Nora Springs Care Center
Nursing Home, Assisted Living & Skilled Nursing · Nora Springs, IA
CMS overall rating Info 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.

Nora Springs Care Center

Nursing Home, Assisted Living & Skilled Nursing · Nora Springs, IA
CMS overall rating Info 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.
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Nora Springs Care Center accepts Medicare, Medicaid, and private pay.

Overview of Nora Springs Care Center

Nora Springs Care Center operates a 50-bed skilled nursing and assisted living facility at 907 West Congress Street in Nora Springs, Iowa. The building runs with an occupancy rate near 90 percent and maintains federal certifications to process resident billing through private pay, Medicare, and Medicaid. Lengths of stay average about 134 days, establishing a daily residential census that combines temporary post-hospital therapy patients with long-term nursing placements.

Therapy schedules are structured around an internal Rehab-to-Home setup that provides physical, occupational, and speech exercises alongside outpatient options. The on-floor staffing plan provides an average of 4 hours and 9 minutes of direct daily care per resident, with licensed practical nurses contributing 52 minutes of that total.

For daily activities, the community features therapeutic recreation programs and dedicated rooms for private family gatherings, while the surrounding town neighborhood offers modest walkability, where a car is necessary for most distant errands.

Prospective families can reach out to the intake coordinator to check on current bed layouts, look over the therapy calendar, or plan an afternoon to tour the rehabilitation spaces. The business desk is also available to verify individual insurance parameters and explain how public aid programs cover short-term recovery expenses.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 30.6% Above IA avg. ▲ 30.6% Above IA avg.IA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 40.3% Above IA avg. ▲ 40.3% Above IA avg.IA average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 43.6% Below IA avg. ▼ 43.6% Below IA avg.IA average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 22.2% Above IA avg. ▲ 22.2% Above IA avg.IA average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Iowa averages

Rank #197 / 231Nurse hours — State benchmarkedThis home is ranked 197th out of 231 homes we track in Iowa for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 231 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 197th out of 231 homes we track in Iowa for nurse hours. 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.

3h 38m

15% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
23m
−49% State avg: 44m per day · National avg: 41m per day
LPN / LVN Info 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.
53m
+57% State avg: 34m per day · National avg: 52m per day
Nurse Aide Info 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 22m
−6% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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.
3h 15m
−3% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info 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
−32% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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.
17m
−42% State avg: 30m per day · National avg: 28m per day

5 of 6 metrics below state avg

Capacity and availability

This home usually has limited availability

Higher occupancy than the Iowa average: 67%
Occupancy rate
88.2% Rank #70 / 362Occupancy rate — State benchmarkedThis home is ranked 70th out of 362 homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 362. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Residents per day (avg)
44
Avg. Length of Stay Info 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.
134 days
Bed community size
50-bed community Rank #256 / 403Bed count — State benchmarkedThis home is ranked 256th out of 403 homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 33 / 100 Rank #343 / 504Walk Score — State benchmarkedThis home is ranked 343rd out of 504 homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Amenities & Lifestyle

Cable Tv
Private Family Gathering Space
Specific ProgramsRehab-to-Home, Outpatient Therapy

Contact Nora Springs Care Center

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 84
Employees 80
Contractors 4
Staff to resident ratio 1.87 : 1
9% fewer staff per resident than Iowa average
Iowa average ratio: 2.05 : 1 Iowa average ratio: 2.05 : 1See full Iowa ranking
Avg staff/day 26
Average shift 7 hours
5% worse than Iowa average
Iowa average: 7.4 hours Iowa average shift: 7.4 hoursSee full Iowa ranking
Total staff hours (quarter) 16,703

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 7 RN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 10 LPN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 36 CNA Staff are full-time employees. No contractors work on this role. 36
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

