Hearth Record

Lake Mills Care Center

A nursing home in Lake Mills, Iowa 50450

406 South Tenth Avenue East, Lake Mills, Iowa 50450. (641) 592-4900.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 9 citations in 4 months of the last 36. Last cited Aug 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
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.
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?

5 health citations at the latest inspection cycle

The Iowa average is 6.6.

Last standard inspection Apr 15, 2026.

Most serious in three years: actual harm (G), at a complaint inspection on Oct 16, 2025

Source:

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

When those citations happened

9 citations in 4 months of the last 36. Last cited Aug 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

9 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 9 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 4 came from complaint inspections.

Source:

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

Aug 18, 2026: complaint inspection3 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint.

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

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint.

Apr 15, 2026: 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 1, 2026.

Oct 16, 2025: complaint inspection1 citation
  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. G: actual harm. From a complaint. Correction date, as CMS recorded it: Oct 27, 2025.

Apr 9, 2025: standard inspection4 citations
  • 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. Correction date, as CMS recorded it: Apr 30, 2025.

  • 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 30, 2025.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2025.

  • Post nurse staffing information every day.

    Rule F0732. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Apr 30, 2025.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Oct 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.
  • 61 certified beds.
Source:

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

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 4 citations in the last three years came from complaint inspections.
Source:

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

Who does the caring?

3.44 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 day3.443.86
Of which registered nurses0.350.74
At weekends3.113.38
Nursing staff turnover33.3%44.1%
Registered nurse turnoverNot given42.1%
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.
  • 59 owners or officers are people: Julie Helgeson (runs it (operational or managerial control)); Julie Helgeson (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)); Brittany R Waletzko Bartz (runs it (operational or managerial control)); Brittany R Waletzko Bartz (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 (on the governing body (managing 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)); Krystal Thoe (runs it (operational or managerial control)); Krystal Thoe (additional disclosable party (controls, leases property to, or provides services to the home)); 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)); 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.
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
Gorgona Sub Holdco LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 15, 2024
Lake Mills IA Property Holdings, 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
Cascade Capital Holdings 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
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 5 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 rating4 of 5
Health inspections3 of 5
Staffing3 of 5
Quality measures5 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 27.9 miles, this one had the 6th most health citations at the latest inspection cycle (5; the middle value was 5).
Source:

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

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

Every fact names its source.

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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