Hallmar Village
8900 C Avenue NE, Cedar Rapids, IA 52402 · Linn County · 55 certified beds · avg 53 residents/day · certified since Jan 29, 2024
Part of chain: PRESBYTERIAN HOMES & SERVICES (21 facilities, chain avg rating 4.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 10, 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: Jul 28, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 23, 2025 · F-0725 · triggered by a complaint
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.
Why it matters: Understaffing means longer waits for help, missed care, and higher risk of falls and other 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: Jan 29, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 3, 2024 · F-0690 · triggered by a complaint
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
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: Jul 24, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 23, 2026 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 9, 2026 | 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. · from a complaint |
| Oct 2, 2025 | E · Potential for harm, repeated | 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. · from a complaint |
| Oct 2, 2025 | 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. |
| Oct 2, 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. · from a complaint |
| Oct 2, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Oct 2, 2025 | 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. · from a complaint |
| Oct 2, 2025 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jul 10, 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 |
| Apr 29, 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. · from a complaint |
| Apr 29, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jan 23, 2025 | ▲ G · Actual 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. · from a complaint |
| Jan 23, 2025 | E · Potential for harm, repeated | 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. · from a complaint |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Dec 10, 2024 | D · Potential for 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 |
| Dec 10, 2024 | D · Potential for harm, one-off | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint |
| Sep 26, 2024 | 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. |
| Jul 3, 2024 | ▲ G · Actual harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Jul 3, 2024 | 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. · from a complaint |
| Jul 3, 2024 | 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 |
| Dec 28, 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. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | E |
| 2024 | 6 | 1 | G ▲ |
| 2025 | 13 | 2 | G ▲ |
| 2026 | 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)
1 fine totaling $11,960.
| Date | Type | Amount / length |
|---|---|---|
| Jul 10, 2025 | Fine | $11,960 |
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) | 5.30 | 4.37 | 3.95 | top 12% in Iowa; top 9% in the U.S. |
| Registered Nurse hours | 0.86 | 0.85 | 0.69 | top 40% in Iowa; top 23% in the U.S. |
| Weekend total nurse staffing | 4.90 | 3.86 | 3.50 | top 6% in Iowa; top 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.51 | 0.48 | bottom 15% in Iowa; bottom 30% in the U.S. |
| Total nursing staff turnover (%) | 51.4 | 44.0 | 45.8 | bottom 29% in Iowa; bottom 33% in the U.S. |
| RN turnover (%) | 75.0 | 42.1 | 42.9 | bottom 11% in Iowa; bottom 9% 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 4.46, RN 0.72, weekend 4.12. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fletcher, Jonathan | Individual | Corporate Director | NOT APPLICABLE | 02/01/2025 |
| Fletcher, Jonathan | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2025 |
| Fletcher, Jonathan | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Fletcher, Jonathan | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Hill-Davis, Nancy | Individual | Corporate Director | NOT APPLICABLE | 08/30/2023 |
| Hill-Davis, Nancy | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/30/2023 |
| Larson, Duane | Individual | Corporate Director | NOT APPLICABLE | 08/30/2023 |
| Larson, Duane | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/30/2023 |
| Mercy Medical Center | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/30/2023 |
| Mercy Medical Center | Organization | ADP of the SNF | NOT APPLICABLE | 10/02/2025 |
| Meyer, Mark | Individual | Corporate Director | NOT APPLICABLE | 08/30/2023 |
| Meyer, Mark | Individual | Corporate Officer | NOT APPLICABLE | 08/30/2023 |
| Meyer, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/30/2023 |
| Meyer, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 08/30/2023 |
| Peterson, Heidi | Individual | ADP of the SNF | NOT APPLICABLE | 08/30/2023 |
| PHS Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/30/2023 |
| PHS Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/04/2025 |
| Presbyterian Homes Housing and Assisted Living, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/30/2023 |
| Presbyterian Homes Housing and Assisted Living, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 10/02/2025 |
| Quinn, Timothy | Individual | Corporate Director | NOT APPLICABLE | 08/30/2023 |
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?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 |
|---|---|---|---|---|---|
| Terrace Glen Village | 1.3 mi | Marion, IA | ★★★★★ | 4/5 | |
| Northbrook Healthcare and Rehabilitation Center | 1.5 mi | Cedar Rapids, IA | ★☆☆☆☆ | 1/5 | |
| Winslow House Care Center | 2.6 mi | Marion, IA | ★★☆☆☆ | 2/5 | |
| Oakview Nursing & Rehablitation - Marion | 2.6 mi | Marion, IA | ★★★★☆ | 4/5 | |
| Hiawatha Care Center | 3.0 mi | Hiawatha, IA | ★★★☆☆ | 3/5 | |
| St Luke's Helen G Nassif Transitional Care Center | 3.1 mi | Cedar Rapids, IA | ★★★★★ | 4/5 | |
| Linn Manor Care Center | 3.3 mi | Marion, IA | ★★☆☆☆ | 2/5 | |
| Silver Oak Nursing and Rehabilitation Center LLC | 3.6 mi | Marion, IA | ★☆☆☆☆ | 1/5 | |
| Cottage Grove Place | 4.3 mi | Cedar Rapids, IA | ★☆☆☆☆ | 1/5 | |
| Harmony Cedar Rapids | 4.5 mi | Cedar Rapids, IA | ★☆☆☆☆ | 1/5 | |
| Living Center West | 5.4 mi | Cedar Rapids, IA | ★★☆☆☆ | 2/5 | |
| Meth-Wick Health Center | 5.7 mi | Cedar Rapids, IA | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165798.