Belmond, IA

Rehabilitation Center of Belmond

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

1107 Seventh Street NE, Belmond, IA

(641) 444-3915

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

44

Certified beds

Average residents

34

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1998-01-01

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

0.38

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

3.55

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.18

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.15

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.25

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

4.17

CMS adjusted total nurse staffing hours

Case-mix index

1.17

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,695

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

Performance score

38.93

Composite VBP score used to determine payment impact.

Payment multiplier

0.9920

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

4.46

Baseline 32.43% · Performance 45.45% · Measure score 4.46 · Achievement 4.46 · Improvement 0

Adjusted total nurse staffing

3.33

Baseline 3.78 hours · Performance 4.02 hours · Measure score 3.33 · Achievement 3.33 · Improvement 0.73

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.07%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 46 · Observed rate 4.35% · Lower 95% interval 6.8%
Discharge to community	43.44%	50.57% 7.1 pts worse	No Different than the National Rate · Eligible stays 43 · Observed rate 41.86% · Lower 95% interval 31.83%
Medicare spending per beneficiary	0.73	1.02 0.3 pts better
Drug regimen review with follow-up	60%	95.27% 35.3 pts worse	Numerator 18 · Denominator 30
Falls with major injury	3.33%	0.77% 2.6 pts worse	Numerator 1 · Denominator 30
Discharge self-care score	47.83%	53.69% 5.9 pts worse	Numerator 11 · Denominator 23
Discharge mobility score	34.78%	50.94% 16.2 pts worse	Numerator 8 · Denominator 23
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 30 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	7.46%	8.2% 0.7 pts worse	Numerator 5 · Denominator 67
Staff flu vaccination coverage	67.61%	42% 25.6 pts better	Numerator 48 · Denominator 71
Discharge function score	69.57%	56.45% 13.1 pts better	Numerator 16 · Denominator 23
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 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 16 · 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	0.8	1.5 0.7 pts better	1.9 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.5 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	2.1 0.3 pts better	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.2 · Expected 1.1 · 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	96.8%	95.2% 1.6 pts better	95.5% 1.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8%
Percentage of long-stay residents experiencing one or more falls with major injury	0.9%	3.7% 2.8 pts better	3.3% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.9%	4.0% 3.1 pts better	11.4% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 0.0% · 4Q avg 0.9%
Percentage of long-stay residents who lose too much weight	2.3%	4.9% 2.6 pts better	5.4% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q3 0.0% · Q4 4.2% · 4Q avg 2.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	5.6%	20.6% 15 pts better	19.6% 14 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 9.1% · Q4 12.5% · 4Q avg 5.6%
Percentage of long-stay residents who received an antipsychotic medication	17.2%	19.8% 2.6 pts better	16.7% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 17.2% · 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	6.3%	18.5% 12.2 pts better	16.3% 10 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.6%	18.3% 12.7 pts better	14.9% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 13.6% · Q4 4.2% · 4Q avg 5.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.1%	1.7% 0.6 pts better	1.0% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.5% 2.5 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	30.2%	26.0% 4.2 pts worse	19.8% 10.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.1% · Q2 36.2% · Q3 17.4% · Q4 29.8% · 4Q avg 30.2%
Percentage of long-stay residents with pressure ulcers	5.5%	4.3% 1.2 pts worse	5.1% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 11.5% · Q3 7.6% · Q4 3.4% · 4Q avg 5.5% · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	15.7%	13.1% 2.6 pts worse	12.0% 3.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.7% · Observed 14.3% · Expected 10.2% · 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 assessed and appropriately given the seasonal influenza vaccine	95.2%	73.3% 21.9 pts better	79.7% 15.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.9%	21.3% 0.6 pts worse	23.9% 2 pts better	Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 19.0% · Expected 20.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-17 · Fire 2025-04-17

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

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

4 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 3 Health 2023-02-09 · Fire 2023-02-09

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-17

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-05-17

D · Potential for more than minimal harm 2025-04-17

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2025-04-29

D · Potential for more than minimal harm 2025-04-17

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-05-14

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-17

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-05-17

D · Potential for more than minimal harm 2025-04-17

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-17

D · Potential for more than minimal harm 2025-04-17

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-05-17

D · Potential for more than minimal harm 2025-04-17

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-05-17

D · Potential for more than minimal harm 2025-04-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-16

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

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-05-25

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

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-05-25

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

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-05-25

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

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 2024-05-25

E · Potential for more than minimal harm 2023-02-09

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 2023-03-11

D · Potential for more than minimal harm 2023-02-09

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-03-11

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

Baker, Joshua