Orange City, IA

Prairie Ridge Care Center

4-star overall rating with 3-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1005 7th Street NE, Orange City, IA

(712) 707-6006

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

95

Certified beds

Average residents

83

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2004-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.75

Registered nurse staffing

LPN hours / resident day

0.47

Licensed practical nurse staffing

Aide hours / resident day

2.52

Nurse aide staffing

Weekend hours

3.46

Weekend nurse staffing

RN turnover

7%

Annual RN turnover

Total nurse turnover

39%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.2
1.5
0.7 pts worse
1.9
0.3 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.6
2.1
0.5 pts worse
1.8
0.8 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.5%
94.0%
4.5 pts better
93.4%
5.1 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 8.6%
3.7%
4.9 pts worse
3.3%
5.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.3%
4.0%
2.7 pts better
11.4%
10.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.9%
4.9%
2 pts better
5.4%
2.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.1%
20.6%
2.5 pts better
19.6%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 20.9%
19.8%
1.1 pts worse
16.7%
4.2 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 15.7%
18.5%
2.8 pts better
16.3%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 14.6%
18.3%
3.7 pts better
14.9%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
1.7%
1.5 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 4.3%
2.5%
1.8 pts worse
1.7%
2.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.0%
26.0%
13 pts better
19.8%
6.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.4%
4.3%
2.1 pts worse
5.1%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
84.3%
15.7 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-24 · Fire 2025-04-24

5 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-05-02 · Fire 2024-05-02

2 health deficiencies

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

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-02-02 · Fire 2023-02-02

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-24

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-05-05

F · Potential for more than minimal harm 2025-04-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-22

F · Potential for more than minimal harm 2025-04-24

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-05-07

F · Potential for more than minimal harm 2024-05-02

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-05-09

F · Potential for more than minimal harm 2024-05-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-17

F · Potential for more than minimal harm 2024-05-02

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-05-21

F · Potential for more than minimal harm 2024-05-02

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-05-02

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-05-08

F · Potential for more than minimal harm 2023-02-02

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-02-16

F · Potential for more than minimal harm 2023-02-02

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-02-16

F · Potential for more than minimal harm 2023-02-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-02-17

E · Potential for more than minimal harm 2023-02-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-17

D · Potential for more than minimal harm 2023-02-02

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-02-06

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-24

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 2025-05-09

E · Potential for more than minimal harm 2025-04-24

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-05-09

E · Potential for more than minimal harm 2025-04-24

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 2025-05-09

E · Potential for more than minimal harm 2025-04-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-04-24

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-05-09

D · Potential for more than minimal harm 2024-11-26

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 2024-12-18

F · Potential for more than minimal harm 2024-05-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-28

E · Potential for more than minimal harm 2023-02-02

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 2023-02-03

Penalties and ownership

What sits behind the stars

Ownership

Orange City Municipal Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2004-03-01
Adams, Russ

Corporate Director · Individual

0% 1 facilities 2006-01-01
Alons, Kathy

Corporate Director · Individual

0% 1 facilities 2016-01-01
Gotto, Robert

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-10
Guthmiller, Martin

Operational/Managerial Control · Individual

0% 1 facilities 1994-03-24
Hanson, Harrison

Operational/Managerial Control · Individual

0% 1 facilities 2023-01-02
Hofland, Wade

Corporate Director · Individual

0% 1 facilities 2020-05-01
Immeker, Chris

Corporate Director · Individual

0% 1 facilities 2013-01-01
Jungers, Amy

Corporate Director · Individual

0% 1 facilities 2024-04-01
Pluim, Dale

Corporate Director · Individual

0% 1 facilities 2022-01-01
Zeutenhorst, Timothy

Corporate Director · Individual

0% 1 facilities 2003-12-22

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Staffing
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Fines
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Health
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#3

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3-star overall rating with 3-star inspections with $9,835 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
$9,835

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