Iowa ›Cedar Rapids

The Gardens of Cedar Rapids

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5710 Dean Road SW, Cedar Rapids, IA 52404 (opens Google Maps) · Linn County · (319) 632-1469· 40 certified beds · avg 34 residents/day · certified since Nov 6, 2017 · Medicare only — not Medicaid certified

Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →

3/5
Health inspection rating (on-site)
inspected Jan 22, 2026
3
Serious findings on record
most recent Sep 7, 2023
$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)

New to these records? How to read an inspection report →

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

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

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

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

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

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

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

Inspection findings in the public record

Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    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 F-0755

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

    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 F-0602

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

    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 F-0607

View all 17 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
Jan 9, 2025E · Potential for more than minimal harm, patternThe 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 · F-0755
Jan 9, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0602
Jan 9, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0607
Jan 9, 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
Jan 9, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0610
Jan 9, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0761
Jan 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Aug 16, 2024D · Potential for more than minimal harm, isolatedThe 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 14, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607
Mar 14, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0625
Mar 14, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0690
Sep 7, 2023▲ G · Actual harm, isolatedThe 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
Sep 7, 2023▲ G · Actual harm, isolatedThe 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 · F-0686
Sep 7, 2023▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 7, 2023D · 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
Sep 7, 2023D · Potential for more than minimal harm, isolatedThe 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 · F-0656
Sep 7, 2023D · Potential for more than minimal harm, isolatedThe 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 · F-0658

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: 6
Serious citations (G–L): 3
2024
All citations: 4
Serious citations (G–L): 0
2025
All citations: 7
Serious citations (G–L): 0

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

YearCitationsSerious (G–L)Worst severity that year
202363G ▲
202440D
202570E

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 →

1 fine totaling $19,383.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Sep 7, 2023Fine$19,383

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: 4.56
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 1.27
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.02
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)4.564.373.95top 37% in Iowa; top 21% in the U.S.
Registered Nurse hours1.270.850.69top 9% in Iowa; top 8% in the U.S.
Weekend total nurse staffing4.023.863.50top 38% in Iowa; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)0.780.510.48top 11% in Iowa; top 12% in the U.S.
Total nursing staff turnover (%)40.944.045.8top 48% in Iowa; top 39% in the U.S.
RN turnover (%)28.642.142.9top 32% in Iowa; top 26% 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 4.16, RN 1.16, weekend 3.66.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.16 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

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 The Gardens of Cedar Rapids. CMS inspection and staffing records do not tell us what this home will charge you.

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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
Angstman, JamesIndividual5% or Greater Indirect Ownership Interest25%06/09/2016
Bogert, JonIndividualDirect Ownership InterestNOT APPLICABLE06/09/2016
Bogert, WilliamIndividualDirect Ownership InterestNOT APPLICABLE06/09/2016
Buser, JamesIndividualDirect Ownership InterestNOT APPLICABLE06/09/2016
Buser, RaymondIndividualDirect Ownership InterestNOT APPLICABLE06/09/2016
JBRB Investments LLCOrganizationDirect Ownership InterestNOT APPLICABLE06/09/2016
Vintage Living LLCOrganizationDirect Ownership InterestNOT APPLICABLE06/09/2016
Wagg, ThomasIndividualIndirect Ownership InterestNOT APPLICABLE06/09/2016
Angstman, JamesIndividualADP of the SNFNOT APPLICABLE06/09/2016
Bogert, JonIndividualADP of the SNFNOT APPLICABLE06/09/2016
Bogert, WilliamIndividualADP of the SNFNOT APPLICABLE06/09/2016
Buser, JamesIndividualADP of the SNFNOT APPLICABLE06/09/2016
Buser, RaymondIndividualADP of the SNFNOT APPLICABLE06/09/2016
JBRB Investments LLCOrganizationADP of the SNFNOT APPLICABLE06/09/2025
Michael, ChaleeIndividualOperational/Managerial ControlNOT APPLICABLE09/03/2024
Michael, ChaleeIndividualADP of the SNFNOT APPLICABLE12/24/2025
Wagg, ThomasIndividualADP of the SNFNOT APPLICABLE06/09/2016
Younger, CleteIndividualADP of the SNFNOT APPLICABLE08/01/2017

All 18 owning or managing parties CMS has on file are shown — none excluded.

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.

  • "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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 18 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 (12 closest of 22 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Heritage Specialty Care2.1 miCedar Rapids, IA★☆☆☆☆1/5
West Ridge Care Center3.1 miCedar Rapids, IA★★★★★5/5
Meth-Wick Health Center4.1 miCedar Rapids, IA★★★★★5/5
Living Center West5.4 miCedar Rapids, IA★★☆☆☆2/5
Harmony Cedar Rapids6.5 miCedar Rapids, IA★☆☆☆☆1/5
St Luke's Helen G Nassif Transitional Care Center6.7 miCedar Rapids, IA★★★★★4/5
Cottage Grove Place6.7 miCedar Rapids, IA★☆☆☆☆1/5
Hiawatha Care Center7.4 miHiawatha, IA★★★☆☆3/5
Northbrook Healthcare and Rehabilitation Center8.2 miCedar Rapids, IA★☆☆☆☆1/5
Linn Manor Care Center9.1 miMarion, IA★★☆☆☆2/5
Hallmar Village9.7 miCedar Rapids, IA★★☆☆☆2/5
Terrace Glen Village10.3 miMarion, IA★★★★★4/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Linn, IA — 18 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Cedar Rapids →

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

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