CareWitness
Federal record · CMS Care Compare · CCN 165347 · Processed JUN 1 2026
CareWitnessIowaNora SpringsNursing HomesNora Springs Care Center

Nora Springs Care Center

907 W Congress, Nora Springs, IA, 50458

Type
Nursing home
Medicare/Medicaid certified · CCN 165347

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall4 / 5
Health inspections4 / 5
Staffing3 / 5
Quality measures4 / 5

Facility & Staffing

Ownership
For profit - Limited Liability company · Chain: Legacy Healthcare
Certified beds
50 · avg 42 residents/day
Total nursing staff turnover
42.6%near the Iowa averageIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
RN turnover
60%higher than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
Administrators who left
1 departednear the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare

Medicare certification

CMS Certification Number
165347
Certified beds
50 beds · avg 42 residents/day
Ownership type
For profit - Limited Liability company
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Nora Springs Ia Skilled Nursing Facility Llc
Chain affiliation
Legacy Healthcare

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlcHolding company in ownership

Chain affiliation

Part of the Legacy Healthcare chain — 89 facilities across 3 states. Chain-wide average overall rating 2.9 / 5.

Parent entity

Iowa Portfolio Opco Holdings Llc

Disclosed owners (33 on record)

  • Kristine Bates

    Operational/managerial Control · since 2025

  • Lindsey Thorson

    Operational/managerial Control · since 2025

  • Bobbie Wierschem

    Operational/managerial Control · since 2024

  • Cascade Capital Holdings LlcHolding

    Adp of The Snf · since 2024

  • Cascade Capital Partners LlcHolding

    Adp of The Snf · since 2024

  • Ccg Gorgona LlcHolding

    Adp of The Snf · since 2024

+ 27 additional owners on the federal record.

Recent change of ownership

August 2024 (1 year ago) · acquired from Nora Springs Care Center

Transaction type: Change of Ownership

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.

Federal inspection record

9 health citations on file4 from complaints

Recent health-deficiency citations (most recent 8 of 9)

  • D0760·Apr 14, 2026Complaint

    Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

  • D0580·Apr 14, 2026Complaint

    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.

  • D0726·Jan 8, 2026Complaint

    Nursing and Physician Services Deficiencies

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

  • D0609·Nov 18, 2025Complaint

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • D0812·Jul 3, 2024

    Nutrition and Dietary Deficiencies

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

  • D0812·May 18, 2023

    Nutrition and Dietary Deficiencies

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

  • D0758·May 18, 2023

    Pharmacy Service Deficiencies

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is li

  • D0657·May 18, 2023

    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.

View the full inspection history on CMS Care Compare →

Fire-safety citations

8 Life-Safety-Code citations on file. Most recent: May 29, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Nora Springs Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.