Nursing Home Lookup

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

Valley Vue Care Center

108 Second Ave, Armstrong, IA · (712) 864-3567

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
40
Residents per day
36
Ownership
For-Profit
Chain
Legacy Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 1, 1997

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

    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

Valley Vue Care Center carries 14 inspection points. That is fewer than 77% of Iowa's 385 rated homes.

5★4★3★2★1★+12 homes above 18305102550100inspection points → fewer is better on the leftThis home · 14 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

11 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 11 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 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

Quality of Life and Care3D
  1. D

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

    February 13, 2025 · Complaint · F684 · Corrected March 13, 2025

  2. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    February 13, 2025 · Standard · F690 · Corrected March 13, 2025

  3. D

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

    February 13, 2025 · Complaint · F692 · Corrected March 13, 2025

Pharmacy Service2D
  1. D

    Ensure that residents are free from significant medication errors.

    March 12, 2026 · Standard · F760 · Corrected April 7, 2026

  2. 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.

    February 13, 2025 · Standard · F758 · Corrected March 13, 2025

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    March 12, 2026 · Standard · F880 · Corrected April 7, 2026

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    February 13, 2025 · Standard · F883 · Corrected March 13, 2025

Nutrition and Dietary1D
  1. D

    Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

    February 13, 2025 · Standard · F811 · Corrected March 13, 2025

Resident Rights1D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    February 29, 2024 · Complaint · F550 · Corrected March 29, 2024

Resident Assessment and Care Planning1D
  1. D

    Ensure each resident receives an accurate assessment.

    February 29, 2024 · Standard · F641 · Corrected March 29, 2024

Nursing and Physician Services1D
  1. D

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

    February 29, 2024 · Complaint · F725 · Corrected March 29, 2024

Inspection history

  1. 2026-03-12

    2 health deficiencies · 2 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2025-02-13

    6 health deficiencies · 4 fire-safety deficiencies

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

  3. 2024-02-29

    3 health deficiencies · 3 fire-safety deficiencies

    Top issue: Nursing and Physician Services (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 36 min of nursing staff time a day, 49 min of it from a registered nurse.