1%

170 contractor hours this quarter

Feeding Assistant: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant360368,44492100%6.8
Licensed Practical Nurse100102,90492100%8.2
Registered Nurse7071,0539098%7.7
Medication Aide/Technician7076266672%6.9
Administrator1015046368%8
Nurse Practitioner1014966267%8
Dietitian1014946470%7.7
RN Director of Nursing1014685964%7.9
Dental Services Staff1013976065%6.6
Speech Language Pathologist1013755661%6.7
Therapeutic Recreation Specialist2022253942%5.6
Physical Therapy Assistant4041713841%4.3
Physical Therapy Aide3031282830%4.6
Respiratory Therapy Technician1011274145%3.1
Qualified Social Worker3031183235%3
Occupational Therapy Aide0111001921%5.3
Feeding Assistant011381213%3.2
Medical Director011191516%1.3
Occupational Therapy Assistant0111333%4.3
Other Dietary Services Staff101311%3
36 Certified Nursing Assistant
% of Days 100%
10 Licensed Practical Nurse
% of Days 100%
7 Registered Nurse
% of Days 98%
7 Medication Aide/Technician
% of Days 72%

Penalties and fines

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.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.2
11% better than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 16.0
26% better than Iowa average

Iowa average: 21.6

Long-stay resident measures
Significantly above average Iowa avg: 3.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.9%
21% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 11.9%
40% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 21.2%
19% better than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.6%
83% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.6%
6% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.0%
60% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.8%
55% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 19.3%
In line with Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
In line with Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.16
22% better than Iowa average

Iowa average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.60
23% better than Iowa average

Iowa average: 2.09

Short-stay resident measures
Above average Iowa avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.7%
In line with Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.4%
22% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 78.4%
7% better than Iowa average

Iowa average: 73.3%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 32.2%
51% worse than Iowa average

Iowa average: 21.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 21.0%
60% worse than Iowa average

Iowa average: 13.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.1%
170% worse than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 54.6%
In line with Iowa average

Iowa average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 45.6%
10% worse than Iowa average

Iowa average: 50.6%

Breakdown by payment type

Medicare

27% of new residents, usually for short-term rehab.

Typical stay 13 days

Private pay

53% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

20% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 45
Medicare
2
4.4% of residents
Medicaid
18
40% of residents
Private pay or other
25
55.6% of residents

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

For-profit
Operated by a single business entity.
Net patient revenue Info 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."
$5.1M
Net patient income Info 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."
$802.8K
For-profit Operated by a single business entity.
Net patient revenue Info 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."
$5.1M Rank #139 / 224Net patient revenue — State benchmarkedThis home is ranked 139th out of 224 homes we track in Iowa. Shows this facility's net patient revenue compared to the Iowa average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info 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."
$802.8K
Other income Info 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.
$8.4K
Payroll costs Info 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 #157 / 224Payroll costs — State benchmarkedThis home is ranked 157th out of 224 homes we track in Iowa. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Iowa average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$2.6M 51.8% of net patient revenue Info 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 #174 / 224Payroll % of net patient revenue — State benchmarkedThis home is ranked 174th out of 224 homes we track in Iowa. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info 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).
$1.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.3M

Who this home usually serves

TYPE OF STAY

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.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 4 - 5 months.

Admissions
120 total

Coverage residents most often arrive under.

Medicare 27%
Private pay 53%
Medicaid 20%
Discharges
123 total

Coverage residents most often leave under.

Medicare 9%
Private pay 72%
Medicaid 20%

Places of interest near Nora Springs Care Center

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

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Compare Nursing Homes around the area

