Cottage Grove Place – Connections
Cottage Grove Place – Connections is a 36-bed memory care community at 2115 1st Avenue SE in Cedar Rapids, Iowa. Administered by Jennifer Snook, the facility serves Linn County under license S0415, which is active through September 10, 2027. The facility currently reports 39% occupancy with 14 of 36 beds filled. Situated in a moderately walkable area, the location holds a Walk Score of 56.
Since 2020, the facility has recorded 21 deficiencies across five inspections, averaging 4.2 violations per review, which is 133% above the per-inspection average. While no recent reviews resulted in a citations-per-inspection rate of zero, the September 2025 recertification identified five deficiencies involving medication administration failures, incomplete resident evaluations, and outdated service plans. Additionally, CMS assigns the community a 2-star overall rating, noting health inspection performance 32% below state averages.
Clinical care is delivered through a non-profit model providing independent living, assisted living, and short-term rehabilitation. Although the facility maintains physical therapy levels 150% above the state average, long-stay residents experience pressure ulcers at a rate 102% above average and functional decline 57% worse than state benchmarks. A 2023 investigation substantiated seven violations, including social media confidentiality breaches and failure to meet eight-hour dementia-specific staff training requirements. The census primarily reflects short-term stays, with 40% of new residents utilizing Medicare and 60% paying privately.
The campus environment emphasizes a continuum of care that includes nursing services and chef-prepared meals. Historical records from 2020 and 2021 highlight foundational safety gaps, such as a resident elopement caused by a non-operational door alarm and failures to conduct staff background checks prior to hiring. Despite these challenges, the facility performs well in hospitalization prevention and vaccination compliance, and it has not incurred federal penalties in the past three years. Annual revenue is reported at $20.7 million, with a modest operating deficit of $55.7 thousand.
Prospective representatives should evaluate the community’s recent medication administration accuracy and the functionality of physical safety infrastructure during an on-site visit. It is important to confirm that all personnel have completed mandatory dementia education and to discuss the corrective steps taken regarding the 2025 service plan deficiencies. Families may contact the facility directly to verify current staffing stability and to review specific quality measures as they plan for care in 2026.
Capacity and availability
About this community
Occupancy
Cottage Grove Place – Connections is administered by Melissa Holyoake.
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.
Inspection Scorecard
This scorecard compares key inspection, violation, 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.
• State violations (214% above)
• Violations per inspection (110% above) 2 Better Metrics better than Iowa average:
• Violations (19% below)
• Federal violations (100% below)
Violations
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Violations
| 22 | 27 | This facility has 19% fewer violations than a typical Iowa nursing home (22 vs. IA avg 27).↓ 19% better |
|
Federal violations
| 0 | 31 | This facility has 100% fewer federal violations than a typical Iowa nursing home (0 vs. IA avg 31).↓ 100% better |
|
State violations
| 22 | 7 | This facility has 214% more state violations than a typical Iowa nursing home (22 vs. IA avg 7).↑ 214% worse |
|
Violations per inspection
| 4.4 | 2.1 | This facility has 110% more violations per inspection than a typical Iowa nursing home (4.4 vs. IA avg 2.1).↑ 110% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
| 5 | 13 | This facility has had 62% fewer total inspections than the Iowa average (5 vs. IA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 62% fewer |
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Long-stay resident measures
Short-stay resident measures
What does this home offer?
Pets Allowed
Places of interest near Cottage Grove Place – Connections
3.4 miles from city center
Estimated distance in miles from Cedar Rapids's city center to Cottage Grove Place – Connections's address, calculated via Google Maps.
