CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1653522026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Emmetsburg Care Center

CMS lists this provider in Emmetsburg, IA, with 46 certified beds, an overall rating of 1/5, and 35 citation rows in the current August 2026 release.

2405 21St Street · Emmetsburg, IA 50536 · Palo Alto County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds46CMS provider file
Recent citation rows35current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Emmetsburg Care Center survey cycles in this release

CMS supplies 3 survey-cycle rows for Emmetsburg Care Center in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-07-28162025-07-282
Cycle 22024-09-1262024-09-127
Cycle 32023-06-2202023-06-224
02 / CITATION DETAIL

Emmetsburg Care Center citations in the current release

CMS reports 35 citation rows, including 2 with G–L codes and 1 with J–L codes.

2 rows carry G–L scope/severity codes; 1 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-11 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2026-05-29 · complaint
2026-05-11 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2026-05-29 · complaint
2026-05-11 · HEALTHF0677Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction field: Deficient, Provider has date of correction · 2026-05-29 · complaint
2026-05-11 · HEALTHF0690Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction field: Deficient, Provider has date of correction · 2026-05-29 · complaint
2026-05-11 · HEALTHF0755Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction field: Deficient, Provider has date of correction · 2026-05-29 · complaint
2026-05-11 · HEALTHF0760Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2026-05-29 · complaint
2026-05-11 · HEALTHF0842Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction field: Deficient, Provider has date of correction · 2026-05-29 · complaint
2026-05-11 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-05-29 · complaint
2026-01-08 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2026-01-20 · complaint
2026-01-08 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction field: Deficient, Provider has date of correction · 2026-01-20 · complaint
2025-07-28 · HEALTHF0686Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction field: Deficient, Provider has date of correction · 2025-08-15
2025-07-28 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2025-08-15
2025-07-28 · HEALTHF0803Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Correction field: Deficient, Provider has date of correction · 2025-08-15
2025-07-28 · HEALTHF0805Severity J · isolated immediate jeopardy

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Correction field: Deficient, Provider has date of correction · 2025-08-15
2025-07-28 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2025-08-15
2025-07-28 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-08-15
2025-07-28 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2025-07-22
2025-07-28 · FIREK0331Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Construct fire resistant interior walls.

Correction field: Deficient, Provider has date of correction · 2025-07-22
2025-02-20 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint
2024-09-12 · HEALTHF0604Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Correction field: Deficient, Provider has date of correction · 2024-10-04 · complaint
2024-09-12 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2024-10-04
2024-09-12 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction field: Deficient, Provider has date of correction · 2024-10-04 · complaint
2024-09-12 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2024-10-04
2024-09-12 · HEALTHF0805Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Correction field: Deficient, Provider has date of correction · 2024-10-04 · complaint
03 / ENFORCEMENT FILE

CMS penalties reported for Emmetsburg Care Center

The August 2026 file contains 1 penalty row and $25,695 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2025-07-28Fine$25,6950
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Emmetsburg Care Center

CMS matched 71 ownership disclosure rows to Emmetsburg Care Center; names and roles are reported fields, not independently verified identities.

  • CASCADE CAPITAL HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    100% · since 08/15/2024
  • SHABAT, MENACHEMIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 08/15/2024
  • LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • BEASLEY, KARLAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • BEHOUNEK, LINSEYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • BORCHERDING, JENNYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • BURKEN, SHERIIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • FRIEDENBERG, LAURAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • HEDBERG, JENNIFERIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • HENNAGER, CHRISTINAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • HEYING, LARINAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • HOUSTON, MINDYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • JAEGER, KRYSTLEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • KAMSTRA, LEEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • KNUTSON, MICHELEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • LARSON, MELISSAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • MCCLURE, DOROTHYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024
  • OTTERBECK, PATRICIAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2024

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for Emmetsburg Care Center

CMS reports 3.66 total nurse hours and 0.65 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.66per resident day
RN hours0.65per resident day
Weekend nurse hours3.27per resident day
Staff turnover56.9%CMS reported field
06 / LOCAL RECORDS

Facilities published near Emmetsburg Care Center

The local peer set contains 2 other published facility records near Emmetsburg, IA, with separate bed, rating, and citation-row fields.

Open the Emmetsburg ledger →
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.