Nursing homes › Iowa › Northgate Care Center
960 4Th Street Nw, Waukon, IA 52172 · 5635683493 · 50 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: 2.97 (Iowa median: 3.69). RN hours: 0.40. Weekend total: 2.62. Nursing staff turnover: 34%.
All-time on record: 20 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-04 | Ensure that residents are free from significant medication errors. | L | complaint | corrected 2026-03-25 |
| 2026-03-04 | Ensure 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. | F | complaint | corrected 2026-04-02 |
| 2026-03-04 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2026-04-02 |
| 2026-03-04 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-04-02 |
| 2026-03-04 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2026-04-02 |
| 2026-03-04 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-04-02 |
| 2026-03-04 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-04-02 |
| 2026-03-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-04-02 |
| 2026-03-04 | Provide 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. | D | Health | corrected 2026-04-02 |
| 2026-03-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-04-02 |
| 2025-11-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2025-11-24 |
| 2025-11-14 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-12-08 |
| 2025-11-14 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-12-08 |
| 2025-11-14 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-12-08 |
| 2025-11-14 | 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 2025-12-08 |
| 2025-11-14 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | complaint | corrected 2025-12-08 |
| 2025-11-14 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-12-08 |
| 2025-11-14 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-12-08 |
| 2024-09-22 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2024-10-10 |
| 2024-04-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-05-25 |
| Date | Type | Amount |
|---|---|---|
| 2026-03-04 | Fine | $71,110 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| 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 |
| LARSON, MELISSA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| LOVE-STEIBER, ANDREA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2024 |
| 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 |
| SHABAT, MENACHEM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| SHEAR, KILEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| VAN VEGHEL, ELIZABETH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| WIERSCHEM, BOBBIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| WIKAN, LOU ANN | 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 165338. Corrections: data@carerecords.org.