Nora Springs Care Center

Name: Nora Springs Care Center
Address: 907 W Congress, Nora Springs, IA, 50458, US
Telephone: 6417495331

907 W Congress, Nora Springs, IA 50458 · Floyd County · 50 certified beds · avg 44 residents/day · certified since Sep 1, 1997

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.64

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · 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.

All citations in the current public record (9)

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 14, 2026	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
Apr 14, 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. · from a complaint
Jan 8, 2026	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Nov 18, 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
Jul 3, 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.
May 18, 2023	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.
May 18, 2023	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.
May 18, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
May 18, 2023	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.

Inspection trend by year

Year	Citations	Worst severity that year
2023	4	D
2024	1	D
2025	1	D
2026	3	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)

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)	3.64	4.37	3.95	bottom 15% in Iowa; bottom 44% in the U.S.
Registered Nurse hours	0.38	0.85	0.69	bottom 4% in Iowa; bottom 19% in the U.S.
Weekend total nurse staffing	3.26	3.86	3.50	bottom 21% in Iowa; bottom 45% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.29	0.51	0.48	bottom 13% in Iowa; bottom 30% in the U.S.
Total nursing staff turnover (%)	40.4	44.0	45.8	top 46% in Iowa; top 37% in the U.S.
RN turnover (%)	50.0	42.1	42.9	bottom 41% in Iowa; bottom 39% 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 3.11, RN 0.32, weekend 2.78. Staffing rating: 2/5.

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: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Doros Generation Trust U/A/D 1/3/12	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/15/2024
GPN Family Trust U/A/D 4/28/08	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/15/2024
Iowa Portfolio Opco Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/15/2024
Oakway Operations LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/15/2024
Bates, Kristine	Individual	Operational/Managerial Control	NOT APPLICABLE	07/09/2025
Bates, Kristine	Individual	ADP of the SNF	NOT APPLICABLE	07/09/2025
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	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	04/02/2025

Questions to ask on your visit

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

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"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
Heritage Care and Rehabilitation Center	8.3 mi	Mason City, IA	★★☆☆☆	3/5
Good Shepherd Health Center	9.1 mi	Mason City, IA	★☆☆☆☆	2/5
I O O F Home and Community Therapy Center	10.1 mi	Mason City, IA	★☆☆☆☆	2/5
Manly Specialty Care	13.2 mi	Manly, IA	★★★☆☆	2/5
Osage Rehab and Health Care Center	13.7 mi	Osage, IA	★☆☆☆☆	1/5
Rockwell Community Nursing Home	13.8 mi	Rockwell, IA	★★★★★	4/5
Faith Lutheran Home	13.9 mi	Osage, IA	★★★★☆	4/5
Good Samaritan - Saint Ansgar	17.0 mi	Saint Ansgar, IA	★★★★★	4/5
Chautauqua Guest Home #2	18.2 mi	Charles City, IA	★★★★★	4/5
Chautauqua Guest Home #3	18.2 mi	Charles City, IA	★★★★★	5/5
Oakwood Care Center	19.0 mi	Clear Lake, IA	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Nora Springs →

Facility data as of CMS processing date 2026-08-01. CCN 165347.

The Care File

Visit checklist — Nora Springs Care Center

907 W Congress, Nora Springs, IA 50458 · 6417495331

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

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "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 165347 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)