4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Concord Care Center occupies a 46-bed property at 490 West Lyon Street in Garner, Iowa. The facility maintains an average occupancy level of approximately 59 percent, which allows for regular room availability and intake processing. Administrative staff accepts diversified coverage options, including standard out-of-pocket payments, federal Medicare reimbursements, and state Medicaid. Individual stays average about 108 days, meaning the daily schedule is built to support a moving census of transitional physical therapy cases alongside residents requiring ongoing medical monitoring.
On-site health routines ensure that each individual receives an average of 4 hours and 5 minutes of direct attention from the nursing team daily. Certified nursing assistants, licensed practical nurses, and registered nurses split these floor hours to deliver medication, administer general treatments, and run outpatient therapy services. These practitioners utilize a dedicated Rehab-to-Home track to help individuals recover physical strength after injuries or hospitalizations, while the surrounding neighborhood features a walkability score of 46 out of 100, making a car necessary for most regional errands.
The property maintains a 4-star overall performance rating from the Centers for Medicare & Medicaid Services (CMS) and has accrued zero federal monetary fines or state enforcement penalties over the last three years. Long-term health metrics indicate stable functional outcomes with minimal decline in day-to-day physical capabilities among the permanent population. For everyday comfort, the layout includes personal television setups, dedicated family meeting lounges, and a barber shop.
Interested families can get in touch with the main office to double-check bed availability, learn about the outpatient therapy schedules, or arrange an afternoon to view the communal spaces. The business desk is also available to help verify health coverage networks and clarify how public assistance programs apply to monthly room invoices.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 27m per day | ▼ 39% 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.
| 39m per day | ▲ 14% 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 56m per day | ▼ 12% 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.
| 2m per day | ▲ 12% 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.
| 22m per day | ▼ 26% State avg: 30m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
10 total: 6 full-time employees and 4 contractors.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursAssists with medical care and medications.
16 total: 7 full-time employees and 9 contractors.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursHelps with daily care and mobility.
54 total: 37 full-time employees and 17 contractors.
54
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
905 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 17 | 54 | 7,182 | 92 | 100% | 6.6 |
| Licensed Practical Nurse | 7 | 9 | 16 | 2,135 | 91 | 99% | 7.8 |
| Registered Nurse | 6 | 4 | 10 | 1,397 | 92 | 100% | 7.5 |
| Medication Aide/Technician | 5 | 1 | 6 | 683 | 72 | 78% | 7.2 |
| Dietitian | 1 | 0 | 1 | 461 | 61 | 66% | 7.6 |
| Physical Therapy Assistant | 5 | 0 | 5 | 328 | 66 | 72% | 3.1 |
| Administrator | 1 | 0 | 1 | 240 | 30 | 33% | 8 |
| Speech Language Pathologist | 3 | 0 | 3 | 203 | 62 | 67% | 2.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 192 | 38 | 41% | 5 |
| Clinical Nurse Specialist | 1 | 1 | 2 | 173 | 61 | 66% | 2.3 |
| RN Director of Nursing | 2 | 0 | 2 | 156 | 21 | 23% | 7.4 |
| Physical Therapy Aide | 2 | 0 | 2 | 146 | 45 | 49% | 3.2 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 132 | 43 | 47% | 3 |
| Dental Services Staff | 1 | 0 | 1 | 59 | 13 | 14% | 4.6 |
| Occupational Therapy Aide | 1 | 1 | 2 | 53 | 9 | 10% | 5.9 |
| Qualified Social Worker | 3 | 0 | 3 | 29 | 17 | 18% | 1.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 25 | 5 | 5% | 4.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 3 | 3% | 4.2 |
| Medical Director | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Nurse Practitioner | 1 | 0 | 1 | 6 | 1 | 1% | 6.2 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 4 | 4 | 4% | 1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 State averageState average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.3
25% better than State averageState average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.1%
30% better than State averageState average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
12.9%
34% better than State averageState average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.8%
13% better than State averageState average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
6% worse than State averageState average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
3.0%
32% better than State averageState average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.3%
6% better than State averageState average: 2.5%
Percent of long-stay residents who lose too much weight
6.0%
20% worse than State averageState average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
21.9%
15% worse than State averageState average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
In line with State averageState average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
In line with State averageState average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
0.54
64% better than State averageState average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.83
12% better than State averageState average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.3%
10% better than State averageState average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
18% worse than State averageState average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
21.7%
70% worse than State averageState average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
11.3%
47% better than State averageState average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.6%
19% worse than State averageState average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
3.6%
364% worse than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
38.5%
28% worse than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
40.1%
21% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
33% of new residents, usually for short-term rehab.
50% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
35Part 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.
Historical financial and operational data for Concord Care Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #184 / 246Payroll — State benchmarkedThis home is ranked 184th out of 246 homes in Iowa for Payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #59 / 246Payroll % — State benchmarkedThis home is ranked 59th out of 246 homes in Iowa for Payroll %. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (50% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Garner's city center to Concord 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 | - |
| Concord Care Center | NH AL SNF | Garner | - | 46 | - | 46 | - |
Concord Care Center has a walk score of 46. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Concord Care Center's occupancy is 58.6%.
Concord Care Center is registered as a for-profit.
Yes — there are 2 photos of Concord Care Center in the photo gallery on this page.
Concord Care Center is located at 490 West Lyon Street, Garner, Ia 504381906.
(641) 923-2677 will put you in contact with the team at Concord Care Center.
Yes — Concord Care Center is a CMS-certified provider of Medicare and Medicaid.
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