Lake Mills Care Center

Name: Lake Mills Care Center
Address: 406 South Tenth Avenue East, Lake Mills, IA, 50450, US
Telephone: 6415924900

406 South Tenth Avenue East, Lake Mills, IA 50450 · Winnebago County · 61 certified beds · avg 41 residents/day · certified since Oct 1, 1997

Part of chain: LEGACY HEALTHCARE (89 facilities, chain avg rating 2.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.01

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · 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 16, 2025 · F-0697 · triggered by a complaint

The facility did not provide safe and appropriate pain management for a resident who needed it.

Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.

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: Oct 27, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (6)

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
Apr 15, 2026	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 16, 2025	▲ G · Actual harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Apr 9, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 9, 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.
Apr 9, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 9, 2025	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 1).

Year	Citations	Serious (G–L)	Worst severity that year
2025	5	1	G ▲
2026	1	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)	4.01	4.37	3.95	bottom 38% in Iowa; top 39% in the U.S.
Registered Nurse hours	0.39	0.85	0.69	bottom 5% in Iowa; bottom 21% in the U.S.
Weekend total nurse staffing	3.53	3.86	3.50	bottom 37% in Iowa; top 41% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.25	0.51	0.48	bottom 6% in Iowa; bottom 22% in the U.S.
Total nursing staff turnover (%)	25.0	44.0	45.8	top 5% in Iowa; top 7% 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 3.62, RN 0.35, weekend 3.19. Staffing rating: 3/5.

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: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Beasley, Karla	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Beasley, Karla	Individual	ADP of the SNF	NOT APPLICABLE	08/15/2024
Behounek, Linsey	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Behounek, Linsey	Individual	ADP of the SNF	NOT APPLICABLE	08/15/2024
Borcherding, Jenny	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Borcherding, Jenny	Individual	ADP of the SNF	NOT APPLICABLE	08/15/2024
Burken, Sheri	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Burken, Sheri	Individual	ADP of the SNF	NOT APPLICABLE	08/15/2024
Cascade Capital Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Cascade Capital Partners LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
CCG Gorgona LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Friedenberg, Laura	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Friedenberg, Laura	Individual	ADP of the SNF	NOT APPLICABLE	08/15/2024
Friedman, Brian	Individual	Trustee of the SNF	NOT APPLICABLE	08/15/2024
Gorgona Holdco LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Gorgona Propco Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Gorgona Sub Holdco LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Hedberg, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Hedberg, Jennifer	Individual	ADP of the SNF	NOT APPLICABLE	08/15/2024
Helgeson, Julie	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Where do you post your daily staffing numbers, and can I see today's?"
"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
Good Samaritan - Forest City	16.7 mi	Forest City, IA	★★★★☆	4/5
Parkview Care Center	16.7 mi	Wells, MN	★★★☆☆	2/5
Timely Mission Nursing Home	17.0 mi	Buffalo Center, IA	★★★★★	5/5
St Johns on Fountain Lake	17.7 mi	Albert Lea, MN	★★★☆☆	2/5
Thorne Crest Retirement Center	18.5 mi	Albert Lea, MN	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Lake Mills →

Facility data as of CMS processing date 2026-08-01. CCN 165366.

The Care File

Visit checklist — Lake Mills Care Center

406 South Tenth Avenue East, Lake Mills, IA 50450 · 6415924900

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

Most serious findings on record:

▲ Oct 16, 2025 (F-0697, Actual harm, one-off): The facility did not provide safe and appropriate pain management for a resident who needed it.

Questions for the administrator:

☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "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?"

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 165366 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)