Altoona Nursing and Rehabilitation Center
200 Seventh Avenue Sw · Altoona, IA · 50009 · 5159674267
106 certified beds For profit - Limited Liability company Chain: Campbell Street Services
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (48 in the current record)
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Potential for harm · D March 19, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 8, 2026 · Resident Rights
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Potential for harm · E March 19, 2026
Ensure each resident receives an accurate assessment.
Corrected April 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · D October 30, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 30, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected November 20, 2025 · Nursing and Physician Services
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Potential for harm · D October 30, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 26, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected July 18, 2025 · Resident Rights
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Potential for harm · D June 26, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 18, 2025 · Pharmacy Service
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Potential for harm · D February 27, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 20, 2025 · Quality of Life and Care
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Potential for harm · E February 27, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected March 20, 2025 · Administration
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Potential for harm · D February 27, 2025
Provide and implement an infection prevention and control program.
Corrected March 20, 2025 · Infection Control
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Potential for harm · D February 27, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 20, 2025 · Resident Rights
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Potential for harm · E February 27, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 20, 2025 · Resident Rights
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Potential for harm · D February 27, 2025 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 20, 2025 · Quality of Life and Care
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Potential for harm · E February 27, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 20, 2025 · Quality of Life and Care
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Potential for harm · E February 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 20, 2025 · Quality of Life and Care
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Potential for harm · E February 27, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 20, 2025 · Nursing and Physician Services
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Potential for harm · D February 27, 2025 · found via complaint
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected March 20, 2025 · Administration
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Potential for harm · E August 7, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 22, 2024 · Quality of Life and Care
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Potential for harm · D August 7, 2024 · found via complaint
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.
Corrected August 22, 2024 · Quality of Life and Care
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Potential for harm · D August 7, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 22, 2024 · Quality of Life and Care
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Potential for harm · E August 7, 2024 · found via complaint
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.
Corrected August 22, 2024 · Pharmacy Service
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Potential for harm · D April 11, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 2, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165162 · certified since August 5, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.