Federal inspection record · CMS data as of October 1, 2026
St Anthony Senior Services
406 East Anthony Street, Carroll, IA · (712) 794-5455
- Cited for abuse (CMS abuse icon)
- Certified beds
- 79
- Residents per day
- 75
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 8, 2023
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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Iowa homes
St Anthony Senior Services carries 81.25 inspection points. That is fewer than 20% 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
19 health citations on record since 2023. 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 (3)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights3D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
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.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care2E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspection history
2026-02-12
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-01-23
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-01-25
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 55 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 55 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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
$49,838 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-01 | Fine | $37,800 |
| 2024-01-25 | Fine | $12,038 |
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 days0.9 pts better | 0.5 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.6 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.5 pts better | 99.7% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.6 pts better | 97.4% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts better | 3.8% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.7 pts better | 3.5% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 3.3% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts worse | 25.3% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.3 pts worse | 34.1% | 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 worsened2.5 pts worse | 17.7% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts worse | 21.0% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 1.2% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2 pts better | 0.4% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts worse | 27.1% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 3.8% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.6 pts better | 4.4% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine30.9 pts worse | 43.5% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.8 pts better | 13.9% | 20.7% | 23.4% |
·
Who owns and runs it
26 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 |
|---|---|---|---|
| St Anthony Regional Hospital And Nursing Home | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Anderson, Allen | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Anderson, Allen | Corporate Officer · Individual | 0% | 1 facilities |
| Auen, Deb | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Badding, Nicholas | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Brighton Consulting Group LLC | Operational/Managerial Control · Organization | 0% | 73 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Eide Bailly Llp | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Eide Bailly Llp | Adp Of The SNF · Organization | 0% | 32 facilities |
| Eischeid, Karl | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Elsbernd, Rose | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Greteman, Matthew | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Keller, Theresa | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Koster, Jeff | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Moeller, Joanne | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Murray, Jillianne | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Murray, Jillianne | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pettit, Michele | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Quam, Carly | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Salmonson, Eric | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Salmonson, Eric | Corporate Officer · Individual | 0% | 1 facilities |
| Scharfenkamp, Jeff | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| St Anthony Regional Hospital And Nursing Home | Operational/Managerial Control · Organization | 0% | 1 facilities |
| St Anthony Regional Hospital And Nursing Home | Adp Of The SNF · Organization | 0% | 1 facilities |
| Wordekemper, Jerry | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wordekemper, Jerry | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure that testing and maintenance of electrical equipment is performed.
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Other homes nearby
-
Regency Park Nursing & Rehab Center of Carroll
Carroll, IA · Campbell Street Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 21 min
- Fines
- $0
-
Accura Healthcare of Carroll
Carroll, IA · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 29 min
- Fines
- $0
-
Accura Healthcare of Lake City, LLC
Lake City, IA · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 6 min
- Fines
- $35,341