Total health inspections
3
Iowa average 4.9
Last Health inspection on Sep 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home
Concord Care Center
Concord Care Center is a senior living community located in Garner, Iowa. It offers independent and assisted living, rehabilitation services, and outpatient therapy. The facility focuses on personalized care and a welcoming atmosphere for residents.
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
66
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
58.6%
Residents per day (avg)
38
Occupancy rate
58.6%
Residents per day (avg)
38
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
33% of new residents, usually for short-term rehab.
Typical stay
17 days
Private pay
50% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
17% of new residents, often for long-term daily care.
Typical stay
9 - 10 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$4.2M
Profit
$243.6K
Privately-owned community
Operated by a business corporation.
Home revenue
$4,249,912.00
Profit
$243,619.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.3M
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.
$1.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.0M
About this community
Care Services
Rehabilitation Services
Independent Living
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Independent & Assisted Living, Rehab-to-Home, Outpatient Therapy
Health Inspection History
Inspections
Total health citations
8
Iowa average 21.7
Citations per inspection
2.67
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
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
8 moderate citations
0 minor citations
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 25, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 25, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 25, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 25, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 24, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 24, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 24, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 24, 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.
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
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Concord 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.
Garner
66
58.6%
-22%
4.08
-5%
0
8
0
38
-
$4,2M
$2,3M
53.7%
165364
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
+36%
0
17
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
0%
1
21
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
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Concord Care Center
Garner, IA 504381906
Garner, IA 504381906
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
84
Employees
80
Contractors
4
Staff to resident ratio
2.40:1
20% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
23
Average shift
6.8 hours
8% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
14,304
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
35
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.2%
33 contractor hours this quarter
Licensed Practical Nurse: 1
Other Dietary Services Staff: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 35 | 0 | 35 | 7,750 | 91 | 100% | 6.9 |
| Licensed Practical Nurse | 13 | 1 | 14 | 2,410 | 91 | 100% | 7.5 |
| Registered Nurse | 5 | 0 | 5 | 1,157 | 80 | 88% | 8.6 |
| Administrator | 1 | 0 | 1 | 480 | 61 | 67% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 467 | 59 | 65% | 7.9 |
| Other Dietary Services Staff | 1 | 1 | 2 | 416 | 61 | 67% | 6.5 |
| RN Director of Nursing | 1 | 0 | 1 | 390 | 50 | 55% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 356 | 53 | 58% | 6.7 |
| Medication Aide/Technician | 6 | 0 | 6 | 248 | 41 | 45% | 5.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 162 | 21 | 23% | 7.7 |
| Physical Therapy Aide | 4 | 0 | 4 | 157 | 54 | 59% | 2.7 |
| Speech Language Pathologist | 2 | 0 | 2 | 140 | 60 | 66% | 2.3 |
| Dietitian | 1 | 0 | 1 | 57 | 9 | 10% | 6.4 |
| Physical Therapy Assistant | 2 | 0 | 2 | 35 | 26 | 29% | 1.2 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 29 | 31 | 34% | 0.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 13 | 3 | 3% | 4.4 |
| Medical Director | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 11 | 3 | 3% | 3.8 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 10 | 7 | 8% | 1.4 |
| Qualified Social Worker | 2 | 0 | 2 | 7 | 6 | 7% | 1.2 |
35 Certified Nursing Assistant
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
5 Registered Nurse
% of Days
88%
1 Administrator
% of Days
67%
1 Nurse Practitioner
% of Days
65%
2 Other Dietary Services Staff
% of Days
67%
1 RN Director of Nursing
% of Days
55%
1 Dental Services Staff
% of Days
58%
6 Medication Aide/Technician
% of Days
45%
1 Clinical Nurse Specialist
% of Days
23%
4 Physical Therapy Aide
% of Days
59%
2 Speech Language Pathologist
% of Days
66%
1 Dietitian
% of Days
10%
2 Physical Therapy Assistant
% of Days
29%
2 Respiratory Therapy Technician
% of Days
34%
1 Occupational Therapy Aide
% of Days
3%
1 Medical Director
% of Days
3%
1 Occupational Therapy Assistant
% of Days
3%
1 Therapeutic Recreation Specialist
% of Days
8%
2 Qualified Social Worker
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
35 residents
Residents by payment source
Medicare
1 resident (2.9%)
Medicaid
16 residents (45.7%)
Private pay or other
18 residents (51.4%)
Programs & Services
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
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.
7.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.8
24% 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.
16.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.3
25% 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
13.1%
Percent of long-stay residents whose need for help with daily activities has increased
13.1%
30% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.9%
Percent of long-stay residents whose ability to move independently worsened
12.9%
34% 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
22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.8%
13% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
6% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.0%
Percent of long-stay high risk residents with pressure ulcers
3.0%
32% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.3%
Percent of long-stay residents with a urinary tract infection
2.3%
6% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.0%
Percent of long-stay residents who lose too much weight
6.0%
20% worse 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
21.9%
Percent of long-stay residents who received an antipsychotic medication
21.9%
15% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.3%
10% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
18% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
21.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
21.7%
70% worse 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 Concord Care Center based on CMS SNF Cost Reports.
Occupancy Rate
58.6%
↓ 0.4pp vs 2022
Net Income
$243,619
↑ ~$379K vs 2022
Total Payroll
$2,683,292
↑ ~$295K vs 2022
Profit Margin
5.8%
↑ 9.2pp vs 2022
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