Anamosa Care Center

Nursing Home, Assisted Living, Hospice Care & Skilled Nursing · Anamosa, IA

CMS overall rating

1209 East Third Street, Anamosa, Ia 522051503 View map

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Anamosa Care Center accepts Medicare, Medicaid, and private pay.

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Anamosa Care Center accepts Medicare, Medicaid, and private pay.

Overview of Anamosa Care Center

Anamosa Care Center is a 64-bed home at 1209 East Third Street in Anamosa, Iowa. Run by Sheri Sigler, the facility has been a staple in the community for over 40 years, providing everything from long-term medical care and hospice to short-term rehab for people recovering from surgery. Payment structures adapt to diverse situations, accepting public health coverage lines via traditional Medicare and state Medicaid alongside standard private funding options. Individual stays average roughly 345 days, meaning the daily scheduling balances temporary post-hospital rehabilitation with extended medical placements.

Residents get a little over four hours of direct care each day. A team of nurses aides and stays on top of medications, monitors everyone’s health, and leads the physical, occupational, and speech therapy sessions. The neighborhood is also really easy to get around, scoring a 72 out of 100 for walkability, which makes it simple for visiting families to walk to nearby spots or run quick errands.

Official evaluations by state health inspectors routinely track floor workflows, focusing on themes such as resident care standards and daily dignity practices to verify compliance with public codes. Administrative supervisors review these inspection results to guide continuing education programs and adjust internal protocols across the nursing shifts.

Families looking into care can call the main office to see if there are any open rooms, ask how outpatient therapy is scheduled, or set up a time to come take a look around.

Facility Direct Line (319) 462-4356

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 9m per day

vs avg

5 of 6 metrics below state avg

Standout metric Weekend RN is +7% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	39m per day	▼ 11% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	22m per day	▼ 34% State avg: 34m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 13m per day	▼ 12% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 44m per day	▼ 18% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 55% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	32m per day	▲ 7% State avg: 30m per day · National avg: 28m per day

Capacity and availability

345 days

64-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 72 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

86%

Higher than the Iowa average: 75.4%

Occupied beds

55 / 64

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationNovember 1, 2026

CountyJones

License Number530253

CMS Certification Number165375

Certification TypeFALSE

Anamosa Care Center is administered by Ashley Wirth.

Rehabilitation Services

24-Hour Staffing

Skilled Rehabilitation

Email awirth@anamosacarecenter.com

Fax3194626094

Pets not allowed

Since 2020 · 6 years of data 20 deficiencies 17 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average

Overall vs. IA average

Latest Inspection August 26, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	20	27	This facility has 26% fewer total deficiencies than a typical Iowa assisted living residence (20 vs. IA avg 27).↓ 26% better
Deficiencies per year Average deficiencies per year since 2020.	3.3	4.5	This facility has 27% fewer deficiencies per year than a typical Iowa assisted living residence (3.3 vs. IA avg 4.5).↓ 27% better
Deficiencies per inspection Average deficiencies per inspection.	1.2	1.8	This facility has 33% fewer deficiencies per inspection than a typical Iowa assisted living residence (1.2 vs. IA avg 1.8).↓ 33% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	17	15	This facility has had 13% more total inspections than the Iowa average (17 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 13% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on August 26, 2025 found the facility in substantial compliance with no deficiencies cited during complaint investigation #2588231-I.
The June 12, 2025 annual inspection identified two deficiencies for failing to treat a resident with dignity and for delayed nursing staff assistance to two residents.
The July 25, 2024 annual inspection found four deficiencies including failure to assess a resident after a hot liquid burn, incomplete nurse aide evaluations, unsanitary food handling, and ineffective pest control.

Show Inspection Reports

Inspections since 2023

Total health inspections 4

State average N/A

Last Health inspection on Jun 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

7 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Nursing Services moderate citation Jun 12, 2025

Corrected

Resident Rights moderate citation Jun 12, 2025

Corrected

Environmental moderate citation Jul 25, 2024

Corrected

Nursing Services moderate citation Jul 25, 2024

Corrected

Total staff 78

Employees 45

Contractors 33

Staff to resident ratio 1.42 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 25

