Caring Acres Nursing and Rehab Center
1000 Hillcrest Drive · Anita, IA · 50020 · 7127623219
41 certified beds For profit - Limited Liability company Chain: Anew Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $51,773 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
4 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$51,773 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.94 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
90% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.99 | 0.55–0.75 |
| Weekend hours / resident-day | 2.50 | ≈ weekday level |
| Nursing turnover / year | 90% | median 45% |
| Fines (3-yr window) | 2 · $73,488 |
Inspection citations (53 in the current record)
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Potential for harm · D February 12, 2026
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 13, 2026 · Resident Rights
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Potential for harm · D February 12, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 12, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 13, 2026 · Nutrition and Dietary
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Potential for harm · D February 12, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 13, 2026 · Nutrition and Dietary
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Potential for harm · D February 12, 2026
Provide and implement an infection prevention and control program.
Corrected March 13, 2026 · Infection Control
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Potential for harm · E February 12, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 13, 2026 · Quality of Life and Care
-
Potential for harm · D October 14, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 14, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 14, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected December 4, 2025 · Administration
-
Actual harm · G June 19, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 2, 2025 · Quality of Life and Care
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Potential for harm · D June 19, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 2, 2025 · Resident Rights
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Potential for harm · D June 19, 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 July 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 19, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 19, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 19, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 2, 2025 · Quality of Life and Care
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Potential for harm · D February 20, 2025
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected March 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 20, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 20, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 20, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 4, 2025 · Quality of Life and Care
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Potential for harm · E February 20, 2025
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.
Corrected March 4, 2025 · Nursing and Physician Services
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Potential for harm · D February 20, 2025
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.
Corrected March 4, 2025 · Pharmacy Service
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Potential for harm · D February 20, 2025
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected March 4, 2025 · Administration
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Potential for harm · F February 20, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected March 4, 2025 · Administration
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Potential for harm · F February 20, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 4, 2025 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 2, 2024 | Fine | $51,773 |
| August 3, 2023 | Fine | $21,715 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165217 · certified since May 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.