Iowa ›Nora Springs

Nora Springs Care Center

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907 W Congress, Nora Springs, IA 50458 (opens Google Maps) · Floyd County · (641) 749-5331· 50 certified beds · avg 44 residents/day · certified since Sep 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★)

4/5
Health inspection rating (on-site)
inspected May 29, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.64
Nurse hours/resident/day (adjusted)

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: ★★★★☆4/5 · 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.

Inspection findings in the public record

Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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 F-0580

  2. 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. · from a complaint F-0760

  3. D · Potential for more than minimal harm, isolated

    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 F-0726

View all 9 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.

DateSeverityWhat the facility was cited for
Apr 14, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0580
Apr 14, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0760
Jan 8, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0726
Nov 18, 2025D · Potential for more than minimal harm, isolatedThe 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
Jul 3, 2024D · Potential for more than minimal harm, isolatedThe 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
May 18, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0550
May 18, 2023D · Potential for more than minimal harm, isolatedThe 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
May 18, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0758
May 18, 2023D · Potential for more than minimal harm, isolatedThe 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

Inspection trend by year

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 4
Serious citations (G–L): 0
2024
All citations: 1
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 0
2026
All citations: 3
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202340D
202410D
202510D
202630D

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.64
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.38
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.26
Iowa average: 3.86
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityIowa avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.644.373.95bottom 15% in Iowa; bottom 44% in the U.S.
Registered Nurse hours0.380.850.69bottom 4% in Iowa; bottom 19% in the U.S.
Weekend total nurse staffing3.263.863.50bottom 21% in Iowa; bottom 45% in the U.S.
Weekend RN hours (not acuity-adjusted)0.290.510.48bottom 13% in Iowa; bottom 30% in the U.S.
Total nursing staff turnover (%)40.444.045.8top 46% in Iowa; top 37% in the U.S.
RN turnover (%)50.042.142.9bottom 41% in Iowa; bottom 39% 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 3.11, RN 0.32, weekend 2.78.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.11 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Nora Springs 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 - Limited Liability company

Owner / managerTypeRoleStakeSince
Doros Generation Trust U/A/D 1/3/12OrganizationIndirect Ownership InterestNOT APPLICABLE08/15/2024
GPN Family Trust U/A/D 4/28/08OrganizationIndirect Ownership InterestNOT APPLICABLE08/15/2024
Iowa Portfolio Opco Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/15/2024
Oakway Operations LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/15/2024
Bates, KristineIndividualOperational/Managerial ControlNOT APPLICABLE07/09/2025
Bates, KristineIndividualADP of the SNFNOT APPLICABLE07/09/2025
Beasley, KarlaIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2024
Beasley, KarlaIndividualADP of the SNFNOT APPLICABLE08/15/2024
Behounek, LinseyIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2024
Behounek, LinseyIndividualADP of the SNFNOT APPLICABLE08/15/2024
Borcherding, JennyIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2024
Borcherding, JennyIndividualADP of the SNFNOT APPLICABLE08/15/2024
Burken, SheriIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2024
Burken, SheriIndividualADP of the SNFNOT APPLICABLE08/15/2024
Cascade Capital Holdings LLCOrganizationADP of the SNFNOT APPLICABLE08/15/2024
Cascade Capital Partners LLCOrganizationADP of the SNFNOT APPLICABLE08/15/2024
CCG Gorgona LLCOrganizationADP of the SNFNOT APPLICABLE08/15/2024
Friedenberg, LauraIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2024
Friedenberg, LauraIndividualADP of the SNFNOT APPLICABLE08/15/2024
Friedman, BrianIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE04/02/2025

Showing 20 of 58 parties CMS has on file for this facility; 38 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.

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

Full visit checklist →

Print visit checklist

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?"

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 40% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 58 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)

FacilityDistanceCityOverallInspectionFlags
Heritage Care and Rehabilitation Center8.3 miMason City, IA★★☆☆☆3/5
Good Shepherd Health Center9.1 miMason City, IA★☆☆☆☆2/5
I O O F Home and Community Therapy Center10.1 miMason City, IA★☆☆☆☆2/5
Manly Specialty Care13.2 miManly, IA★★★☆☆2/5
Osage Rehab and Health Care Center13.7 miOsage, IA★☆☆☆☆1/5
Rockwell Community Nursing Home13.8 miRockwell, IA★★★★★4/5
Faith Lutheran Home13.9 miOsage, IA★★★★☆4/5
Good Samaritan - Saint Ansgar17.0 miSaint Ansgar, IA★★★★★4/5
Chautauqua Guest Home #218.2 miCharles City, IA★★★★★4/5
Chautauqua Guest Home #318.2 miCharles City, IA★★★★★5/5
Oakwood Care Center19.0 miClear 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.

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