ElderGrade
B

77/100

Above average

Nora Springs Care Center

907 W Congress, Nora Springs, IA 50458

CMS 4/5 stars #3 of 3 in Floyd County (641) 749-5331
Certified beds
50
Occupancy
88%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.64 total nurse hours per resident per day (national median 3.77)
  • 0.32 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 40% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.11 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.32 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.78 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 40.40%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 9 citations

Last standard health inspection: May 29, 2025 (1 year ago).

D Apr 14, 2026 F0580 From a complaint

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D Apr 14, 2026 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

D Jan 8, 2026 F0726 From a complaint

Nursing and Physician Services Deficiencies

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.

No actual harm, potential for more than minimal harm

D Nov 18, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D Jul 3, 2024 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D May 18, 2023 F0550

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D May 18, 2023 F0657

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D May 18, 2023 F0758

Pharmacy Service Deficiencies

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 m...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of LEGACY HEALTHCARE, which operates 89 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
DOROS GENERATION TRUST U/A/D 1/3/12 Organization INDIRECT OWNERSHIP INTEREST
GPN FAMILY TRUST U/A/D 4/28/08 Organization INDIRECT OWNERSHIP INTEREST
IOWA PORTFOLIO OPCO HOLDINGS LLC Organization INDIRECT OWNERSHIP INTEREST
OAKWAY OPERATIONS LLC Organization INDIRECT OWNERSHIP INTEREST
SHABAT, MENACHEM Individual CORPORATE OFFICER
LEGACY HEALTHCARE FINANCIAL SERVICES LLC Organization OPERATIONAL/MANAGERIAL CONTROL
BATES, KRISTINE Individual OPERATIONAL/MANAGERIAL CONTROL
BEASLEY, KARLA Individual OPERATIONAL/MANAGERIAL CONTROL
BEHOUNEK, LINSEY Individual OPERATIONAL/MANAGERIAL CONTROL
BORCHERDING, JENNY Individual OPERATIONAL/MANAGERIAL CONTROL
BURKEN, SHERI Individual OPERATIONAL/MANAGERIAL CONTROL
FRIEDENBERG, LAURA Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Nora Springs Care Center

What is the ElderGrade for Nora Springs Care Center? +

Nora Springs Care Center holds an ElderGrade of B (77 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Nora Springs Care Center? +

Residents receive an average of 3.11 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Nora Springs Care Center been cited for harming residents? +

No. None of the 9 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Nora Springs Care Center accept Medicaid? +

Yes, Nora Springs Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.