Calculate Travel Distance to Cottage Grove Place – Connections
Add your location
Compare Nursing Homes around Cedar Rapids
Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
|
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
|
Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
|
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
|
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
|
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
|
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
|
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
|
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
|
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
|
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
|
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
|
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
|
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
|
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
|
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
|
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
|
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
|
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
|
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
|
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
|
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
|
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
|
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
|
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Meth Wick Community | NH AL IL MC RC SNF | Cedar Rapids | 69
Facility
69
IA AVG
72
Rank
#167 / 403 |
83.0%
Facility
83.0%
IA AVG
67
Rank
#103 / 362 | +24% | 5.76
Facility
5.76
IA AVG
4.30
Rank
#9 / 231 | +23% | +34% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 239 | 3
Facility
3
IA AVG
21.7
Rank
#8 / 232 | 1.5
Facility
1.5
IA AVG
4.1
Rank
#12 / 232 | - | 57 | - |
23
Facility
23
IA AVG
47
Rank
#404 / 504 | Meth Wick Community | $18.2MFiscal year ending 03/2024
Facility
$18.2MFiscal year ending 03/2024
IA AVG
$6.9M
Rank
#6 / 224 | $10.3MFiscal year ending 03/2024
Facility
$10.3MFiscal year ending 03/2024
IA AVG
$4.2M
Rank
#8 / 224 | 56.4%Fiscal year ending 03/2024
Facility
56.4%Fiscal year ending 03/2024
IA AVG
60.3%
Rank
#130 / 224 | 165542 | ||||
| West Ridge Care Center | NH MC SNF | Cedar Rapids | 60
Facility
60
IA AVG
72
Rank
#213 / 403 |
75.0%
Facility
75.0%
IA AVG
67
Rank
#162 / 362 | +12% | 4.86
Facility
4.86
IA AVG
4.30
Rank
#49 / 231 | +31% | +13% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 239 | 5
Facility
5
IA AVG
21.7
Rank
#17 / 232 | 2.5
Facility
2.5
IA AVG
4.1
Rank
#50 / 232 | - | 45 | - |
48
Facility
48
IA AVG
47
Rank
#240 / 504 | Elaine Sample | $6.9MFiscal year ending 12/2023
Facility
$6.9MFiscal year ending 12/2023
IA AVG
$6.9M
Rank
#89 / 224 | $3.7MFiscal year ending 12/2023
Facility
$3.7MFiscal year ending 12/2023
IA AVG
$4.2M
Rank
#107 / 224 | 53.1%Fiscal year ending 12/2023
Facility
53.1%Fiscal year ending 12/2023
IA AVG
60.3%
Rank
#163 / 224 | 165567 | ||||
| Terrace Glen Village | NH AL IL SNF | Marion (Flynn) | 40
Facility
40
IA AVG
72
Rank
#323 / 403 |
95.0%
Facility
95.0%
IA AVG
67
Rank
#17 / 362 | +42% | 4.70
Facility
4.70
IA AVG
4.30
Rank
#70 / 231 | +20% | +10% | $12.2k
Facility
$12.2k
IA AVG
$53.4k
Rank
#159 / 239 | 14
Facility
14
IA AVG
21.7
Rank
#95 / 232 | 4.7
Facility
4.7
IA AVG
4.1
Rank
#149 / 232 | 4 | 38 | A |
14
Facility
14
IA AVG
47
Rank
#442 / 504 | Abernathy Family Farms LLC | $8.7MFiscal year ending 12/2023
Facility
$8.7MFiscal year ending 12/2023
IA AVG
$6.9M
Rank
#52 / 224 | $4.2MFiscal year ending 12/2023
Facility
$4.2MFiscal year ending 12/2023
IA AVG
$4.2M
Rank
#82 / 224 | 48.4%Fiscal year ending 12/2023
Facility
48.4%Fiscal year ending 12/2023
IA AVG
60.3%
Rank
#193 / 224 | 165625 | ||||
| The Views of Marion | NH AL MC SNF | Marion | 60
Facility
60
IA AVG
72
Rank
#213 / 403 |
48.3%
Facility
48.3%
IA AVG
67
Rank
#272 / 362 | -28% | 4.09
Facility
4.09
IA AVG
4.30
Rank
#131 / 231 | -35% | -5% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 239 | 12
Facility
12
IA AVG
21.7
Rank
#79 / 232 | 3.0
Facility
3.0
IA AVG
4.1
Rank
#73 / 232 | - | 29 | - |
37
Facility
37
IA AVG
47
Rank
#314 / 504 | Dallas Urbain | $9.5MFiscal year ending 12/2023
Facility
$9.5MFiscal year ending 12/2023
IA AVG
$6.9M
Rank
#37 / 224 | $3.9MFiscal year ending 12/2023
Facility
$3.9MFiscal year ending 12/2023
IA AVG
$4.2M
Rank
#91 / 224 | 41.5%Fiscal year ending 12/2023
Facility
41.5%Fiscal year ending 12/2023
IA AVG
60.3%
Rank
#217 / 224 | 165626 |
Financial Assistance for
Nursing Home in Iowa
Cottage Grove Place – Connections is located in Cedar Rapids, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Frequently Asked Questions about Cottage Grove Place – Connections
Is Cottage Grove Place – Connections in a walkable area?
Cottage Grove Place – Connections has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the license number of Cottage Grove Place – Connections?
According to IA state health department records, Cottage Grove Place – Connections's license number is S0415.
When does Cottage Grove Place – Connections's license expire?
According to IA state health department records, Cottage Grove Place – Connections's license expires on September 10, 2027.
What is the occupancy rate at Cottage Grove Place – Connections?
Cottage Grove Place – Connections's occupancy is 39%.
How long has Cottage Grove Place – Connections been in business?
Cottage Grove Place – Connections has been operating for approximately 6 years, based on available licensing and registration records.
Are pets allowed at Cottage Grove Place – Connections?
Yes, Cottage Grove Place – Connections allows residents to bring their pets.
What is the best email address for Cottage Grove Place – Connections?
The team at Cottage Grove Place – Connections can be reached at mholyoake@cottagegroveplace.com.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance