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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
Bethany Home Retirement Center
NH
IL
MC
SNF
Dubuque (Eagle Point District)
66
Facility 66
IA AVG 72
Rank #181 / 403
--
5.47
Facility 5.47
IA AVG 4.30
Rank #17 / 231
0%+27%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
2
Facility 2
IA AVG 21.7
Rank #6 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #19 / 232
-67-
69
Facility 69
IA AVG 47
Rank #103 / 504
Mike Brannon
$9.2MFiscal year ending 12/2023
Facility $9.2MFiscal year ending 12/2023
IA AVG $6.9M
Rank #42 / 224
$6.2MFiscal year ending 12/2023
Facility $6.2MFiscal year ending 12/2023
IA AVG $4.2M
Rank #32 / 224
68%Fiscal year ending 12/2023
Facility 68%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #43 / 224
165584
Friendship Village
NH
AL
IL
MC
SNF
Waterloo
72
Facility 72
IA AVG 72
Rank #143 / 403
91.7%
Facility 91.7%
IA AVG 67%
Rank #40 / 362
+37%
5.78
Facility 5.78
IA AVG 4.30
Rank #9 / 231
+5%+34%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
8
Facility 8
IA AVG 21.7
Rank #44 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #19 / 232
166-
52
Facility 52
IA AVG 47
Rank #202 / 504
Friends Of Faith Retirement Homes, Inc
$14.2MFiscal year ending 03/2024
Facility $14.2MFiscal year ending 03/2024
IA AVG $6.9M
Rank #10 / 224
$11.6MFiscal year ending 03/2024
Facility $11.6MFiscal year ending 03/2024
IA AVG $4.2M
Rank #6 / 224
81.4%Fiscal year ending 03/2024
Facility 81.4%Fiscal year ending 03/2024
IA AVG 60.3%
Rank #14 / 224
165081
St Francis Manor
NH
AL
HOS
SNF
Grinnell
78
Facility 78
IA AVG 72
Rank #119 / 403
69.2%
Facility 69.2%
IA AVG 67%
Rank #195 / 362
+3%
5.66
Facility 5.66
IA AVG 4.30
Rank #13 / 231
+34%+32%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
1
Facility 1
IA AVG 21.7
Rank #1 / 232
1.0
Facility 1.0
IA AVG 4.1
Rank #1 / 232
-54-
82
Facility 82
IA AVG 47
Rank #39 / 504
St Francis Manor Inc
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #82 / 224
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
IA AVG $4.2M
Rank #50 / 224
69.4%Fiscal year ending 12/2023
Facility 69.4%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #38 / 224
165480
Prairie Vista Village
NH
AL
IL
SNF
South Altoona
68
Facility 68
IA AVG 72
Rank #170 / 403
50.0%
Facility 50.0%
IA AVG 67%
Rank #254 / 362
-25%
4.82
Facility 4.82
IA AVG 4.30
Rank #57 / 231
-20%+12%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
5
Facility 5
IA AVG 21.7
Rank #17 / 232
1.3
Facility 1.3
IA AVG 4.1
Rank #8 / 232
-34A
29
Facility 29
IA AVG 47
Rank #371 / 504
John Freeman
$9.1MFiscal year ending 12/2023
Facility $9.1MFiscal year ending 12/2023
IA AVG $6.9M
Rank #43 / 224
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
IA AVG $4.2M
Rank #102 / 224
40.8%Fiscal year ending 12/2023
Facility 40.8%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #221 / 224
165610
Nora Springs Care Center
NH
AL
SNF
Nora Springs
50
Facility 50
IA AVG 72
Rank #256 / 403
88.2%
Facility 88.2%
IA AVG 67%
Rank #70 / 362
+32%
3.64
Facility 3.64
IA AVG 4.30
Rank #197 / 231
-29%-15%
$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
-44-
33
Facility 33
IA AVG 47
Rank #343 / 504
-
$5.1MFiscal year ending 06/2024
Facility $5.1MFiscal year ending 06/2024
IA AVG $6.9M
Rank #139 / 224
$2.6MFiscal year ending 06/2024
Facility $2.6MFiscal year ending 06/2024
IA AVG $4.2M
Rank #157 / 224
51.8%Fiscal year ending 06/2024
Facility 51.8%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #174 / 224
165347

Frequently Asked Questions about Nora Springs Care Center

Is Nora Springs Care Center in a walkable area?

Nora Springs Care Center has a walk score of 33. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Nora Springs Care Center?

Nora Springs Care Center's occupancy is 89.8%.

Are pets allowed at Nora Springs Care Center?

No, Nora Springs Care Center has a no-pet policy.

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

Nora Springs Care Center is registered as a for-profit.

Are there photos of Nora Springs Care Center?

Yes — there is 1 photo of Nora Springs Care Center in the photo gallery on this page.

What is the address of Nora Springs Care Center?

Nora Springs Care Center is located at 907 West Congress, Nora Springs, IA 50458-0366.

What is the phone number of Nora Springs Care Center?

(641) 749-5331 will put you in contact with the team at Nora Springs Care Center.

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