Hearth Record

Northgate Care Center

A nursing home in Waukon, Iowa 52172

960 4th Street NW, Waukon, Iowa 52172. (563) 568-3493.

  • A candidate for CMS’s special focus list
CMS’s own record, on Care Compare

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.

The last 24 months 20 citations in 4 months of the last 36. Last cited Mar 2026. Most serious: immediate jeopardy to health or safety (L). Every month

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?

18 health citations at the latest inspection cycle

The Iowa average is 6.6.

Last standard inspection Mar 4, 2026.

Most serious in three years: immediate jeopardy to health or safety (L), at a standard and complaint inspection on Mar 4, 2026

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

20 citations in 4 months of the last 36. Last cited Mar 2026. Most serious: immediate jeopardy to health or safety (L). The last 3 years, to Nov 5, 2026.

20 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 20 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 11 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Mar 4, 2026: standard inspection8 citations
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Rule F0552. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 2, 2026.

  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

    Rule F0605. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 2, 2026.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 2, 2026.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 2, 2026.

  • 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.

    Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 2, 2026.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 2, 2026.

  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Rule F0865. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 2, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 2, 2026.

Mar 4, 2026: standard and complaint inspection2 citations
  • Ensure that residents are free from significant medication errors.

    Rule F0760. L: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Mar 25, 2026.

  • 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.

    Rule F0761. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 2, 2026.

Nov 14, 2025: complaint inspection8 citations
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. G: actual harm. From a complaint. Correction date, as CMS recorded it: Nov 24, 2025.

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 8, 2025.

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 8, 2025.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 8, 2025.

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 8, 2025.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 8, 2025.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 8, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 8, 2025.

Sep 22, 2024: complaint inspection1 citation
  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 10, 2024.

Apr 25, 2024: standard inspection1 citation
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Aug 1, 1997.
  • 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, corporation.
  • 50 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $56,655 in all.
  • No Medicare payment denials in the last three years.
  • 11 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Mar 4, 2026Fine$56,655

Who does the caring?

3.43 nurse hours per resident per day

The Iowa average is 3.86.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeIowa average
Nurse hours per resident per day3.433.86
Of which registered nurses0.590.74
At weekends2.863.38
Nursing staff turnover55.3%44.1%
Registered nurse turnover40%42.1%
Administrators who left0Not given

Who owns it?

  • Iowa Portfolio OPCO Holdings LLC owns 100% directly since Aug 15, 2024.
  • Legacy Healthcare Financial Services LLC runs it.
  • 41 owners or officers are people: Mindy Houston (runs it (operational or managerial control)); Mindy Houston (additional disclosable party (controls, leases property to, or provides services to the home)); Larina Heying (runs it (operational or managerial control)); Larina Heying (additional disclosable party (controls, leases property to, or provides services to the home)); Jenny Borcherding (runs it (operational or managerial control)); Jenny Borcherding (additional disclosable party (controls, leases property to, or provides services to the home)); Jennifer Hedberg (runs it (operational or managerial control)); Jennifer Hedberg (additional disclosable party (controls, leases property to, or provides services to the home)); Laura Friedenberg (runs it (operational or managerial control)); Laura Friedenberg (additional disclosable party (controls, leases property to, or provides services to the home)); Lou Ann Wikan (runs it (operational or managerial control)); Lou Ann Wikan (additional disclosable party (controls, leases property to, or provides services to the home)); Menachem Shabat (corporate officer); Menachem Shabat (runs it (operational or managerial control)); Patricia Otterbeck (runs it (operational or managerial control)); Patricia Otterbeck (additional disclosable party (controls, leases property to, or provides services to the home)); Melissa Larson (runs it (operational or managerial control)); Melissa Larson (additional disclosable party (controls, leases property to, or provides services to the home)); Chaim Rajchenbach (runs it (operational or managerial control)); Chaim Rajchenbach (additional disclosable party (controls, leases property to, or provides services to the home)); Elizabeth Van Veghel (runs it (operational or managerial control)); Elizabeth Van Veghel (additional disclosable party (controls, leases property to, or provides services to the home)); David B Schwartz (additional disclosable party (controls, leases property to, or provides services to the home)); Karla Beasley (runs it (operational or managerial control)); Karla Beasley (additional disclosable party (controls, leases property to, or provides services to the home)); Bobbie Wierschem (runs it (operational or managerial control)); Bobbie Wierschem (additional disclosable party (controls, leases property to, or provides services to the home)); Kiley Shear (runs it (operational or managerial control)); Kiley Shear (additional disclosable party (controls, leases property to, or provides services to the home)); Dorothy Mcclure (runs it (operational or managerial control)); Dorothy Mcclure (additional disclosable party (controls, leases property to, or provides services to the home)); Andrea Love-Steiber (runs it (operational or managerial control)); Andrea Love-Steiber (additional disclosable party (controls, leases property to, or provides services to the home)); Linsey Behounek (runs it (operational or managerial control)); Linsey Behounek (additional disclosable party (controls, leases property to, or provides services to the home)); Sheri Burken (runs it (operational or managerial control)); Sheri Burken (additional disclosable party (controls, leases property to, or provides services to the home)); Christina Hennager (runs it (operational or managerial control)); Christina Hennager (additional disclosable party (controls, leases property to, or provides services to the home)); Krystle Jaeger (runs it (operational or managerial control)); Krystle Jaeger (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Legacy Healthcare (96 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • A real-estate investment trust is among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Iowa Portfolio OPCO Holdings LLCOwns 5% or more directly100%Aug 15, 2024
Gpn Family Trust U/A/D 4/28/08Owns 5% or more through other companies45.5%Aug 15, 2024
Oakway Operations LLCOwns 5% or more through other companies22.5%Aug 15, 2024
Doros Generation Trust U/A/D 1/3/12Owns 5% or more through other companies5%Aug 15, 2024
Waukon IA Property Holdings, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 15, 2024
Gorgona Sub Holdco LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 15, 2024
Mn8 Rh Holdco LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 15, 2024
Legacy Healthcare Financial Services LLCRuns it (operational or managerial control)Aug 15, 2024
Legacy Healthcare Financial Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 15, 2024
Cascade Capital Partners LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 15, 2024
Ccg Gorgona LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 15, 2024
Gorgona Propco Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 15, 2024
Cascade Capital Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 15, 2024
Gorgona Holdco LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 15, 2024

How do residents fare?

  • CMS rates its quality measures 3 of 5 (Iowa average 3.4).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing4 of 5
Quality measures3 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 30.2 miles, this one had the 2nd most health citations at the latest inspection cycle (18; the middle value was 6.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Northgate Care Center This nursing home18
Good Samaritan - Waukon0.89
Wellington Place13.30
Thornton Manor Nursing and Care Center13.62
The Highlands15.85
Ossian Care Center17.19
Tweeten Lutheran Health Care Center20.723
Great River Care Center23.12
Prairie Maison23.97
Green Lea Senior Living25.117
Good Samaritan - West Union27.16
Elkader Care Center30.20

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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