01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-22 | 3 | 2025-05-22 | 3 |
| Cycle 2 | 2024-06-27 | 10 | 2024-06-27 | 4 |
| Cycle 3 | 2023-03-23 | 0 | 2023-03-23 | 3 |
CMS CCN 1654652026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Newaldaya Lifescapes
7511 University Avenue · Cedar Falls, IA 50613 · Black Hawk County
Certified beds112CMS provider file
Recent citation rows23current 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.
02 / CITATION DETAIL
23 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-22 · 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 · 2026-05-04 · complaint2025-05-22 · 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 · 2025-06-102025-05-22 · 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 · 2025-06-102025-05-22 · FIREK0291Severity F · widespread; 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 · 2025-05-282025-05-22 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-05-202025-05-22 · FIREK0920Severity F · widespread; 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 · 2025-05-202025-02-25 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2025-03-13 · complaint2024-06-27 · 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 · 2024-07-252024-06-27 · HEALTHF0636Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2024-07-25 · complaint2024-06-27 · HEALTHF0637Severity B · pattern; potential for 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 · 2024-07-25 · complaint2024-06-27 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-07-25 · complaint2024-06-27 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2024-07-25 · complaint2024-06-27 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2024-07-252024-06-27 · 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 · 2024-07-252024-06-27 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2024-07-25 · complaint2024-06-27 · HEALTHF0700Severity K · pattern of immediate jeopardy
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Correction field: Deficient, Provider has date of correction · 2024-07-25 · complaint2024-06-27 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-07-092024-06-27 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-07-102024-06-27 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2024-07-092024-06-27 · 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 · 2024-07-302023-03-23 · 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 · 2023-04-062023-03-23 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2023-03-302023-03-23 · 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 · 2023-03-3003 / 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 |
|---|---|---|---|
| 2024-06-27 | Fine | $132,074 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CEDAR FALLS LUTHERAN HOMEOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/15/2015
- CURLEY, AMYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/13/2025
- FISHEL, JEFFIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/13/2025
- GILLETT, DARRINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/13/2025
- HEINEN, ANNELIEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/13/2025
- KESTNER, DIANEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/13/2025
- LUPKES, BEVERLYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/13/2025
- MCHOLM, DREWIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/13/2025
- SPEARS, RONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/13/2025
- HATCH, SHELLEENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/09/2025
- JASPER, CRYSTALIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/27/2016
- O'NEILL-GLEASON, ERINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2017
- RAMESH, PRADEEPIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2023
- SCHEFF, DAWNAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/14/2022
- HATCH, SHELLEENIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/04/1992
- JASPER, CRYSTALIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/14/2025
- RAMESH, PRADEEPIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/28/2025
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 hours4.52per resident day
RN hours0.65per resident day
Weekend nurse hours4.08per resident day
Staff turnover41.6%CMS reported field
06 / LOCAL RECORDS
Open the Cedar Falls ledger →