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Nursing homes › Iowa › Northgate Care Center

Northgate Care Center

960 4th Street Nw, Waukon, IA 52172 · (563) 568-3493 · 50 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★★☆☆ 3/5
Quality measures★★★☆☆ 3/5
Special Focus: CMS lists this facility as SFF Candidate — among the facilities with the most serious ongoing compliance problems in the country.

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Same-type reference in IA

CMS overall star rating: this provider 1/5; median among 385 providers with a published value in the same state and provider category: 3/5.

CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.

Questions to take to Northgate Care Center

  • CMS lists SFF Candidate. Ask for the latest inspection and current designation; historical list status is not a statement about conditions today.
  • The published staff-turnover figure is 34.3%. Ask which reporting period it covers and how the current staffing team compares.
  • Ask who is responsible for care decisions locally and at LEGACY HEALTHCARE. A shared affiliation does not establish identical care at every location.
  • Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

How to compare records without mistaking missing data for good performance →

Ownership group

Per CMS filings, this facility is affiliated with Legacy Healthcare, a group operating 89 facilities in 3 states. Group record: average rating 2.9/5, 12 abuse citation icons, 4 facilities on the Special Focus list, $3,742,782 in federal fines. This facility rates below its group average (2.9/5).

See all 89 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 2.97 (Iowa median: 3.68). RN hours: 0.40. Weekend total: 2.62. Nursing staff turnover: 34%.

Inspection deficiencies

In the downloaded CMS dataset: 20 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-03-04Ensure that residents are free from significant medication errors. Lcomplaintcorrected 2026-03-25
2026-03-04Ensure 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. Fcomplaintcorrected 2026-04-02
2026-03-04Have a plan that describes the process for conducting QAPI and QAA activities. FHealthcorrected 2026-04-02
2026-03-04Provide and implement an infection prevention and control program. EHealthcorrected 2026-04-02
2026-03-04Ensure that residents are fully informed and understand their health status, care and treatments. DHealthcorrected 2026-04-02
2026-03-04Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. DHealthcorrected 2026-04-02
2026-03-04Ensure each resident receives an accurate assessment. DHealthcorrected 2026-04-02
2026-03-04Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2026-04-02
2026-03-04Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. DHealthcorrected 2026-04-02
2026-03-04Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2026-04-02
2025-11-14Provide appropriate treatment and care according to orders, resident’s preferences and goals. Gcomplaintcorrected 2025-11-24
2025-11-14Provide and implement an infection prevention and control program. Ecomplaintcorrected 2025-12-08
2025-11-14Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Dcomplaintcorrected 2025-12-08
2025-11-14Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Dcomplaintcorrected 2025-12-08
2025-11-14Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Dcomplaintcorrected 2025-12-08
2025-11-14Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Dcomplaintcorrected 2025-12-08
2025-11-14Ensure that residents are free from significant medication errors. Dcomplaintcorrected 2025-12-08
2025-11-14Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Dcomplaintcorrected 2025-12-08
2024-09-22Ensure that residents are free from significant medication errors. Dcomplaintcorrected 2024-10-10
2024-04-25Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2024-05-25

Federal penalties

DateTypeAmount
2026-03-04Fine$87,160

Ownership & control records (CMS filings)

NameRoleType%Since
SHABAT, MENACHEMCorporate OfficerIndividualNOT APPLICABLEsince 08/15/2024
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 08/15/2024
BEASLEY, KARLAOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
BEHOUNEK, LINSEYOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
BORCHERDING, JENNYOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
BURKEN, SHERIOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
FRIEDENBERG, LAURAOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
HEDBERG, JENNIFEROperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
HENNAGER, CHRISTINAOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
HEYING, LARINAOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
HOUSTON, MINDYOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
JAEGER, KRYSTLEOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
LARSON, MELISSAOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
LOVE-STEIBER, ANDREAOperational/Managerial ControlIndividualNOT APPLICABLEsince 10/01/2024
MCCLURE, DOROTHYOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
OTTERBECK, PATRICIAOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
RAJCHENBACH, CHAIMOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
SHABAT, MENACHEMOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
SHEAR, KILEYOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
VAN VEGHEL, ELIZABETHOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
WIERSCHEM, BOBBIEOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
WIKAN, LOU ANNOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024

Compare nearby (Allamakee County)

How to cite this page: CareRecords, “Northgate Care Center — compliance, penalty and ownership record” (CCN 165338), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/northgate-care-center-waukon-ia/

Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165338. Corrections: data@carerecords.org.