Emmetsburg Care Center

Most serious in three years: immediate jeopardy to health or safety (J), at a standard inspection on Jul 28, 2025

When those citations happened

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

All 22 citations in the last three years

Grouped by inspection, newest first. Each carries CMS’s severity letter: what this means, from A, the least serious, to L, the most. 14 came from complaint inspections.

• Certified for Medicare and Medicaid since Aug 1, 1997.
• Not on CMS’s special focus list.
• No abuse icon from CMS.
• No change of ownership in the last 12 months.
• CMS lists its ownership as for profit, corporation.
• 46 certified beds.

• 1 fine in the last three years, $25,695 in all.
• No Medicare payment denials in the last three years.
• 14 citations in the last three years came from complaint inspections.

• Iowa Portfolio OPCO Holdings LLC owns 100% directly since Aug 15, 2024.
• Legacy Healthcare Financial Services LLC runs it.
• 59 owners or officers are people: Kay Thayer (runs it (operational or managerial control)); Kay Thayer (additional disclosable party (controls, leases property to, or provides services to the home)); Amy Wright (runs it (operational or managerial control)); Amy Wright (additional disclosable party (controls, leases property to, or provides services to the home)); Dawn Runksmeier (runs it (operational or managerial control)); Dawn Runksmeier (additional disclosable party (controls, leases property to, or provides services to the home)); Sandra Staudt (runs it (operational or managerial control)); Sandra Staudt (additional disclosable party (controls, leases property to, or provides services to the home)); 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)); Joshua Seu (runs it (operational or managerial control)); Joshua Seu (additional disclosable party (controls, leases property to, or provides services to the home)); Brian Friedman (trustee); 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)); Menachem Shabat (corporate officer); Menachem Shabat (runs it (operational or managerial control)); Menachem Shabat (additional disclosable party (controls, leases property to, or provides services to the home)); Patricia Otterbeck (runs it (operational or managerial control)); Patricia Otterbeck (additional disclosable party (controls, leases property to, or provides services to the home)); Rivka Rajchenbach (trustee); 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)); 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)); Avrum Rajchenbach (trustee); Rosemary Wood (runs it (operational or managerial control)); Rosemary Wood (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)); Kathleen Scott (runs it (operational or managerial control)); Kathleen Scott (additional disclosable party (controls, leases property to, or provides services to the home)); Lee Kamstra (runs it (operational or managerial control)); Lee Kamstra (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)); Ahuva Shabat (trustee); Michele Knutson (runs it (operational or managerial control)); Michele Knutson (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.
• No real-estate investment trust among the owners CMS lists.

• CMS rates its quality measures 4 of 5 (Iowa average 3.4).

• Among the 12 nearest homes, within 24.0 miles, this one had the 1st most health citations at the latest inspection cycle (16; the middle value was 2.5).

• 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.

• 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).

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