Valley Vue Care Center

Name: Valley Vue Care Center
Address: 108 Second Ave, Armstrong, IA, 50514, US
Telephone: 7128643567

108 Second Ave, Armstrong, IA 50514 · Emmet County · 40 certified beds · avg 35 residents/day · certified since Aug 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

4.75

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: 5/5

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 (11)

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
Mar 12, 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.
Mar 12, 2026	D · Potential for harm, one-off	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.
Feb 13, 2025	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
Feb 13, 2025	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.
Feb 13, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Feb 13, 2025	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.
Feb 13, 2025	D · Potential for harm, one-off	The facility did not properly run its feeding assistant program — assessing which residents are appropriate for it, following each resident's care plan, and making sure feeding assistants are trained and supervised. Feeding assistants are trained helpers who assist residents at mealtimes.
Feb 13, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Feb 29, 2024	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. · from a complaint
Feb 29, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 29, 2024	D · Potential for harm, one-off	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 2).

Year	Citations	Worst severity that year
2024	3	D
2025	6	D
2026	2	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)	4.75	4.37	3.95	top 29% in Iowa; top 18% in the U.S.
Registered Nurse hours	0.91	0.85	0.69	top 35% in Iowa; top 20% in the U.S.
Weekend total nurse staffing	4.23	3.86	3.50	top 28% in Iowa; top 17% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.42	0.51	0.48	bottom 41% in Iowa; top 44% in the U.S.
Total nursing staff turnover (%)	35.0	44.0	45.8	top 29% in Iowa; top 24% 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 3.86, RN 0.74, weekend 3.43. 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: 4/5 · short-stay residents: 5/5

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
Oakway Operations LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/15/2024
Armstrong Ia Property Holdings, LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
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
Davis, Taylor	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Davis, Taylor	Individual	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
Gorgona Holdco LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Gorgona Propco Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024

Questions to ask on your visit

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

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"Who helps residents who need assistance eating, and what training and supervision do those helpers get?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"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
Accura Healthcare of Bancroft	15.7 mi	Bancroft, IA	★★★★★	4/5
Estherville Community Care Center	16.5 mi	Estherville, IA	★★☆☆☆	2/5
Good Samaritan - Estherville	16.9 mi	Estherville, IA	★★☆☆☆	2/5
Lakeview Methodist Health Care Center	17.1 mi	Fairmont, MN	★★★★★	3/5

Compare this facility with the 3 closest →

All facilities in Armstrong →

Facility data as of CMS processing date 2026-08-01. CCN 165353.

The Care File

Visit checklist — Valley Vue Care Center

108 Second Ave, Armstrong, IA 50514 · 7128643567

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

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "Who helps residents who need assistance eating, and what training and supervision do those helpers get?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "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 165353 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)