Nursing homes › Iowa › Emmetsburg Care Center
2405 21St Street, Emmetsburg, IA 50536 · 7128524266 · 46 certified beds
Per CMS filings, this facility is affiliated with Legacy Healthcare, a group operating 89 facilities in 3 states. Group record: average rating 3.0/5, 7 abuse citation icons, 4 facilities on the Special Focus list, $3,703,514 in federal fines. This facility rates below its group average (3.0/5).
Total nurse staffing: 3.66 (Iowa median: 3.69). RN hours: 0.65. Weekend total: 3.27. Nursing staff turnover: 57%.
All-time on record: 22 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2026-05-29 |
| 2026-05-11 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2026-05-29 |
| 2026-05-11 | Ensure that residents are free from significant medication errors. | E | complaint | corrected 2026-05-29 |
| 2026-05-11 | 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 2026-05-29 |
| 2026-05-11 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2026-05-29 |
| 2026-05-11 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2026-05-29 |
| 2026-05-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-05-29 |
| 2026-05-11 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-05-29 |
| 2026-01-08 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-01-20 |
| 2026-01-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2026-01-20 |
| 2025-07-28 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | Health | corrected 2025-08-15 |
| 2025-07-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2025-08-15 |
| 2025-07-28 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Health | corrected 2025-08-15 |
| 2025-07-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-08-15 |
| 2025-07-28 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-08-15 |
| 2025-07-28 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-08-15 |
| 2025-02-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-03-20 |
| 2024-09-12 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | complaint | corrected 2024-10-04 |
| 2024-09-12 | 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 2024-10-04 |
| 2024-09-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-10-04 |
| 2024-09-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-10-04 |
| 2024-09-12 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | complaint | corrected 2024-10-04 |
| Date | Type | Amount |
|---|---|---|
| 2025-07-28 | Fine | $25,695 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CASCADE CAPITAL HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 08/15/2024 |
| SHABAT, MENACHEM | Corporate Officer | Individual | NOT APPLICABLE | since 08/15/2024 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/15/2024 |
| BEASLEY, KARLA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| BEHOUNEK, LINSEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| BORCHERDING, JENNY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| BURKEN, SHERI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| FRIEDENBERG, LAURA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| HEDBERG, JENNIFER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| HENNAGER, CHRISTINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| HEYING, LARINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| HOUSTON, MINDY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| JAEGER, KRYSTLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| KAMSTRA, LEE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| KNUTSON, MICHELE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| LARSON, MELISSA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| MCCLURE, DOROTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| OTTERBECK, PATRICIA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| RAJCHENBACH, CHAIM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| RUNKSMEIER, DAWN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| SCOTT, KATHLEEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| SEU, JOSHUA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| SHABAT, MENACHEM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| SHEAR, KILEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| STAUDT, SANDRA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165352. Corrections: data@carerecords.org.