Occupancy rate
86%
In line with Iowa averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Anamosa Care Center
Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Anamosa Care Center
Anamosa Care Center provides a full range of services for older adults in a quiet, residential setting in Anamosa, Iowa. The center offers skilled rehabilitation, long-term care, outpatient therapy, and hospice services. It also provides independent and assisted living lifestyle options and apartment homes in adjacent Woodland Park.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
64
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
85.9%
Residents per day (avg)
55
Occupancy rate
85.9%
Residents per day (avg)
55
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
51% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
47% of new residents, often for short stays.
Typical stay
11 - 12 months
Medicaid
2% of new residents, often for long-term daily care.
Typical stay
26 - 27 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$7.4M
Profit
$945.4K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$7.4M
Profit
$945.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.4M
64-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Iowa averageOccupied beds
55 / 64
Average residents
51 per day
Facility TypeFree Standing Nf/snf
StatusActive
CountyJones
License Number530253
CMS Certification Number165375
Certification TypeFALSE
Anamosa Care Center is administrated by Ashley Wirth.
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Skilled Rehabilitation
Email
[email protected]
Fax3194626094
Specific ProgramsLong-Term Care, Assisted Living, Skilled Rehabilitation, Activities & News, Contact Us
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
17 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
August 26, 2025
11 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Anamosa Care Center
The most recent inspection on August 26, 2025 found the facility in substantial compliance with no deficiencies cited. Earlier inspections identified deficiencies related to resident dignity and timely nursing assistance, quality of care including injury assessment and staff performance reviews, and administrative issues such as background checks and accurate reporting. Complaint investigations were generally unsubstantiated, with the facility found in substantial compliance in all recent complaint-related inspections. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility’s inspection history shows some recurring themes around resident care and staffing, but recent findings suggest improvement in addressing prior deficiencies.
Health Inspection History
Inspections
Total health inspections
4
Iowa average 4.9
Last Health inspection on Jun 2025
Total health citations
8
Iowa average 21.7
Citations per inspection
2
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 8 citations resulted from standard inspections; 1 of 8 resulted from complaint investigations; and 1 of 8 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
1
1
11% worse than Iowa averageIowa average: 0.9
0 critical citations
1 serious citation
7 moderate citations
0 minor citations
Citations history (last 3 years)
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Jun 12, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Jun 12, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 12, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 12, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Jul 25, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Jul 25, 2024
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Jul 25, 2024
Issues related to the availability and quality of nursing staff and the care they provide.
Jul 25, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
| Anamosa Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Anamosa | 64 | 88.5% | +17% | 4.15 | +30% | -3% | 0 | 8 | 2.0 | 1 | 55 | - | - | Sigler, Sheri | $6.6M | $2.6M | 38.9% | 165375 | ||||
| Akron Care Center, INC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Akron | 45 | 98.1% | +30% | 4.71 | +15% | +10% | 0 | 4 | 2.0 | 0 | 42 | - | - | City Of Akron | $4.7M | $2.1M | 46.1% | 165595 | ||||
| Accura HealthCare of Carlisle |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Carlisle | 46 | 80.5% | +7% | 5.85 | -40% | +36% | 0 | 17 | 5.7 | 2 | 39 | - | - | American Healthcare Associates Inc | $4.1M | $2.5M | 59.9% | 165311 | ||||
| Accura Healthcare of Spirit Lake |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Spirit Lake | 85 | 66.6% | -12% | 4.29 | -8% | 0% | 1 | 21 | 7.0 | 1 | 65 | - | - | - | $7.1M | $3.0M | 42.7% | 165528 | ||||
| Accura Healthcare of Lake City, LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lake City | 46 | 70.4% | -7% | 5.17 | -33% | +20% | 4 | 39 | 3.9 | 4 | 40 | - | - | Accura Healthcare Of The Heartland Llc | $2.0M | $1.0M | 47.4% | 165082 |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
107
Employees
51
Contractors
56
Staff to resident ratio
1.95:1
0% compared with Iowa averageIowa average ratio: 2.00:1
Avg staff/day
27
Average shift
7.9 hours
7% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
19,406
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
53
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
10.6%
2,062 contractor hours this quarter
Certified Nursing Assistant: 18
Registered Nurse: 9
Licensed Practical Nurse: 6
Qualified Social Worker: 4
Respiratory Therapy Technician: 4
Clinical Nurse Specialist: 4
Physical Therapy Assistant: 3
Physical Therapy Aide: 2
Occupational Therapy Aide: 2
Therapeutic Recreation Specialist: 1
Speech Language Pathologist: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 35 | 18 | 53 | 11,923 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 5 | 6 | 11 | 2,618 | 91 | 100% | 10 |
| Registered Nurse | 7 | 9 | 16 | 2,149 | 91 | 100% | 9.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 522 | 63 | 69% | 8.3 |
| Administrator | 2 | 0 | 2 | 488 | 61 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 370 | 64 | 70% | 5.8 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 241 | 64 | 70% | 3.8 |
| Clinical Nurse Specialist | 0 | 4 | 4 | 168 | 22 | 24% | 6.2 |
| Qualified Social Worker | 0 | 4 | 4 | 110 | 50 | 55% | 2.1 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 103 | 40 | 44% | 2.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 90 | 44 | 48% | 2 |
| Occupational Therapy Aide | 0 | 2 | 2 | 63 | 20 | 22% | 2.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 63 | 24 | 26% | 2.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 6 | 7% | 3.7 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
53 Certified Nursing Assistant
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
16 Registered Nurse
% of Days
100%
1 Other Dietary Services Staff
% of Days
69%
2 Administrator
% of Days
67%
1 Nurse Practitioner
% of Days
65%
1 Speech Language Pathologist
% of Days
70%
1 Therapeutic Recreation Specialist
% of Days
70%
4 Clinical Nurse Specialist
% of Days
24%
4 Qualified Social Worker
% of Days
55%
4 Respiratory Therapy Technician
% of Days
44%
2 Physical Therapy Aide
% of Days
48%
2 Occupational Therapy Aide
% of Days
22%
3 Physical Therapy Assistant
% of Days
26%
1 Occupational Therapy Assistant
% of Days
7%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
55
Medicare
3
5.5% of residents
Medicaid
32
58.2% of residents
Private pay or other
20
36.4% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
33% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.2
30% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.1%
Percent of long-stay residents whose need for help with daily activities has increased
12.1%
35% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
13.7%
Percent of long-stay residents whose ability to move independently worsened
13.7%
30% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.7%
25% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
75% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.1%
Percent of long-stay high risk residents with pressure ulcers
3.1%
28% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
63% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.3%
Percent of long-stay residents who lose too much weight
4.3%
14% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.1%
Percent of long-stay residents who received an antipsychotic medication
10.1%
47% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
15% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
11% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
36% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Anamosa Care Center based on CMS SNF Cost Reports.
Occupancy Rate
88.5%
↑ 2.5pp vs 2022
Net Income
$945.4K
↑ ~$1.0M vs 2022
Total Payroll
$4.0M
↑ ~$263.4K vs 2022
Profit Margin
14.4%
↑ 15.8pp vs 2022
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