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No fines or payment denials in the published 3-year window.
111 East Van Buren, Lenox, IA 50851 (opens Google Maps) · Taylor County · (641) 333-2226· 36 certified beds · avg 25 residents/day · certified since Nov 1, 1994 · 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: ARBORETA HEALTHCARE (2 facilities, chain avg rating 3.0★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · 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.
Showing the latest 3 of 28 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 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 F-0880
The facility did not have policies on smoking. F-0926
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 |
|---|---|---|
| Mar 24, 2026 | F · Potential for more than minimal harm, widespread | 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 |
| Mar 24, 2026 | F · Potential for more than minimal harm, widespread | 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 · F-0880 |
| Mar 24, 2026 | E · Potential for more than minimal harm, pattern | The facility did not have policies on smoking. · F-0926 |
| Mar 24, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0605 |
| Mar 24, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Jun 25, 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. · from a complaint · F-0684 |
| Jun 25, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Feb 27, 2025 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to manage their own money and financial affairs. · F-0567 |
| Feb 27, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0803 |
| Feb 27, 2025 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Feb 27, 2025 | 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 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Feb 27, 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 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0677 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Mar 7, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0679 |
| Mar 7, 2024 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Mar 7, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0550 |
| Mar 7, 2024 | 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. · from a complaint · F-0684 |
| Mar 7, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0688 |
| Mar 7, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0690 |
| Mar 7, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0693 |
| Mar 7, 2024 | D · Potential for more than minimal harm, isolated | 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 |
| Mar 7, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
Citations from standard inspections decreased between the last two inspection cycles (11 → 5).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
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) | 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 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 4.63, RN 1.30, weekend 3.88.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.63 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Lenox Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 - 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 |
Showing 20 of 37 parties CMS has on file for this facility; 17 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Arboreta Healthcare — 2 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.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 165235.
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