Nora Springs Care Center
907 W Congress · Nora Springs, IA · 50458 · 6417495331
50 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Cleaner inspection record than most facilities nationally.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 3.04 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (9 in the current record)
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Potential for harm · D April 14, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 16, 2026 · Resident Rights
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Potential for harm · D April 14, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 16, 2026 · Pharmacy Service
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Potential for harm · D January 8, 2026 · found via complaint
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 January 15, 2026 · Nursing and Physician Services
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Potential for harm · D November 18, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 3, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 4, 2024 · Nutrition and Dietary
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Potential for harm · D May 18, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 18, 2023 · Resident Rights
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Potential for harm · D May 18, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 18, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 18, 2023
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 June 18, 2023 · Pharmacy Service
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Potential for harm · D May 18, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 18, 2023 · Nutrition and Dietary
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165347 · certified since September 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.