Northgate Care Center
960 4Th Street Nw, Waukon, IA, 52172
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal 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.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Legacy Healthcare
- Certified beds
- 50 · avg 40 residents/day
- Total nursing staff turnover
- 25.8% — lower than most Iowa nursing homesIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 40% — near the Iowa averageIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $71,110 total
Medicare certification
- CMS Certification Number
- 165338
- Certified beds
- 50 beds · avg 40 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Waukon Ia Skilled Nursing Facility Llc
- Chain affiliation
- Legacy Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
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 (34 on record)
- David b Schwartz
Adp of The Snf · since 2025
- Andrea Love-steiber
Operational/managerial Control · since 2024
- 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
+ 28 additional owners on the federal record.
Recent change of ownership
August 2024 (1 year ago) · acquired from Northgate 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
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 20)
- F0761·Mar 4, 2026Complaint
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- L0760·Mar 4, 2026Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0880·Mar 4, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0865·Mar 4, 2026
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
- D0689·Mar 4, 2026
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0688·Mar 4, 2026
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D0684·Mar 4, 2026
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0641·Mar 4, 2026
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Federal penalties
By year
- 20261 fine · $71K
Most recent events
- Mar 4, 2026Fine · $71K
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Apr 25, 2024. 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 Northgate 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.
Order the full background report — $249Where 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.