Northgate Care Center
Waukon, Allamakee County, Iowa · CCN 165338 · For-profit (Corporation) · part of Legacy Healthcare (89 facilities, chain average 2.9 stars)
CMS rates Northgate Care Center 1 of 5 overall as of August 2026. 50 certified beds, 41 residents a day on average. 20 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $87,160.
On record
- Special Focus Facility candidate. On CMS’s list of facilities that qualify for the program but are not yet in it.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 2 of 5 |
Staffing
| Total nurse staffing | 2.97077 hours per resident per day |
|---|---|
| Registered nurses | 0.39601 hours per resident per day |
| Weekend total | 2.61904 hours per resident per day |
| Nursing staff turnover | 34.3% |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-04 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
L Immediate jeopardy to resident health or safety; widespread | Deficient, Provider has date of correction 2026-03-25 |
| 2026-03-04 complaint survey |
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. Pharmacy Service Deficiencies · tag F0761 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-04-02 |
| 2026-03-04 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · tag F0865 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-04-02 |
| 2026-03-04 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-04-02 |
| 2026-03-04 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-02 |
| 2026-03-04 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-02 |
| 2026-03-04 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-02 |
| 2026-03-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-02 |
| 2026-03-04 | 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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-02 |
| 2026-03-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-02 |
| 2025-11-14 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-11-24 |
| 2025-11-14 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-08 |
| 2025-11-14 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-08 |
| 2025-11-14 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-08 |
| 2025-11-14 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-08 |
| 2025-11-14 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-08 |
| 2025-11-14 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-08 |
| 2025-11-14 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-08 |
| 2024-09-22 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-10 |
| 2024-04-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-25 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-04 | Fine | $87,160 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Cascade Capital Holdings LLC Organization | adp of the snf | — | 2024-08-15 |
| Cascade Capital Partners LLC Organization | adp of the snf | — | 2024-08-15 |
| Ccg Gorgona LLC Organization | adp of the snf | — | 2024-08-15 |
| Gorgona Holdco LLC Organization | adp of the snf | — | 2024-08-15 |
| Gorgona Propco Holdings LLC Organization | adp of the snf | — | 2024-08-15 |
| Gorgona Sub Holdco LLC Organization | adp of the snf | — | 2024-08-15 |
| Legacy Healthcare Financial Services LLC Organization | adp of the snf | — | 2024-08-15 |
| Mn8 Rh Holdco LLC Organization | adp of the snf | — | 2024-08-15 |
| Waukon Ia Property Holdings, LLC Organization | adp of the snf | — | 2024-08-15 |
| Legacy Healthcare Financial Services LLC Organization | operational/managerial control | — | 2024-08-15 |
| Beasley, Karla Individual | adp of the snf | — | 2024-08-15 |
| Behounek, Linsey Individual | adp of the snf | — | 2024-08-15 |
| Borcherding, Jenny Individual | adp of the snf | — | 2024-08-15 |
| Burken, Sheri Individual | adp of the snf | — | 2024-08-15 |
| Friedenberg, Laura Individual | adp of the snf | — | 2024-08-15 |
| Hedberg, Jennifer Individual | adp of the snf | — | 2024-08-15 |
| Hennager, Christina Individual | adp of the snf | — | 2024-08-15 |
| Heying, Larina Individual | adp of the snf | — | 2024-08-15 |
| Houston, Mindy Individual | adp of the snf | — | 2024-08-15 |
| Jaeger, Krystle Individual | adp of the snf | — | 2024-08-15 |
| Larson, Melissa Individual | adp of the snf | — | 2024-08-15 |
| Love-Steiber, Andrea Individual | adp of the snf | — | 2024-10-01 |
| Mcclure, Dorothy Individual | adp of the snf | — | 2024-08-15 |
| Otterbeck, Patricia Individual | adp of the snf | — | 2024-08-15 |
| Rajchenbach, Chaim Individual | adp of the snf | — | 2024-08-15 |
| Schwartz, David Individual | adp of the snf | — | 2025-03-10 |
| Shear, Kiley Individual | adp of the snf | — | 2024-08-15 |
| Van Veghel, Elizabeth Individual | adp of the snf | — | 2024-08-15 |
| Wierschem, Bobbie Individual | adp of the snf | — | 2024-08-15 |
| Wikan, Lou Ann Individual | adp of the snf | — | 2024-08-15 |
| Shabat, Menachem Individual | corporate officer | — | 2024-08-15 |
| Friedman, Brian Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-03-11 |
| Rajchenbach, Avrum Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-03-11 |
| Rajchenbach, Rivka Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-03-11 |
| Shabat, Ahuva Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-03-11 |
| Beasley, Karla Individual | operational/managerial control | — | 2024-08-15 |
| Behounek, Linsey Individual | operational/managerial control | — | 2024-08-15 |
| Borcherding, Jenny Individual | operational/managerial control | — | 2024-08-15 |
| Burken, Sheri Individual | operational/managerial control | — | 2024-08-15 |
| Friedenberg, Laura Individual | operational/managerial control | — | 2024-08-15 |
| Hedberg, Jennifer Individual | operational/managerial control | — | 2024-08-15 |
| Hennager, Christina Individual | operational/managerial control | — | 2024-08-15 |
| Heying, Larina Individual | operational/managerial control | — | 2024-08-15 |
| Houston, Mindy Individual | operational/managerial control | — | 2024-08-15 |
| Jaeger, Krystle Individual | operational/managerial control | — | 2024-08-15 |
| Larson, Melissa Individual | operational/managerial control | — | 2024-08-15 |
| Love-Steiber, Andrea Individual | operational/managerial control | — | 2024-10-01 |
| Mcclure, Dorothy Individual | operational/managerial control | — | 2024-08-15 |
| Otterbeck, Patricia Individual | operational/managerial control | — | 2024-08-15 |
| Rajchenbach, Chaim Individual | operational/managerial control | — | 2024-08-15 |
| Shabat, Menachem Individual | operational/managerial control | — | 2024-08-15 |
| Shear, Kiley Individual | operational/managerial control | — | 2024-08-15 |
| Van Veghel, Elizabeth Individual | operational/managerial control | — | 2024-08-15 |
| Wierschem, Bobbie Individual | operational/managerial control | — | 2024-08-15 |
| Wikan, Lou Ann Individual | operational/managerial control | — | 2024-08-15 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Northgate Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Allamakee County.