CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1654052026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Happy Siesta Health Care Center

423 Roosevelt St · Remsen, IA 51050 · Plymouth County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds62CMS provider file
Recent citation rows19current CMS citation release
Penalty rows0current 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

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-06-1242025-06-121
Cycle 22024-06-2002024-06-203
Cycle 32023-05-1812023-05-1810
02 / CITATION DETAIL

19 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-06-12 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction field: Deficient, Provider has date of correction · 2025-06-25
2025-06-12 · HEALTHF0605Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Correction field: Deficient, Provider has date of correction · 2025-06-25
2025-06-12 · HEALTHF0689Severity D · isolated; potential for more than minimal 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 · 2025-06-25
2025-06-12 · 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 · 2025-06-25
2025-06-12 · FIREK0920Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2025-06-11
2024-06-20 · FIREK0324Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2024-06-27
2024-06-20 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2024-06-27
2024-06-20 · FIREK0921Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Correction field: Deficient, Provider has date of correction · 2024-07-19
2024-04-17 · 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: Past Non-Compliance · 2024-04-04 · complaint
2023-05-18 · FIREE0026Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

Correction field: Deficient, Provider has date of correction · 2023-05-31
2023-05-18 · FIREK0291Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has date of correction · 2023-05-23
2023-05-18 · FIREK0347Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

Correction field: Deficient, Provider has date of correction · 2023-06-01
2023-05-18 · FIREK0353Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2023-05-23
2023-05-18 · FIREK0355Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2023-06-08
2023-05-18 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2023-06-06
2023-05-18 · FIREK0761Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Correction field: Deficient, Provider has date of correction · 2023-05-26
2023-05-18 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2023-05-25
2023-05-18 · FIREK0920Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2023-05-23
2023-05-18 · FIREK0921Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Correction field: Deficient, Provider has date of correction · 2023-06-07
03 / ENFORCEMENT FILE

Penalties reported by CMS

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
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • CORNERSTONE SENIOR COMMUNITIES OF REMSENOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 07/19/2005
  • CODY, MARKIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2012
  • CRONIN, CHERYLIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2023
  • DRAPER, THOMASIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2023
  • HEIDESCH, MARGARETIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2023
  • SCHULTZ, JUDITHIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2023
  • SIEVERS, SUSANIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2023
  • STEELE, HELENIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2023
  • CORNERSTONE SENIOR COMMUNITIES OF REMSENOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/20/2005
  • LTC ACCOUNTING SERVICES, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2020
  • PREMIER SENIOR MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2020
  • WILLIAMS & COMPANY PCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2020
  • CODY, MARKIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2012
  • CRONIN, CHERYLIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2023
  • DRAPER, THOMASIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2023
  • GEHA, ANDREWIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2020
  • GERGEN, ELIZABETHIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/10/2017
  • HEIDESCH, MARGARETIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2023

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

Reported hours and turnover

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

Total nurse hours3.30per resident day
RN hours0.77per resident day
Weekend nurse hours3.05per resident day
Staff turnover52.5%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Iowa ledger →

No second facility in the same city met the directory rule.

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.