Average shift 7.7 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,630

Nursing staff breakdown

9.1 hours

10.2 hours

7.9 hours

Contractor staffing

1,244 contractor hours this quarter

Registered Nurse: 7 Certified Nursing Assistant: 6 Licensed Practical Nurse: 5 Clinical Nurse Specialist: 3 Physical Therapy Aide: 2 Occupational Therapy Aide: 2 Qualified Social Worker: 1 Mental Health Service Worker: 1 Therapeutic Recreation Specialist: 1 Speech Language Pathologist: 1 Respiratory Therapy Technician: 1 Physical Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	28	6	34	10,735	92	100%	7.9
Registered Nurse	8	7	15	2,591	92	100%	9.1
Licensed Practical Nurse	5	5	10	1,802	89	97%	10.2
Other Dietary Services Staff	1	0	1	489	61	66%	8
Nurse Practitioner	1	0	1	480	61	66%	7.9
Administrator	1	0	1	472	59	64%	8
Speech Language Pathologist	0	1	1	319	65	71%	4.9
Therapeutic Recreation Specialist	0	1	1	244	59	64%	4.1
Physical Therapy Aide	0	2	2	89	38	41%	2.3
Clinical Nurse Specialist	1	3	4	82	13	14%	5.5
Qualified Social Worker	0	1	1	76	36	39%	2.1
Mental Health Service Worker	0	1	1	75	14	15%	5.4
Respiratory Therapy Technician	0	1	1	73	37	40%	2
Occupational Therapy Aide	0	2	2	46	18	20%	2.4
Physical Therapy Assistant	0	1	1	35	18	20%	1.9
Occupational Therapy Assistant	0	1	1	22	6	7%	3.7
Medical Director	0	1	1	2	2	2%	1

34 Certified Nursing Assistant

% of Days 100%

15 Registered Nurse

% of Days 100%

10 Licensed Practical Nurse

% of Days 97%

1 Other Dietary Services Staff

% of Days 66%

1 Nurse Practitioner

% of Days 66%

1 Administrator

% of Days 64%

1 Speech Language Pathologist

% of Days 71%

1 Therapeutic Recreation Specialist

% of Days 64%

2 Physical Therapy Aide

% of Days 41%

4 Clinical Nurse Specialist

% of Days 14%

1 Qualified Social Worker

% of Days 39%

1 Mental Health Service Worker

% of Days 15%

1 Respiratory Therapy Technician

% of Days 40%

2 Occupational Therapy Aide

% of Days 20%

1 Physical Therapy Assistant

% of Days 20%

1 Occupational Therapy Assistant

% of Days 7%

1 Medical Director

% of Days 2%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 6.8

33% better than State average

State average: 10.2

Functional decline score 15.2

30% better than State average

State average: 21.6

Long-stay resident measures

Significantly above average State avg: 3.3

Need for Help with Daily Activities Increased 12.1%

35% better than State average

State average: 18.8%

Walking Ability Worsened 13.7%

30% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 19.7%

25% better than State average

State average: 26.2%

Falls with Major Injury 0.9%

75% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 3.1%

28% better than State average

State average: 4.4%

Urinary Tract Infection 0.9%

63% better than State average

State average: 2.5%

Lost Too Much Weight 4.3%

14% better than State average

State average: 5.0%

Depressive Symptoms 0.0%

100% better than State average

State average: 3.9%

Antipsychotic Use 10.1%

47% better than State average

State average: 19.0%

Pneumococcal Vaccine 97.3%

In line with State average

State average: 94.4%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.3%

Hospitalizations per 1,000 days 0.62

58% better than State average

State average: 1.48

ED visits per 1,000 days 0.73

65% better than State average

State average: 2.09

Short-stay resident measures

Pneumococcal Vaccine 98.2%

15% better than State average

State average: 85.1%

Antipsychotic medication increase 1.6%

11% better than State average

State average: 1.8%

Influenza Vaccine 100.0%

36% better than State average

State average: 73.3%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Successful return to home or community 47.5%

6% worse than State average

State average: 50.6%

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

Total residents 55

Medicare

5.5% of residents

Medicaid

58.2% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Anamosa Care Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 88.5% ↑ 2.5pp vs 2022

