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Lake Mills Care Center
406 South Tenth Avenue East, Lake Mills, IA 50450 (opens Google Maps) · Winnebago County · (641) 592-4900· 61 certified beds · avg 41 residents/day · certified since Oct 1, 1997 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: LEGACY HEALTHCARE (89 facilities, chain avg rating 2.9★)
3/5
Health inspection rating (on-site)
inspected Apr 15, 2026
1
Serious findings on record
most recent Oct 16, 2025
$0
Fines, last 3 years
4.01
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 27, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 6 inspection findings. Open the full record below to read every finding.
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. F-0812
The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint F-0697
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. F-0656
View all 6 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 15, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Oct 16, 2025 | ▲ G · Actual harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697 |
| Apr 9, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Apr 9, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Apr 9, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Apr 9, 2025 | C · Potential for minimal harm, widespread | 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. · F-0732 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 1).
All citationsSerious citations (G–L)
2025
All citations: 5
Serious citations (G–L): 1
2026
All citations: 1
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.01
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.39
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.53
Iowa average: 3.86
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 (%) | — | 42.1 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.62 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Lake Mills Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 69 parties CMS has on file for this facility; 49 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Legacy Healthcare — 89 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Manor House Care Center — Sigourney, IA · overall 2/5
- Maple Manor Village — Aplington, IA · overall 4/5
- Nora Springs Care Center — Nora Springs, IA · overall 4/5
- Northgate Care Center — Waukon, IA · overall 1/5SFF
- Oakwood Care Center — Clear Lake, IA · overall 3/5
- Oelwein Health Care Center — Oelwein, IA · overall 3/5
- Park View Rehabilitation Center — Sac City, IA · overall 1/5
- Rehabilitation Center of Allison — Allison, IA · overall 3/5
Listed by state, then facility name — not a ranking. Showing 8 of the 88 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 25% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 69 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 | 16.9 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 |
Facility data as of CMS processing date 2026-08-01. CCN 165366.
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