Southfield Wellness Community

2416 Des Moines Street · Webster City, IA · 50595 · 5158323881

65 certified beds For profit - Limited Liability company Chain: Legacy Healthcare Part of a CCRC

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $33,540 in fines in the last 24 months.
  • 4 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 76
Staffing 20% 71
Federal penalties 15% 50
Trend 10% 81
Context 5% 100

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: 4 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.713.48 min · 4.1 strong
RN hours / resident-day0.740.55–0.75
Weekend hours / resident-day3.34≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)2 · $71,897

Inspection citations (58 in the current record)

  • Potential for harm · D February 19, 2026

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected March 16, 2026 · Resident Rights

  • Potential for harm · D February 19, 2026

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected March 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 19, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected March 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 19, 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 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 19, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 16, 2026 · Quality of Life and Care

  • Potential for harm · D February 19, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 16, 2026 · Quality of Life and Care

  • Potential for harm · D February 19, 2026

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected March 16, 2026 · Pharmacy Service

  • Potential for harm · D February 19, 2026

    Ensure that residents are free from significant medication errors.

    Corrected March 16, 2026 · Pharmacy Service

  • Potential for harm · D February 19, 2026

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected March 16, 2026 · Administration

  • Potential for harm · D February 19, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 16, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 19, 2026 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 28, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 2, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 17, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected January 16, 2026 · Resident Rights

  • Potential for harm · D November 18, 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 December 19, 2025 · Resident Rights

  • Potential for harm · D November 18, 2025 · found via complaint

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected December 19, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 18, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 19, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 18, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 19, 2025 · Quality of Life and Care

  • Potential for harm · D November 18, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 19, 2025 · Quality of Life and Care

  • Potential for harm · E November 18, 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 December 19, 2025 · Nursing and Physician Services

  • Potential for harm · D March 3, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 2, 2025 · Resident Rights

  • Potential for harm · D March 3, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 2, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 3, 2025

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected April 2, 2025 · Quality of Life and Care

  • Potential for harm · E March 3, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 2, 2025 · Quality of Life and Care

  • Potential for harm · D March 3, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected April 2, 2025 · Quality of Life and Care

  • Potential for harm · D March 3, 2025

    Provide or arrange emergency care by a doctor 24 hours a day.

    Corrected April 2, 2025 · Nursing and Physician Services

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 4, 2024Fine$33,540
November 6, 2023Fine$38,357

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 165411 · certified since June 1, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.