Anamosa Care Center

1209 East Third Street, Anamosa, IA 52205 (opens Google Maps) · Jones County · (319) 462-4356· 64 certified beds · avg 54 residents/day · certified since Jan 1, 1998 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

4/5

Health inspection rating (on-site)

inspected Jun 12, 2025

Serious findings on record

most recent Jul 25, 2024

Fines, last 3 years

3.83

Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

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

Inspection findings in the public record

Showing the latest 3 of 8 inspection findings. Open the full record below to read every finding.

Jun 12, 2025D · Potential for more than minimal harm, isolated
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. F-0550
Jun 12, 2025D · Potential for more than minimal harm, isolated
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. F-0725
Jul 25, 2024G · Actual harm, isolated
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 F-0684

View all 8 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Jun 12, 2025	D · Potential for more than minimal harm, isolated	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. · F-0550
Jun 12, 2025	D · Potential for more than minimal harm, isolated	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. · F-0725
Jul 25, 2024	▲ G · Actual harm, isolated	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 · F-0684
Jul 25, 2024	E · Potential for more than minimal harm, pattern	The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730
Jul 25, 2024	E · Potential for more than minimal harm, pattern	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925
Jul 25, 2024	D · Potential for more than minimal harm, isolated	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. · F-0812
Mar 21, 2024	D · Potential for more than minimal harm, isolated	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 · F-0607
Jun 15, 2023	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityIowa averageU.S. average

Total nurse staffing (hours per resident per day)

3.83

4.37

3.95

Registered Nurse hours

0.84

0.85

0.69

Weekend total nurse staffing

3.17

3.86

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.27 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Anamosa Care Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 20 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 51% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Anamosa Care Center

1209 East Third Street, Anamosa, IA 52205 · (319) 462-4356

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

Most serious findings on record:

▲ Jul 25, 2024 (F-0684, Actual harm, isolated): 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?"
☐ "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 51% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)