Nursing homes › Iowa › Caring Acres Nursing and Rehab Center
1000 Hillcrest Drive, Anita, IA 50020 · 7127623219 · 41 certified beds
Per CMS filings, this facility is affiliated with Anew Healthcare, a group operating 2 facilities in 2 states. Group record: average rating 1.0/5, 1 abuse citation icons, 2 facilities on the Special Focus list, $325,695 in federal fines. This facility rates the same as its group average (1.0/5).
Total nurse staffing: 3.60 (Iowa median: 3.69). RN hours: 1.32. Weekend total: 3.26. Nursing staff turnover: 73%.
All-time on record: 53 deficiency citations, including 5 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2026-03-13 |
| 2026-02-12 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2026-03-13 |
| 2026-02-12 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Health | corrected 2026-03-13 |
| 2026-02-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-03-13 |
| 2026-02-12 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-03-13 |
| 2026-02-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2026-03-13 |
| 2026-02-12 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-03-13 |
| 2025-10-14 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | complaint | corrected 2025-12-04 |
| 2025-10-14 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-12-04 |
| 2025-10-14 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-12-04 |
| 2025-06-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2025-07-02 |
| 2025-06-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-07-02 |
| 2025-06-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-07-02 |
| 2025-06-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-06-19 |
| 2025-06-19 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-07-02 |
| 2025-06-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-07-02 |
| 2025-02-20 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2025-03-04 |
| 2025-02-20 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2025-03-04 |
| 2025-02-20 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Health | corrected 2025-03-04 |
| 2025-02-20 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-03-04 |
| 2025-02-20 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | complaint | corrected 2025-03-04 |
| 2025-02-20 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2025-03-04 |
| 2025-02-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2025-03-04 |
| 2025-02-20 | 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. | E | Health | corrected 2025-03-04 |
| 2025-02-20 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Health | corrected 2025-03-04 |
| 2025-02-20 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2025-03-04 |
| 2025-02-20 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Health | corrected 2025-03-04 |
| 2025-02-20 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Health | corrected 2025-03-04 |
| 2025-02-20 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-03-04 |
| 2025-02-20 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Health | corrected 2025-03-04 |
| 2025-02-20 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-03-04 |
| 2025-02-20 | 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 | Health | corrected 2025-03-04 |
| 2025-02-20 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | Health | corrected 2025-03-04 |
| 2024-11-26 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2024-12-20 |
| 2024-11-26 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | complaint | corrected 2024-12-20 |
| 2024-11-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-12-20 |
| 2024-11-26 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | complaint | corrected 2024-12-20 |
| 2024-08-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2024-08-23 |
| 2024-08-02 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | complaint | corrected 2024-08-23 |
| 2024-08-02 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-08-23 |
| Date | Type | Amount |
|---|---|---|
| 2024-08-02 | Fine | $51,773 |
| 2023-08-03 | Fine | $21,715 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ANEW HOLDINGS IOWA LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 11/01/2022 |
| HASTINGS, MARK | 5% Or Greater Indirect Ownership Interest | Individual | 100% | since 11/01/2022 |
| FLANAGAN, MICHAEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/12/2024 |
| HASTINGS, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2022 |
| CORNERSTONE SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2026 |
| FLANAGAN, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/12/2024 |
| MILLER, DANIEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2025 |
| PETERSON, REBECCA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/16/2026 |
| THOREN, TRACY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/25/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165217. Corrections: data@carerecords.org.