Lakeside Lutheran Home
301 North Lawler Street, Emmetsburg, IA 50536 · Palo Alto County · 55 certified beds · avg 38 residents/day · certified since Nov 6, 2003
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 · Jan 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: Feb 4, 2025 (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 |
|---|---|---|
| Feb 26, 2026 | 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. |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 22, 2025 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| May 22, 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. · from a complaint |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| May 22, 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. · from a complaint |
| Jan 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 |
| Jan 23, 2025 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Jan 23, 2025 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Jan 23, 2025 | 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 |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Feb 15, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Feb 15, 2024 | 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. |
| Feb 15, 2024 | 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. |
| Feb 15, 2024 | D · Potential for 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. |
| Feb 15, 2024 | 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. |
| Feb 15, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Feb 15, 2024 | D · Potential for harm, one-off | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 0 | D |
| 2025 | 13 | 1 | 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)
0 fines totaling $0, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jan 23, 2025 | Payment Denial | 5 days from Feb 19, 2025 |
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) | 5.00 | 4.37 | 3.95 | top 17% in Iowa; top 13% 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 | 4.62 | 3.86 | 3.50 | top 12% in Iowa; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.51 | 0.48 | top 35% in Iowa; top 29% in the U.S. |
| Total nursing staff turnover (%) | 37.2 | 44.0 | 45.8 | top 36% in Iowa; top 29% in the U.S. |
| RN turnover (%) | 44.4 | 42.1 | 42.9 | bottom 44% in Iowa; bottom 45% 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 4.11, RN 0.76, weekend 3.80. Staffing rating: 5/5.
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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Iowa Trust & Savings Bank | Organization | 5% or Greater Direct Ownership Interest | 50% | 10/23/2013 |
| Anderson, Hallie | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2024 |
| Anderson, Hallie | Individual | ADP of the SNF | NOT APPLICABLE | 10/21/2025 |
| Barber, Joan | Individual | Corporate Director | NOT APPLICABLE | 10/01/2018 |
| Barber, Joan | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2018 |
| BCG Holdings INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/21/2025 |
| Blue Stone Therapy INC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2015 |
| Bodle, Jeri | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/13/2024 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Burdof, Edwin | Individual | Corporate Director | NOT APPLICABLE | 10/19/2023 |
| Cattail BCG LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/21/2025 |
| Cattail INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/21/2025 |
| Ecsi INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/21/2025 |
| Erickson-Welter, Shawn | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2012 |
| Evans, Mark | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Getta, Thomas | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2016 |
| Getta, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 10/21/2025 |
| Hoyman, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 01/31/2012 |
| Hoyman, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 01/31/2012 |
| Hughes Pharmacy Services INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/31/2012 |
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 percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "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 |
|---|---|---|---|---|---|
| Palo Alto County Hospital | 0.4 mi | Emmetsburg, IA | ★★★★☆ | 4/5 | |
| Emmetsburg Care Center | 1.1 mi | Emmetsburg, IA | ★☆☆☆☆ | 1/5 | |
| Ruthven Community Care Center | 11.0 mi | Ruthven, IA | ★★★★☆ | 4/5 | |
| West Bend Health and Rehabilitation | 16.2 mi | West Bend, IA | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
All facilities in Emmetsburg →
Facility data as of CMS processing date 2026-08-01. CCN 165492.