Federal inspection record · CMS data as of October 1, 2026

Strawberry Point Lutheran Home

313 Elkader Street, Strawberry Point, IA · (563) 933-6037

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
16
Residents per day
16
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 18, 1986

1

How this home got 5 stars

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change (already 5)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Iowa homes

Strawberry Point Lutheran Home carries 11 inspection points. That is fewer than 82% of Iowa's 385 rated homes.

5★4★3★2★1★+12 homes above 18305102550100inspection points → fewer is better on the leftThis home · 11 pts · 4★

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

10 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 2 0 pts
C 0 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning4D
  1. D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    June 17, 2026 · Standard · F640 · Corrected June 18, 2026

  2. D

    Ensure each resident receives an accurate assessment.

    June 17, 2026 · Standard · F641 · Corrected June 18, 2026

  3. B

    Ensure each resident receives an accurate assessment.

    April 24, 2025 · Standard · F641 · Corrected April 30, 2025

  4. D

    Assess the resident when there is a significant change in condition

    June 13, 2024 · Standard · F637 · Corrected June 27, 2024

Resident Rights2D
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    June 17, 2026 · Standard · F580 · Corrected June 18, 2026

  2. B

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    June 13, 2024 · Standard · F582 · Corrected June 27, 2024

Quality of Life and Care2D
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 24, 2025 · Complaint · F689 · Corrected April 14, 2025

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    February 3, 2025 · Complaint · F684 · Corrected February 7, 2025

Pharmacy Service1D
  1. 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.

    June 13, 2024 · Standard · F758 · Corrected June 27, 2024

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    June 13, 2024 · Standard · F880 · Corrected June 27, 2024

Inspection history

  1. 2026-06-17

    3 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

  2. 2025-04-24

    3 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2024-06-13

    4 health deficiencies · 4 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 43 min of nursing staff time a day, 1 h 27 min of it from a registered nurse.

This home

4 h 43 min

Iowa average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 50% of nursing staff and 63% 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

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better100.0%94.2%93.7%
Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better3.2%3.9%3.2%
Percentage of long-stay residents who have depressive symptoms2.3 pts better1.9%4.2%13.5%
Percentage of long-stay residents who lose too much weight2.5 pts better1.9%4.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication13.6 pts worse34.6%21.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.8 pts better19.0%19.8%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened8.3 pts better6.9%15.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased12.8 pts better3.8%16.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder3.9 pts worse5.3%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better1.6%2.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.1 pts worse34.1%25.0%18.3%
Percentage of long-stay residents with pressure ulcers4.1 pts better0.0%4.1%4.5%

·

Who owns and runs it

34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Althoff, RichardOperational/Managerial Control · Individual0%1 facilities
Bcg Holdings IncAdp Of The SNF · Organization0%49 facilities
Brighton Consulting Group LLCAdp Of The SNF · Organization0%73 facilities
Cascade Lumber CompanyAdp Of The SNF · Organization0%2 facilities
Cattail Bcg LLCAdp Of The SNF · Organization0%50 facilities
Cattail IncAdp Of The SNF · Organization0%50 facilities
Clayton Pharmacy Consulting Services LLCAdp Of The SNF · Organization0%1 facilities
Conduff, AmberOperational/Managerial Control · Individual0%1 facilities
Conduff, AmberAdp Of The SNF · Individual0%1 facilities
Ecsi IncAdp Of The SNF · Organization0%49 facilities
Gould, DavidCorporate Director · Individual0%2 facilities
Gould, TerriCorporate Director · Individual0%1 facilities
Green, WilliamCorporate Director · Individual0%4 facilities
Happel, DennisCorporate Director · Individual0%1 facilities
Iowa Health Care AssociationAdp Of The SNF · Organization0%50 facilities
Jones, LaurenOperational/Managerial Control · Individual0%1 facilities
Kruse, JoleneOperational/Managerial Control · Individual0%1 facilities
May, NikolasOperational/Managerial Control · Individual0%1 facilities
May, NikolasAdp Of The SNF · Individual0%1 facilities
Millennium Rehab & Consulting IncAdp Of The SNF · Organization0%18 facilities
Morarend, KristineCorporate Director · Individual0%1 facilities
Norberg, ThomasCorporate Director · Individual0%1 facilities
Olson, GailCorporate Officer · Individual0%1 facilities
Otdoerfer, DavidCorporate Director · Individual0%1 facilities
Panthier, LennardOperational/Managerial Control · Individual0%1 facilities
Ryun, Givens & Company, P.c.Adp Of The SNF · Organization0%4 facilities
Schlee, ChrisCorporate Director · Individual0%1 facilities
Schlee, ChrisCorporate Officer · Individual0%1 facilities
Schneider, ArletteCorporate Director · Individual0%1 facilities
Stewart, MildredCorporate Director · Individual0%1 facilities
Studebacker, AdaraOperational/Managerial Control · Individual0%1 facilities
Swales, RogerCorporate Director · Individual0%1 facilities
Swales, RogerCorporate Officer · Individual0%1 facilities
Warnke, MeganAdp Of The SNF · Individual0%1 facilities

·

Fire safety

6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    June 17, 2026 · K353 · Corrected June 17, 2026

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    June 13, 2024 · K353 · Corrected June 26, 2024

  3. D

    Provide properly protected cooking facilities.

    June 13, 2024 · K324 · Corrected June 18, 2024

Services1D
  1. D

    Have properly installed electrical wiring and gas equipment.

    April 24, 2025 · K511 · Corrected April 22, 2025

Gas, Vacuum, and Electrical Systems1F
  1. F

    Ensure that testing and maintenance of electrical equipment is performed.

    June 13, 2024 · K921 · Corrected June 27, 2024

Egress1D
  1. D

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

    June 13, 2024 · K291 · Corrected June 18, 2024

·

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