van Veghel, Elizabeth
Operational/Managerial Control · Individual
Wibben, Kaylea
Operational/Managerial Control · Individual
Wierschem, Bobbie
Operational/Managerial Control · Individual
Wood, Rosemary
Operational/Managerial Control · Individual
Wright, Amy
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Twilight Acres
Wall Lake, IA
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#2
Fonda Specialty Care
Fonda, IA
4-star overall rating with 4-star inspections with 9 fire-safety deficiencies in the latest cycle
#3
Accura Healthcare of Lake City, LLC
Lake City, IA
1-star overall rating with 1-star inspections with $38,610 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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