Lenox Care Center
111 East Van Buren, Lenox, IA 50851 · Taylor County · 36 certified beds · avg 25 residents/day · certified since Nov 1, 1994
Part of chain: ARBORETA HEALTHCARE (2 facilities, chain avg rating 3.0★)
2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
5.00
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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.
All citations in the current public record (28)
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 |
|---|---|---|
| Mar 24, 2026 | F · Potential for harm, facility-wide | 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. |
| Mar 24, 2026 | F · Potential for harm, facility-wide | 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 |
| Mar 24, 2026 | E · Potential for harm, repeated | The facility did not have policies on smoking. |
| Mar 24, 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. |
| Mar 24, 2026 | 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. |
| Jun 25, 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. · from a complaint |
| Jun 25, 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 |
| Feb 27, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to manage their own money and financial affairs. |
| Feb 27, 2025 | E · Potential for harm, repeated | 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. |
| Feb 27, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Feb 27, 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. |
| Feb 27, 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 |
| Feb 27, 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. |
| Feb 27, 2025 | 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. |
| Feb 27, 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 |
| Feb 27, 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. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Feb 27, 2025 | 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 27, 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. |
| Mar 7, 2024 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint |
| Mar 7, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 7, 2024 | 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 |
| Mar 7, 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 |
| Mar 7, 2024 | 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. · from a complaint |
| Mar 7, 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. · from a complaint |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint |
| Mar 7, 2024 | D · Potential for harm, one-off | 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. |
| Mar 7, 2024 | 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 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 9 | 0 | E |
| 2025 | 14 | 0 | E |
| 2026 | 5 | 0 | F |
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) | 5.00 | 4.37 | 3.95 | top 17% in Iowa; top 13% in the U.S. |
| Registered Nurse hours | 1.40 | 0.85 | 0.69 | top 6% in Iowa; top 6% in the U.S. |
| Weekend total nurse staffing | 4.19 | 3.86 | 3.50 | top 32% in Iowa; top 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.92 | 0.51 | 0.48 | top 6% in Iowa; top 7% in the U.S. |
| Total nursing staff turnover (%) | 31.6 | 44.0 | 45.8 | top 20% in Iowa; top 17% in the U.S. |
| RN turnover (%) | 20.0 | 42.1 | 42.9 | top 18% in Iowa; top 13% 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 4.63, RN 1.30, weekend 3.88. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Arboreta Health and Rehabilitation Centers, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/09/2012 |
| Arboreta Healthcare, INC | Organization | 5% or Greater Indirect Ownership Interest | — | 06/10/2021 |
| Greenside Healthcare Properties LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/24/2015 |
| Mason, Richard | Individual | 5% or Greater Indirect Ownership Interest | — | 02/02/2023 |
| Tichenor, Roger | Individual | 5% or Greater Indirect Ownership Interest | — | 01/14/2024 |
| 5V+ Seniors Healthcare Fund GP, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/14/2025 |
| 5V+ Seniors Healthcare Fund, LP | Organization | ADP of the SNF | NOT APPLICABLE | 07/14/2025 |
| Acd Consolidated LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Arboreta Healthcare Consulting, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2016 |
| Arboreta Healthcare, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/10/2021 |
| Arboreta Healthcare, INC | Organization | ADP of the SNF | NOT APPLICABLE | 06/10/2021 |
| Bear Creek Strategic Real Assets Fund LP | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Birchwood Healthcare Partners LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/14/2025 |
| Cassidy, Bruce | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/18/2023 |
| Cassidy, Bruce | Individual | ADP of the SNF | NOT APPLICABLE | 06/18/2023 |
| Cleveland, Shelley | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/14/2024 |
| Cleveland, Shelley | Individual | ADP of the SNF | NOT APPLICABLE | 01/14/2024 |
| Defranco Investment Co LTD | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Dole, Isaac | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/14/2025 |
| Freeman, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What are your smoking rules, and how do you keep residents who smoke — and everyone around them — safe?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How are residents' personal funds handled here, and what records can families review?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "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 |
|---|---|---|---|---|---|
| Corning Specialty Care | 11.9 mi | Corning, IA | ★★★★☆ | 3/5 | |
| Creston Specialty Care | 15.5 mi | Creston, IA | ★★☆☆☆ | 2/5 | |
| Accura Healthcare of Creston | 16.2 mi | Creston, IA | ★★☆☆☆ | 2/5 | |
| Bedford Specialty Care | 17.2 mi | Bedford, IA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165235.