Denison Care Center
1202 Ridge Road, Denison, IA 51442 · Crawford County · 46 certified beds · avg 27 residents/day · certified since Nov 4, 1994
Part of chain: CAMPBELL STREET SERVICES (22 facilities, chain avg rating 2.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 · Oct 23, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Nov 4, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (9)
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 |
|---|---|---|
| Oct 23, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 23, 2025 | D · Potential for 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 3, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| May 24, 2023 | E · Potential for harm, repeated | 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. |
| May 24, 2023 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| May 24, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| May 24, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 24, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| May 24, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | E |
| 2025 | 3 | 1 | G ▲ |
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) | 4.05 | 4.37 | 3.95 | bottom 40% in Iowa; top 38% in the U.S. |
| Registered Nurse hours | 0.70 | 0.85 | 0.69 | bottom 35% in Iowa; top 37% in the U.S. |
| Weekend total nurse staffing | 3.83 | 3.86 | 3.50 | top 46% in Iowa; top 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.51 | 0.48 | bottom 41% in Iowa; top 44% in the U.S. |
| Total nursing staff turnover (%) | 28.6 | 44.0 | 45.8 | top 14% in Iowa; top 12% in the U.S. |
| RN turnover (%) | 0.0 | 42.1 | 42.9 | — |
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 3.63, RN 0.63, weekend 3.44. 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: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Birchwood Healthcare Partners LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Dole, Isaac | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Holdco, Ia, 10, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| 5V+ Seniors Healthcare Fund GP, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/09/2025 |
| 5V+ Seniors Healthcare Fund, LP | Organization | ADP of the SNF | NOT APPLICABLE | 06/09/2025 |
| Acd Consolidated LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Bear Creek Sraf GP Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Bear Creek Strategic Real Assets Fund LP | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Birchwood Healthcare Partners LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Ia 10 LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Ia 10 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Defranco Investment Co LTD | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Dole, Isaac | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2025 |
| Dole, Isaac | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Dole, Isaac | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Holdco, Ia, 10, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Iaga SNF Denison LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Iaga SNF Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 |
|---|---|---|---|---|---|
| Gracewell, an Eventide Community | 1.3 mi | Denison, IA | ★★★★★ | 5/5 | |
| Dunlap Specialty Care | 18.1 mi | Dunlap, IA | ★★★★☆ | 2/5 | |
| Odebolt Specialty Care | 19.5 mi | Odebolt, IA | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165238.