01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-19 | 0 | 2025-06-19 | 2 |
| Cycle 2 | 2024-07-25 | 1 | 2024-07-25 | 1 |
| Cycle 3 | 2023-05-18 | 8 | 2023-05-18 | 6 |
CMS CCN 1653742026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Mill Valley Care Center
1201 Park Street · Bellevue, IA 52031 · Jackson County
Certified beds46CMS provider file
Recent citation rows18current 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.
02 / CITATION DETAIL
18 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-06-19 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-06-252025-06-19 · 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 · 2025-06-252024-07-25 · 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 · 2024-08-122024-07-25 · 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 · 2024-08-092024-02-08 · 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 · 2024-02-09 · complaint2023-05-18 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2023-06-052023-05-18 · FIREE0031Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Correction field: Deficient, Provider has date of correction · 2023-06-052023-05-18 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2023-06-082023-05-18 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2023-06-082023-05-18 · 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 · 2023-06-082023-05-18 · 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 · 2023-06-082023-05-18 · 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 · 2023-06-082023-05-18 · 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 · 2023-06-082023-05-18 · HEALTHF0725Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction field: Deficient, Provider has date of correction · 2023-06-082023-05-18 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2023-06-052023-05-18 · FIREK0346Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Correction field: Deficient, Provider has date of correction · 2023-06-052023-05-18 · FIREK0354Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Correction field: Deficient, Provider has date of correction · 2023-06-052023-05-18 · 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 · 2023-06-0103 / 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.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SCHNEIDER TRUST DATED AUGUST 30, 2017Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST6% · since 02/10/2026
- DEMPEWOLF, ROBERTIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST7% · since 01/08/2010
- FELDERMAN, KEVINIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/01/2020
- LONG, ANGIEIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/27/2013
- MUELLER, MARKIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/28/2024
- STRUM, KARENIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 05/22/2023
- WEBER, JEANNEIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/23/2020
- LONG, ANGIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2022
- FELDERMAN, KEVINIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/26/2022
- MUELLER, MARKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2023
- STRUM, KARENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/22/2023
- WEBER, JEANNEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/23/2020
- HUNTER, JEFFREYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2009
- KUETER, JILLIANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/19/2023
- SIEVERDING, LENAEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/03/2023
- SCHNEIDER TRUST DATED AUGUST 30, 2017Organization · ADP OF THE SNFNOT APPLICABLE · since 02/10/2026
- DEMPEWOLF, ROBERTIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/08/2010
- HUNTER, JEFFREYIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/01/2009
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 hours4.23per resident day
RN hours0.85per resident day
Weekend nurse hours3.65per resident day
Staff turnover46.4%CMS reported field
06 / LOCAL RECORDS
Open the Iowa ledger →Other published facilities nearby
No second facility in the same city met the directory rule.