This home

3 h 36 min

Iowa average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 32% of nursing staff and 29% 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.
Number of hospitalizations per 1000 long-stay resident days0.6 pts better0.81.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better1.41.91.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.8 pts worse84.4%94.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts better97.1%95.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better2.5%3.9%3.2%
Percentage of long-stay residents who have depressive symptoms2.4 pts better1.8%4.2%13.5%
Percentage of long-stay residents who lose too much weight1.5 pts worse5.9%4.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.3 pts worse24.3%21.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.7 pts worse23.5%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 worsened0.3 pts better14.9%15.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts better15.2%16.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.9%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection0.7 pts better1.7%2.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts worse29.1%25.0%18.3%
Percentage of long-stay residents with pressure ulcers1 pts better3.1%4.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.5 pts worse70.5%84.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.8 pts better11.2%13.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better0.0%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.6 pts better85.0%74.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts worse24.4%20.7%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Armstrong Ia Property Holdings, LLCAdp Of The SNF · Organization0%1 facilities
Beasley, KarlaOperational/Managerial Control · Individual0%29 facilities
Beasley, KarlaAdp Of The SNF · Individual0%29 facilities
Behounek, LinseyOperational/Managerial Control · Individual0%29 facilities
Behounek, LinseyAdp Of The SNF · Individual0%29 facilities
Borcherding, JennyOperational/Managerial Control · Individual0%29 facilities
Borcherding, JennyAdp Of The SNF · Individual0%29 facilities
Burken, SheriOperational/Managerial Control · Individual0%30 facilities
Burken, SheriAdp Of The SNF · Individual0%30 facilities
Cascade Capital Holdings LLCAdp Of The SNF · Organization0%30 facilities
Cascade Capital Partners LLCAdp Of The SNF · Organization0%30 facilities
Ccg Gorgona LLCAdp Of The SNF · Organization0%29 facilities
Davis, TaylorOperational/Managerial Control · Individual0%1 facilities
Davis, TaylorAdp Of The SNF · Individual0%1 facilities
Doros Generation Trust U/A/D 1/3/12Indirect Ownership Interest · Organization0%76 facilities
Friedenberg, LauraOperational/Managerial Control · Individual0%29 facilities
Friedenberg, LauraAdp Of The SNF · Individual0%29 facilities
Gorgona Holdco LLCAdp Of The SNF · Organization0%28 facilities
Gorgona Propco Holdings LLCAdp Of The SNF · Organization0%29 facilities
Gorgona Sub Holdco LLCAdp Of The SNF · Organization0%29 facilities
Hedberg, JenniferOperational/Managerial Control · Individual0%29 facilities
Hedberg, JenniferAdp Of The SNF · Individual0%29 facilities
Hennager, ChristinaOperational/Managerial Control · Individual0%14 facilities
Hennager, ChristinaAdp Of The SNF · Individual0%14 facilities
Heying, LarinaOperational/Managerial Control · Individual0%29 facilities
Heying, LarinaAdp Of The SNF · Individual0%29 facilities
Houston, MindyOperational/Managerial Control · Individual0%30 facilities
Houston, MindyAdp Of The SNF · Individual0%30 facilities
Jaeger, KrystleOperational/Managerial Control · Individual0%29 facilities
Jaeger, KrystleAdp Of The SNF · Individual0%29 facilities
Knutson, MicheleOperational/Managerial Control · Individual0%13 facilities
Knutson, MicheleAdp Of The SNF · Individual0%13 facilities
Larson, MelissaOperational/Managerial Control · Individual0%29 facilities
Larson, MelissaAdp Of The SNF · Individual0%29 facilities
Legacy Healthcare Financial Services LLCOperational/Managerial Control · Organization0%78 facilities
Legacy Healthcare Financial Services LLCAdp Of The SNF · Organization0%78 facilities
Mcclure, DorothyOperational/Managerial Control · Individual0%29 facilities
Mcclure, DorothyAdp Of The SNF · Individual0%29 facilities
Mn8 Rh Holdco LLCAdp Of The SNF · Organization0%28 facilities
Oakway Operations LLCIndirect Ownership Interest · Organization0%46 facilities
Otterbeck, PatriciaOperational/Managerial Control · Individual0%29 facilities
Otterbeck, PatriciaAdp Of The SNF · Individual0%29 facilities
Rajchenbach, ChaimOperational/Managerial Control · Individual0%55 facilities
Rajchenbach, ChaimAdp Of The SNF · Individual0%55 facilities
Runksmeier, DawnOperational/Managerial Control · Individual0%2 facilities
Runksmeier, DawnAdp Of The SNF · Individual0%2 facilities
Scott, KathleenOperational/Managerial Control · Individual0%13 facilities
Scott, KathleenAdp Of The SNF · Individual0%13 facilities
Seu, JoshuaOperational/Managerial Control · Individual0%13 facilities
Seu, JoshuaAdp Of The SNF · Individual0%13 facilities
Shabat, MenachemManaging Control - Governing Body · Individual0%86 facilities
Shabat, MenachemOperational/Managerial Control · Individual0%86 facilities
Shabat, MenachemAdp Of The SNF · Individual0%86 facilities
Shear, KileyOperational/Managerial Control · Individual0%29 facilities
Shear, KileyAdp Of The SNF · Individual0%29 facilities
Slama, TimothyOperational/Managerial Control · Individual0%1 facilities
Slama, TimothyAdp Of The SNF · Individual0%1 facilities
Staudt, SandraOperational/Managerial Control · Individual0%13 facilities
Staudt, SandraAdp Of The SNF · Individual0%13 facilities
Van Veghel, ElizabethOperational/Managerial Control · Individual0%29 facilities
Van Veghel, ElizabethAdp Of The SNF · Individual0%29 facilities
Wierschem, BobbieOperational/Managerial Control · Individual0%29 facilities
Wierschem, BobbieAdp Of The SNF · Individual0%29 facilities
Wood, RosemaryOperational/Managerial Control · Individual0%13 facilities
Wood, RosemaryAdp Of The SNF · Individual0%13 facilities
Wright, AmyOperational/Managerial Control · Individual0%14 facilities
Wright, AmyAdp Of The SNF · Individual0%14 facilities

·

Fire safety

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

Smoke4F
  1. F

    Properly provide smoke detection systems in areas open to corridors.

    February 13, 2025 · K347 · Corrected March 6, 2025

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 13, 2025 · K353 · Corrected March 31, 2025

  3. E

    Install corridor and hallway doors that block smoke.

    February 29, 2024 · K363 · Corrected March 18, 2024

  4. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    February 29, 2024 · K355 · Corrected March 18, 2024

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    March 12, 2026 · K918 · Corrected March 17, 2026

  2. F

    Ensure that testing and maintenance of electrical equipment is performed.

    February 29, 2024 · K921 · Corrected March 18, 2024

Egress2F
  1. F

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

    February 13, 2025 · K291 · Corrected February 24, 2025

  2. F

    Have properly located and lighted "Exit" signs.

    February 13, 2025 · K293 · Corrected February 24, 2025

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    March 12, 2026 · K712 · Corrected March 17, 2026

·

Other homes nearby

  1. Accura Healthcare of Bancroft

    Bancroft, IA · Accura Healthcare

    Worst citation, 3 yrs
    F
    Nursing / resident / day
    4 h 12 min
    Fines
    $0
  2. Estherville Community Care Center

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    Worst citation, 3 yrs
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    Nursing / resident / day
    3 h 21 min
    Fines
    $18,900
  3. Good Samaritan - Estherville

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    Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 17 min
    Fines
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All homes in Armstrong → All of Iowa →