Brooklyn Community Estates
406 North Street, Brooklyn, IA 52211 · Poweshiek County · 50 certified beds · avg 43 residents/day · certified since Oct 1, 2009
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · 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.
All citations in the current public record (1)
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 |
|---|---|---|
| May 28, 2026 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2026 | 1 | 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) | 3.82 | 4.37 | 3.95 | bottom 26% in Iowa; top 47% in the U.S. |
| Registered Nurse hours | 0.53 | 0.85 | 0.69 | bottom 14% in Iowa; bottom 42% in the U.S. |
| Weekend total nurse staffing | 3.39 | 3.86 | 3.50 | bottom 28% in Iowa; top 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.51 | 0.48 | bottom 9% in Iowa; bottom 24% in the U.S. |
| Total nursing staff turnover (%) | 25.7 | 44.0 | 45.8 | top 7% in Iowa; top 8% in the U.S. |
| RN turnover (%) | 20.0 | 42.1 | 42.9 | top 18% in Iowa; top 13% 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 3.48, RN 0.48, weekend 3.09. Staffing rating: 4/5.
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 |
|---|---|---|---|---|
| Sissel, Shane | Individual | 5% or Greater Direct Ownership Interest | 67% | 10/30/2012 |
| Sissel, Susan | Individual | 5% or Greater Direct Ownership Interest | 33% | 10/30/2012 |
| Access Technologies INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/24/2017 |
| Bakerstarrett LLP | Organization | ADP of the SNF | NOT APPLICABLE | 07/17/2020 |
| BCG Holdings INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Cattail BCG LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Cattail INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Devilder, Andrea | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/26/2010 |
| Ecsi INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Hall, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/29/2020 |
| Heineman, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/30/2012 |
| Heineman, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 10/15/2025 |
| Iowa Health Care Association | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| J Evans Nutrition Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/30/2022 |
| Kasal, Christina | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/08/1996 |
| Key Rehabilitation INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/31/2012 |
| Keystone Savings Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 10/30/2012 |
| Keystone Savings Bank | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
| Kirkpatrick, Leslie | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "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 |
|---|---|---|---|---|---|
| Montezuma Specialty Care | 11.8 mi | Montezuma, IA | ★★★☆☆ | 3/5 | |
| St Francis Manor | 13.6 mi | Grinnell, IA | ★★★★★ | 5/5 | |
| Belle Plaine Specialty Care | 14.3 mi | Belle Plaine, IA | ★★★★☆ | 3/5 | |
| Mayflower Home | 14.5 mi | Grinnell, IA | ★★★★★ | 4/5 | |
| Sunny Hill Care Center | 17.9 mi | Tama, IA | ★☆☆☆☆ | 1/5 | |
| Accura Healthcare of Toledo | 18.7 mi | Toledo, IA | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165594.