Happy Siesta Health Care Center
423 Roosevelt St, Remsen, IA 51050 · Plymouth County · 62 certified beds · avg 56 residents/day · certified since Jan 1, 1999
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 · Apr 17, 2024 · 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: Apr 4, 2024 (Past Non-Compliance)
All citations in the current public record (5)
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 | 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. |
| Jun 12, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Jun 12, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Jun 12, 2025 | 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. |
| Apr 17, 2024 | ▲ 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 |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 1 | 1 | G ▲ |
| 2025 | 4 | 0 | E |
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) | 3.96 | 4.37 | 3.95 | bottom 35% in Iowa; top 41% in the U.S. |
| Registered Nurse hours | 0.93 | 0.85 | 0.69 | top 33% in Iowa; top 19% in the U.S. |
| Weekend total nurse staffing | 3.66 | 3.86 | 3.50 | bottom 45% in Iowa; top 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.54 | 0.51 | 0.48 | top 34% in Iowa; top 28% in the U.S. |
| Total nursing staff turnover (%) | 52.5 | 44.0 | 45.8 | bottom 26% in Iowa; bottom 31% in the U.S. |
| RN turnover (%) | 40.0 | 42.1 | 42.9 | top 47% in Iowa; top 46% 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 3.30, RN 0.77, weekend 3.05. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cornerstone Senior Communities of Remsen | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/19/2005 |
| Cody, Mark | Individual | Corporate Director | NOT APPLICABLE | 01/01/2012 |
| Cody, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2012 |
| Cody, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2012 |
| Cornerstone Senior Communities of Remsen | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/20/2005 |
| Cornerstone Senior Communities of Remsen | Organization | ADP of the SNF | NOT APPLICABLE | 04/20/2005 |
| Cronin, Cheryl | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Cronin, Cheryl | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Draper, Thomas | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Draper, Thomas | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Geha, Andrew | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Geha, Andrew | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Gergen, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/10/2017 |
| Gergen, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 03/10/2017 |
| Heidesch, Margaret | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Heidesch, Margaret | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Kuiken, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/22/2016 |
| Kuiken, Jennifer | Individual | ADP of the SNF | NOT APPLICABLE | 03/22/2016 |
| LTC Accounting Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2020 |
| LTC Accounting Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2020 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "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 |
|---|---|---|---|---|---|
| Heartland Care Center | 8.3 mi | Marcus, IA | ★★★★★ | 3/5 | |
| Good Samaritan - Lemars | 9.2 mi | Le Mars, IA | ★★★★☆ | 4/5 | |
| Accura Healthcare of Le Mars | 9.7 mi | Le Mars, IA | ★★★★☆ | 3/5 | |
| Prairie Ridge Care Center | 14.6 mi | Orange City, IA | ★★★★★ | 4/5 | |
| Kingsley Specialty Care | 15.1 mi | Kingsley, IA | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165405.