Caring Acres Nursing and Rehab Center
A nursing home in Anita, Iowa 50020
1000 Hillcrest Drive, Anita, Iowa 50020. (712) 762-3219.
- A candidate for CMS’s special focus list
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 31 health citations at the latest inspection cycle Iowa average: 6.6
- 3.13 nurse hours per resident per day Iowa average: 3.86
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
31 health citations at the latest inspection cycle
The Iowa average is 6.6.
Last standard inspection Feb 12, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Aug 2, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
66 citations in 10 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 66 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 42 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 26, 2026: complaint inspection14 citations
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
-
Ensure each resident receives an accurate assessment.
-
Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Provide and implement an infection prevention and control program.
-
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
-
Have policies on smoking.
Jun 4, 2026: complaint inspection7 citations
-
Honor the resident’s right to manage his or her financial affairs.
-
Properly hold, secure, and manage each resident’s personal money which is deposited with the nursing home.
-
Keep residents’ personal and medical records private and confidential.
-
Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
-
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
-
Provide and implement an infection prevention and control program.
Feb 12, 2026: standard inspection6 citations
-
Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Provide and implement an infection prevention and control program.
Feb 12, 2026: standard and complaint inspection1 citation
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
Oct 14, 2025: complaint inspection3 citations
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
-
Have a plan that describes the process for conducting QAPI and QAA activities.
Jun 19, 2025: complaint inspection6 citations
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Ensure services provided by the nursing facility meet professional standards of quality.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 20, 2025: standard inspection15 citations
-
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
-
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
-
Ensure services provided by the nursing facility meet professional standards of quality.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
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.
-
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 limited.
-
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
-
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
-
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
-
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
-
Provide and implement an infection prevention and control program.
-
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
-
Develop and implement policies and procedures for flu and pneumonia vaccinations.
-
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.
-
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Feb 20, 2025: standard and complaint inspection2 citations
-
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nov 26, 2024: complaint inspection4 citations
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
-
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Aug 2, 2024: complaint inspection3 citations
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Jun 25, 2024: complaint inspection2 citations
-
Ensure services provided by the nursing facility meet professional standards of quality.
-
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Mar 21, 2024: standard inspection3 citations
-
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
-
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since May 1, 1994.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 41 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $51,773 in all.
- No Medicare payment denials in the last three years.
- 42 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Aug 2, 2024 | Fine | $51,773 |
Who does the caring?
3.13 nurse hours per resident per day
The Iowa average is 3.86.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Iowa average |
|---|---|---|
| Nurse hours per resident per day | 3.13 | 3.86 |
| Of which registered nurses | 1.13 | 0.74 |
| At weekends | 2.87 | 3.38 |
| Nursing staff turnover | 80.6% | 44.1% |
| Registered nurse turnover | 50% | 42.1% |
| Administrators who left | 2 | Not given |
Who owns it?
- ANEW Holdings Iowa LLC owns 100% directly since Nov 1, 2022.
- Cornerstone Services LLC runs it.
- 11 owners or officers are people: Mark A Hastings (owns 5% or more through other companies, 100%); Mark A Hastings (corporate officer, 100%); Rebecca Peterson (runs it (operational or managerial control)); Rebecca Peterson (additional disclosable party (controls, leases property to, or provides services to the home)); Tracy Thoren (runs it (operational or managerial control)); Tracy Thoren (additional disclosable party (controls, leases property to, or provides services to the home)); Daniel Miller (runs it (operational or managerial control)); Daniel Miller (additional disclosable party (controls, leases property to, or provides services to the home)); Michael Flanagan (runs it (operational or managerial control)); Michael Flanagan (on the governing body (managing control)); Michael Flanagan (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| ANEW Holdings Iowa LLC | Owns 5% or more directly | 100% | Nov 1, 2022 |
| 1000 Hillcrest Drive Propco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 1, 2022 | |
| Cornerstone Services LLC | Runs it (operational or managerial control) | Mar 1, 2026 | |
| Cornerstone Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2026 |
How do residents fare?
- CMS rates its quality measures 1 of 5 (Iowa average 3.4).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 1 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 30.5 miles, this one had the 1st most health citations at the latest inspection cycle (31; the middle value was 8).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Caring Acres Nursing and Rehab Center This nursing home | 31 | |
| Exira Care Center | 11.9 | 11 |
| Atlantic Specialty Care | 12.2 | 6 |
| Heritage House | 12.3 | 4 |
| Salem Lutheran Home | 18.6 | 18 |
| Greenfield Rehabilitation & Health Care Center | 18.8 | 9 |
| Friendship Home Association | 21.1 | 9 |
| The New Homestead Care Center | 22.4 | 3 |
| Community Care Center | 23.5 | 10 |
| Panora Specialty Care | 27.8 | 3 |
| Corning Specialty Care | 30.3 | 2 |
| Thomas Rest Haven | 30.5 | 7 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.