Nora Springs Care Center
Nora Springs, Floyd County, Iowa · CCN 165347 · For-profit (LLC) · part of Legacy Healthcare (89 facilities, chain average 2.9 stars)
CMS rates Nora Springs Care Center 4 of 5 overall as of August 2026. 50 certified beds, 44 residents a day on average. 9 citations on record from the current inspection cycles; no fines on record.
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 | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 4 of 5 |
Staffing
| Total nurse staffing | 3.10905 hours per resident per day |
|---|---|
| Registered nurses | 0.32182 hours per resident per day |
| Weekend total | 2.78388 hours per resident per day |
| Nursing staff turnover | 40.4% (registered nurses 50%) |
| Administrators who left | 1 |
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 |
|---|---|---|---|
| 2026-04-14 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 2026-04-16 |
| 2026-04-14 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 2026-04-16 |
| 2026-01-08 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-15 |
| 2025-11-18 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-11-20 |
| 2024-07-03 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-04 |
| 2023-05-18 | 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 2023-06-18 |
| 2023-05-18 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-18 |
| 2023-05-18 | 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 medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-18 |
| 2023-05-18 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-18 |
Fines and payment denials
No fines or payment denials on record since 2023.
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 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 |
| Nora Springs Ia Property Holdings LLC Organization | adp of the snf | — | 2024-08-15 |
| Doros Generation Trust U/A/D 1/3/12 Organization | indirect ownership interest | — | 2024-08-15 |
| Gpn Family Trust U/A/D 4/28/08 Organization | indirect ownership interest | — | 2024-08-15 |
| Iowa Portfolio Opco Holdings LLC Organization | indirect ownership interest | — | 2024-08-15 |
| Oakway Operations LLC Organization | indirect ownership interest | — | 2024-08-15 |
| Legacy Healthcare Financial Services LLC Organization | operational/managerial control | — | 2024-08-15 |
| Gpn Family Trust U/A/D 4/28/08 Organization | trustee of the snf | — | 2024-08-15 |
| Bates, Kristine Individual | adp of the snf | — | 2025-07-09 |
| 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 |
| 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 |
| Kapler, Lisa Individual | adp of the snf | — | 2024-08-15 |
| Larson, Melissa Individual | adp of the snf | — | 2024-08-15 |
| 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 |
| Shabat, Menachem Individual | adp of the snf | — | 2024-08-15 |
| Shear, Kiley Individual | adp of the snf | — | 2024-08-15 |
| Thorson, Lindsey Individual | adp of the snf | — | 2025-07-08 |
| Van Veghel, Elizabeth Individual | adp of the snf | — | 2024-08-15 |
| Wierschem, Bobbie 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 | — | 2025-04-02 |
| Rajchenbach, Avrum Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-02 |
| Shabat, Ahuva Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-02 |
| Bates, Kristine Individual | operational/managerial control | — | 2025-07-09 |
| 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 |
| 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 |
| 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 |
| Thorson, Lindsey Individual | operational/managerial control | — | 2025-07-08 |
| Van Veghel, Elizabeth Individual | operational/managerial control | — | 2024-08-15 |
| Wierschem, Bobbie Individual | operational/managerial control | — | 2024-08-15 |
| Rajchenbach, Rivka Individual | trustee of the snf | — | 2008-04-28 |
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 Nora Springs 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 Floyd County.