Net Patient Income $123.0K ↑ ~$232.7K vs 2022

Payroll Costs $2.9M ↑ ~$565.9K vs 2022

Operating Margin 2.1% ↑ 4.2pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	91.7%	84.5%	80.9%	84.2%	79.9%	80.9%	83.8%	76.7%	73.0%	86.1%	79.5%	86.0%	88.5%
Beds	76	76	76	76	76	76	76	76	76	64	64	64	64
Net Income	$430,804	$451,241	$363,229	$558,270	$255,494	$241,210	$307,538	$409,085	$268,800	$666,569	$489,894	-$77,999	$945,378
Gross Revenue	$4,088,533	$4,324,477	$4,225,123	$4,857,163	$4,757,880	$4,783,436	$4,827,186	$4,783,371	$4,632,097	$4,935,375	$4,847,511	$5,588,324	$6,555,823
Operating Expenses	$3,384,223	$3,443,526	$3,432,363	$3,796,012	$3,951,911	$4,061,132	$4,144,289	$3,903,835	$3,924,812	$4,458,276	$4,412,266	$5,176,605	$5,885,926
Net Patient Income	$402,316	$421,975	$335,008	$533,727	$232,551	$214,742	$277,688	$382,598	$238,837	$41,833	-$162,348	-$109,722	$122,951
Net Patient Revenue	$3,786,539	$3,865,501	$3,767,371	$4,329,739	$4,184,462	$4,275,874	$4,421,977	$4,286,433	$4,163,649	$4,500,109	$4,249,918	$5,066,883	$6,008,877
Payroll Costs	$1,957,923	$2,007,389	$1,970,428	$2,034,773	$2,148,049	$2,260,278	$2,482,714	$2,448,630	$2,269,825	$2,420,365	$2,152,633	$2,347,017	$2,912,929
Operating Margin %	10.6%	10.9%	8.9%	12.3%	5.6%	5.0%	6.3%	8.9%	5.7%	0.9%	-3.8%	-2.2%	2.1%
Medicare %	3.7%	5.0%	5.3%	5.7%	5.8%	4.0%	3.4%	4.2%	2.9%	6.1%	6.2%	7.3%	4.6%
Medicaid %	68.4%	68.4%	63.9%	59.8%	52.5%	63.7%	68.4%	65.5%	63.6%	65.9%	63.4%	57.7%	51.2%
Private %	27.9%	26.6%	30.8%	34.5%	41.7%	32.3%	28.2%	30.3%	33.5%	27.9%	30.4%	35.0%	44.2%
Net Patient Revenue/Day	$149	$164	$168	$185	$189	$190	$190	$202	$206	$223	$229	$252	$291
Cost/Day	$133	$146	$153	$163	$178	$180	$178	$184	$194	$221	$238	$258	$285
Avg Length of Stay	669.5 days	335.9 days	330.1 days	449.1 days	330.8 days	416.8 days	446.9 days	379.7 days	361.4 days	310.3 days	265.3 days	223.2 days	344.6 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$6.0M

Net patient income

$123.0K

For-profit Corporation

Net patient revenue

$6.0M

Net patient income

$123.0K

Other income

$822.4K

Payroll costs

$2.9M 48.5% of net patient revenue

Other operating costs

$3.0M

Total costs

$5.9M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (51% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 51%

Private pay 47%

Medicaid 2%

Coverage residents most often leave under.

Medicare 32%

Private pay 52%

Medicaid 17%

0.0 miles from city center Estimated distance in miles from Anamosa's city center to Anamosa Care Center's address, calculated via Google Maps.

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
Friendship Village	NH AL IL MC SNF	Waterloo	-	72	-	52	2 Bed / 3 Bed
Prairie Vista Village	NH AL IL SNF	South Altoona	-	68	A	29	-
St Francis Manor	NH AL HOS SNF	Grinnell	-	78	-	82	-
Anamosa Care Center	NH AL HOS SNF	Anamosa	-	64	-	72	-

Nursing Home Explorer

Is Anamosa Care Center in a walkable area?

Anamosa Care Center has a walk score of 72. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Anamosa Care Center?

According to IA state health department records, Anamosa Care Center's license number is 530253.

When does Anamosa Care Center's license expire?

According to IA state health department records, Anamosa Care Center's license expires on November 1, 2026.

What is the occupancy rate at Anamosa Care Center?

Anamosa Care Center's occupancy is 86%.

Are pets allowed at Anamosa Care Center?

No, Anamosa Care Center has a no-pet policy.

What is the best email address for Anamosa Care Center?

The team at Anamosa Care Center can be reached at awirth@anamosacarecenter.com.

Does Anamosa Care Center operate as a for-profit or non-profit?

Anamosa Care Center is registered as a for-profit in IA.

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Anamosa Care Center

Overview of Anamosa Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Anamosa Care Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

34 Certified Nursing Assistant

15 Registered Nurse

10 Licensed Practical Nurse

1 Other Dietary Services Staff

1 Nurse Practitioner

1 Administrator

1 Speech Language Pathologist

1 Therapeutic Recreation Specialist

2 Physical Therapy Aide

4 Clinical Nurse Specialist

1 Qualified Social Worker

1 Mental Health Service Worker

1 Respiratory Therapy Technician

2 Occupational Therapy Aide

1 Physical Therapy Assistant

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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