The Gardens of Cedar Rapids

Name: The Gardens of Cedar Rapids
Address: 5710 Dean Road SW, Cedar Rapids, IA, 52404, US
Telephone: 3196321469

5710 Dean Road SW, Cedar Rapids, IA 52404 · Linn County · 40 certified beds · avg 34 residents/day · certified since Nov 6, 2017

3/5

Health inspection rating (on-site)

Serious findings on record

$19,383

Fines, last 3 years

4.56

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · 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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Sep 7, 2023 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

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: Oct 5, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Sep 7, 2023 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

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: Oct 5, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Sep 7, 2023 · 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: Oct 5, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (17)

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
Jan 9, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Jan 9, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Jan 9, 2025	D · Potential for harm, one-off	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 9, 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 9, 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 9, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Jan 9, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Aug 16, 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 14, 2024	D · Potential for harm, one-off	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.
Mar 14, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Mar 14, 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.
Sep 7, 2023	▲ G · Actual 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
Sep 7, 2023	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Sep 7, 2023	▲ 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
Sep 7, 2023	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
Sep 7, 2023	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. · from a complaint
Sep 7, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2023	6	3	G ▲
2024	4	0	D
2025	7	0	E

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)

1 fine totaling $19,383.

Date	Type	Amount / length
Sep 7, 2023	Fine	$19,383

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)	4.56	4.37	3.95	top 37% in Iowa; top 21% in the U.S.
Registered Nurse hours	1.27	0.85	0.69	top 9% in Iowa; top 8% in the U.S.
Weekend total nurse staffing	4.02	3.86	3.50	top 38% in Iowa; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.78	0.51	0.48	top 11% in Iowa; top 12% in the U.S.
Total nursing staff turnover (%)	40.9	44.0	45.8	top 48% in Iowa; top 39% in the U.S.
RN turnover (%)	28.6	42.1	42.9	top 32% in Iowa; top 26% 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 4.16, RN 1.16, weekend 3.66. 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: 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
Angstman, James	Individual	5% or Greater Indirect Ownership Interest	25%	06/09/2016
Bogert, Jon	Individual	Direct Ownership Interest	NOT APPLICABLE	06/09/2016
Bogert, William	Individual	Direct Ownership Interest	NOT APPLICABLE	06/09/2016
Buser, James	Individual	Direct Ownership Interest	NOT APPLICABLE	06/09/2016
Buser, Raymond	Individual	Direct Ownership Interest	NOT APPLICABLE	06/09/2016
JBRB Investments LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	06/09/2016
Vintage Living LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	06/09/2016
Wagg, Thomas	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/09/2016
Angstman, James	Individual	ADP of the SNF	NOT APPLICABLE	06/09/2016
Bogert, Jon	Individual	ADP of the SNF	NOT APPLICABLE	06/09/2016
Bogert, William	Individual	ADP of the SNF	NOT APPLICABLE	06/09/2016
Buser, James	Individual	ADP of the SNF	NOT APPLICABLE	06/09/2016
Buser, Raymond	Individual	ADP of the SNF	NOT APPLICABLE	06/09/2016
JBRB Investments LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/09/2025
Michael, Chalee	Individual	Operational/Managerial Control	NOT APPLICABLE	09/03/2024
Michael, Chalee	Individual	ADP of the SNF	NOT APPLICABLE	12/24/2025
Wagg, Thomas	Individual	ADP of the SNF	NOT APPLICABLE	06/09/2016
Younger, Clete	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2017

Questions to ask on your visit

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

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"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 Specialty Care	2.1 mi	Cedar Rapids, IA	★☆☆☆☆	1/5
West Ridge Care Center	3.1 mi	Cedar Rapids, IA	★★★★★	5/5
Meth-Wick Health Center	4.1 mi	Cedar Rapids, IA	★★★★★	5/5
Living Center West	5.4 mi	Cedar Rapids, IA	★★☆☆☆	2/5
Harmony Cedar Rapids	6.5 mi	Cedar Rapids, IA	★☆☆☆☆	1/5
St Luke's Helen G Nassif Transitional Care Center	6.7 mi	Cedar Rapids, IA	★★★★★	4/5
Cottage Grove Place	6.7 mi	Cedar Rapids, IA	★☆☆☆☆	1/5
Hiawatha Care Center	7.4 mi	Hiawatha, IA	★★★☆☆	3/5
Northbrook Healthcare and Rehabilitation Center	8.2 mi	Cedar Rapids, IA	★☆☆☆☆	1/5
Linn Manor Care Center	9.1 mi	Marion, IA	★★☆☆☆	2/5
Hallmar Village	9.7 mi	Cedar Rapids, IA	★★☆☆☆	2/5
Terrace Glen Village	10.3 mi	Marion, IA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Cedar Rapids →

Facility data as of CMS processing date 2026-08-01. CCN 165621.

The Care File

Visit checklist — The Gardens of Cedar Rapids

5710 Dean Road SW, Cedar Rapids, IA 52404 · 3196321469

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $19,383

Most serious findings on record:

▲ Sep 7, 2023 (F-0684, Actual 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.
▲ Sep 7, 2023 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
▲ Sep 7, 2023 (F-0689, 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.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "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 165621 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)