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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.
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.
Southfield Wellness Community is a 50-bed assisted living and rehabilitation facility at 2416 Southfield Drive in Webster City, Iowa. Administered by Megan Hassebrock, the community has served Hamilton County since 2002 under a license active through September 2026. The facility reports 40% occupancy with 20 residents, which is below the state average. The location is moderately walkable with a Walk Score of 58.
State-level monitoring data reflects a consistent history of high regulatory compliance. Over the last nine years, the facility recorded only one deficiency, resulting in an annual average of 0.1, which is 98% below the state average. The most recent recertification in March 2025 resulted in a citations-per-inspection rate of zero. While long-term compliance remains strong, the facility incurred federal penalties totaling $72,000 between November 2023 and December 2024.
Daily clinical operations utilize a 24-hour nursing model supported by a team of 129 CNAs, LPNs, and medication aides. Bedside support hours for nurse aides run 9% above Iowa averages, and the facility maintains a staff-to-resident ratio of 3.65:1. Services include short-term rehabilitation, respite care, and extended residential support, with a payer mix of 55% private pay, 25% Medicare, and 20% Medicaid. Clinical data shows 100% vaccination rates for long-stay residents and zero major falls among high-risk individuals.
The residential environment provides private family gathering spaces and basic cable services for residents. Despite established care quality, the community faced financial challenges in 2023 with a reported $703,000 operating loss. Historical records from 2008 noted a single deficiency involving inconsistent health assessments, but all subsequent complaint investigations have been unsubstantiated. The campus is designed to accommodate both post-acute recovery and long-term assisted care.
Interested individuals should consider the community’s 23-year history and its strong clinical metrics regarding vaccination and fall prevention. It is advisable to discuss the recent federal penalties with the administrator to understand the specific corrective measures implemented over the last year. Families may contact the Webster City office to verify current availability and confirm that the facility’s established care protocols meet their 2026 requirements.
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.
This home is ranked 97th out of 241 homes 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.
| 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.
| 35m per day | ▼ 20% 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 | ▼ 35% 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 46m per day | ▲ 9% 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.
| 3h 37m per day | ▲ 8% 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 | ▼ 50% 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.
| 17m per day | ▼ 43% State avg: 30m per day · National avg: 28m per day |
Higher than the Iowa average: 75.4%Southfield Wellness Community AL is administrated by Megan Hassebrock.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, 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
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 67 | 27 | This facility has 148% more total deficiencies than a typical Iowa nursing home (67 vs. IA avg 27).↑ 148% worse |
|
Deficiencies per year
Average deficiencies per year since 2006.
| 3.4 | 1.4 | This facility has 143% more deficiencies per year than a typical Iowa nursing home (3.4 vs. IA avg 1.4).↑ 143% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 7.4 | 1.8 | This facility has 311% more deficiencies per inspection than a typical Iowa nursing home (7.4 vs. IA avg 1.8).↑ 311% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 9 | 15 | This facility has 40% fewer total inspections than a typical Iowa nursing home (9 vs. IA avg 15).↓ 40% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Iowa average 4.9
Last Health inspection on Mar 2025
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
32 of 47 citations resulted from standard inspections; 6 of 47 resulted from complaint investigations; and 9 of 47 came from combined inspections (standard and complaint).
100% better than Iowa averageIowa average: 0.6
456% worse than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
29% more staff per resident than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
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.
9.2 hoursAssists with medical care and medications.
15 total: 5 full-time employees and 10 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
71 total: 30 full-time employees and 41 contractors.
71
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,452 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 30 | 41 | 71 | 11,609 | 92 | 100% | 7.5 |
| Registered Nurse | 7 | 9 | 16 | 2,140 | 92 | 100% | 9.2 |
| Medication Aide/Technician | 5 | 10 | 15 | 1,834 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 5 | 10 | 15 | 1,710 | 91 | 99% | 8.6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,150 | 75 | 82% | 7.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 631 | 74 | 80% | 7.8 |
| Administrator | 1 | 0 | 1 | 480 | 61 | 66% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 463 | 59 | 64% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 358 | 58 | 63% | 6.2 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 243 | 62 | 67% | 3.7 |
| Speech Language Pathologist | 3 | 0 | 3 | 241 | 65 | 71% | 3.2 |
| Qualified Social Worker | 1 | 0 | 1 | 136 | 23 | 25% | 5.9 |
| Physical Therapy Assistant | 2 | 0 | 2 | 81 | 41 | 45% | 1.9 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 75 | 25 | 27% | 3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 63 | 13 | 14% | 4.9 |
| Dietitian | 1 | 0 | 1 | 60 | 8 | 9% | 7.5 |
| Physical Therapy Aide | 2 | 0 | 2 | 38 | 19 | 21% | 2 |
| Medical Director | 0 | 1 | 1 | 31 | 27 | 29% | 1.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 3 | 3% | 6 |
Includes penalties issued in 2023-2024
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 (Data as of Jan 2026)
50% higher than Iowa averageIowa average: $48K
18% more fines than Iowa averageIowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 4, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 6, 2023Last updated: Jan 2026
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.
10.7
In line with Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.2
In line with Iowa averageIowa 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
19.5%
In line with Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
20.6%
5% worse than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.4%
In line with Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
30% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
4.0%
8% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
3.1%
23% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
6.9%
39% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
21.8%
14% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
5% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.46
In line with Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.37
61% worse than Iowa averageIowa 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
89.9%
6% better than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
3.9%
109% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.0%
23% better than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.1%
6% better than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
26.0%
98% worse than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
45.2%
16% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.1%
9% worse than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
25% of new residents, usually for short-term rehab.
55% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54Part 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 Southfield Wellness Community AL based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #109 / 242Payroll — State benchmarkedThis home is ranked 109th out of 242 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Webster City's city center to Southfield Wellness Community AL's address, calculated via Google Maps.
Add your location
Southfield Wellness Community AL is located in Webster City, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Valley View Village |
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. | Des Moines (Fairmont Park) | 79
Facility
79
IA AVG
73
Rank
#126 / 407 | 100.0% | +33% | 5.52 | +29% | +29% | $18.9k | 19 | 3.2 | 2 | 79 |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Elim Care Inc | $9.7M | $7.0M | 71.8% | 165507 | ||||
| Southfield Wellness Community AL |
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. | Webster City | 50
Facility
50
IA AVG
73
Rank
#261 / 407 | 100.0% | +33% | 4.41 | -4% | +3% | $71.9k | 47 | 9.4 | 5 | 57 |
58
Facility
58
IA AVG
45
Rank
#168 / 528 | - | $5.9M | $4.1M | 68.8% | 165411 |
The legal owner and operator of Southfield Wellness Community AL is | Maple Manor Village(Free Standing NF/SNF) | 120347 | VIEW | Colonial Manor of Elma(Free Standing NF/SNF) | 450794 | VIEW | Concord Care Center(Free Standing NF/SNF) | 410334 | VIEW.
Southfield Wellness Community AL has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IA state health department records, Southfield Wellness Community AL's license number is S0141.
According to IA state health department records, Southfield Wellness Community AL's license expires on May 14, 2028.
Southfield Wellness Community AL's occupancy is 100%.
The team at Southfield Wellness Community AL can be reached at [email protected].
Megan Hassebrock is the administrator of Southfield Wellness Community AL.
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