Anamosa Care Center

Name: Anamosa Care Center
Address: 1209 East Third Street, Anamosa, IA, 52205, US
Telephone: 3194624356

1209 East Third Street, Anamosa, IA 52205 · Jones County · 64 certified beds · avg 54 residents/day · certified since Jan 1, 1998

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.83

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jul 25, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 6, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (8)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 12, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jun 12, 2025	D · Potential for harm, one-off	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Jul 25, 2024	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jul 25, 2024	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Jul 25, 2024	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Jul 25, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Jun 15, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2023	1	0	D
2024	5	1	G ▲
2025	2	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Iowa avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.83	4.37	3.95	bottom 27% in Iowa; top 47% in the U.S.
Registered Nurse hours	0.84	0.85	0.69	top 43% in Iowa; top 24% in the U.S.
Weekend total nurse staffing	3.17	3.86	3.50	bottom 14% in Iowa; bottom 40% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.41	0.51	0.48	bottom 37% in Iowa; top 47% in the U.S.
Total nursing staff turnover (%)	50.9	44.0	45.8	bottom 29% in Iowa; bottom 35% in the U.S.
RN turnover (%)	33.3	42.1	42.9	top 38% in Iowa; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.27, RN 0.72, weekend 2.71. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
John R Grubb Family Trust	Organization	5% or Greater Direct Ownership Interest	12%	10/31/2004
John W Grubb Trust	Organization	5% or Greater Direct Ownership Interest	44%	08/19/2021
Kimberly D Grubb Trust	Organization	5% or Greater Direct Ownership Interest	44%	08/19/2021
Bates, Kelsie	Individual	Operational/Managerial Control	NOT APPLICABLE	01/10/2019
Bates, Kelsie	Individual	ADP of the SNF	NOT APPLICABLE	01/10/2019
Gentzler, Nick	Individual	Operational/Managerial Control	NOT APPLICABLE	01/16/2025
Gentzler, Nick	Individual	ADP of the SNF	NOT APPLICABLE	01/16/2025
Grubb, John	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Grubb, John	Individual	Trustee of the SNF	NOT APPLICABLE	08/19/2021
Grubb, John	Individual	ADP of the SNF	NOT APPLICABLE	08/19/2021
John R Grubb Family Trust	Organization	Trustee of the SNF	NOT APPLICABLE	10/31/2004
John R Grubb Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	10/31/2024
John W Grubb Trust	Organization	Trustee of the SNF	NOT APPLICABLE	08/19/2021
John W Grubb Trust	Organization	ADP of the SNF	NOT APPLICABLE	10/31/2024
Kimberly D Grubb Trust	Organization	Trustee of the SNF	NOT APPLICABLE	08/19/2021
Kimberly D Grubb Trust	Organization	ADP of the SNF	NOT APPLICABLE	10/31/2024
Meyers, Katherine	Individual	Operational/Managerial Control	NOT APPLICABLE	09/27/2018
Meyers, Katherine	Individual	ADP of the SNF	NOT APPLICABLE	09/27/2018
Purdy, Angelena	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2024
Purdy, Angelena	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"How is pest control handled here, and when was the last treatment or inspection?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Monticello Nursing & Rehab Center	9.6 mi	Monticello, IA	★★★☆☆	3/5
Mechanicsville Specialty Care	13.6 mi	Mechanicsville, IA	★★★★★	4/5
Rehabilitation Center of Lisbon	14.0 mi	Lisbon, IA	★★★★☆	4/5
Hallmark Care Center	15.2 mi	Mount Vernon, IA	★★☆☆☆	2/5
Silver Oak Nursing and Rehabilitation Center LLC	16.6 mi	Marion, IA	★☆☆☆☆	1/5
Winslow House Care Center	16.6 mi	Marion, IA	★★☆☆☆	2/5
Oakview Nursing & Rehablitation - Marion	17.0 mi	Marion, IA	★★★★☆	4/5
Terrace Glen Village	17.9 mi	Marion, IA	★★★★★	4/5
Linn Manor Care Center	17.9 mi	Marion, IA	★★☆☆☆	2/5
Clarence Nursing Home	18.5 mi	Clarence, IA	★★★★★	4/5
Accura Healthcare of Cascade LLC	18.8 mi	Cascade, IA	★★☆☆☆	2/5	abuse
Hallmar Village	19.1 mi	Cedar Rapids, IA	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Anamosa →

Facility data as of CMS processing date 2026-08-01. CCN 165375.

The Care File

Visit checklist — Anamosa Care Center

1209 East Third Street, Anamosa, IA 52205 · 3194624356

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Most serious findings on record:

▲ Jul 25, 2024 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165375 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)