Elder Care Record

Iowa › Winnebago County › Lake Mills

Lake Mills Care Center

406 South Tenth Avenue East, Lake Mills, IA 50450

CCN 165366 · For-profit, corporation · 61 certified beds · chain Legacy Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 61 beds, Lake Mills Care Center serves Lake Mills in Winnebago County, Iowa and has taken Medicare and Medicaid residents since 1997.

CMS gives it 4 of 5 stars overall, above the Iowa median of 3; the health inspection rating is 3, staffing 3 and quality measures 5.

Inspectors recorded 6 health deficiencies across the three most recent survey cycles (2, 4, 0 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 9.8 per 100 beds, fewer than the state median of 27.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.6 hours per resident per day (0.4 RN), close to the Iowa median of 3.7; nursing staff turnover is 25.0%.

6health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.6nurse hours per resident per daystate median 3.7
67%occupancy (residents ÷ beds)41 residents a day

Compared with county, state and nation

MeasureThis facilityWinnebago Co. medianIowa medianUS average
Overall star rating4433.0
Health citations, 3 cycles671628.7
Citations per 100 beds9.816.727.526.8
Total nurse hours per resident day3.63.53.73.9
RN hours per resident day0.40.50.70.7
Nursing staff turnover25.0%31.0%41.9%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (3 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)2
Cycle 24
Cycle 30

Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Apr 2026, 9 Apr 2025.

Severity mix: G ×1 D ×3 E ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
15 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey1 May 2026
16 Oct 2025F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation27 Oct 2025
9 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey30 Apr 2025
9 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey30 Apr 2025
9 Apr 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey30 Apr 2025
9 Apr 2025F0732Post nurse staffing information every day.CStandard survey30 Apr 2025

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.62 h
Nurse aides2.23 h
LPN1.04 h
RN0.35 h
Weekend total3.19 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 25.0%, RNs —; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityIowa medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay8.7%16.8%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.6%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.7%3.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.3%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.4%15.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.5%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay2.4%18.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Lake Mills Ia Skilled Nursing Facility Llc. Chain: Legacy Healthcare (89 facilities).

OrganisationRole in the CMS recordInterestSince
Legacy Healthcare Financial Services LLCOperational/managerial controlNOT APPLICABLE08/15/2024
Cascade Capital Holdings LLCAdp of the snfNOT APPLICABLE08/15/2024
Cascade Capital Partners LLCAdp of the snfNOT APPLICABLE08/15/2024
Ccg Gorgona LLCAdp of the snfNOT APPLICABLE08/15/2024
Gorgona Holdco LLCAdp of the snfNOT APPLICABLE08/15/2024
Gorgona Propco Holdings LLCAdp of the snfNOT APPLICABLE08/15/2024
Gorgona Sub Holdco LLCAdp of the snfNOT APPLICABLE08/15/2024
Lake Mills Ia Property Holdings, LLCAdp of the snfNOT APPLICABLE08/15/2024
Legacy Healthcare Financial Services LLCAdp of the snfNOT APPLICABLE08/15/2024
Mn8 Rh Holdco LLCAdp of the snfNOT APPLICABLE08/15/2024

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Winnebago County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Timely Mission Nursing HomeBuffalo Center42554716.7—17 Nov 2025
Good Samaritan - Forest CityForest City43444920.9$26K7 Aug 2025

All 3 facilities in Winnebago County

Questions and answers

How many deficiencies has Lake Mills Care Center been cited for?

6 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.

Has Lake Mills Care Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Lake Mills Care Center compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.

Who operates Lake Mills Care Center?

It is part of the Legacy Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Legacy Healthcare Financial Services LLC. Individual owners and managers are not listed on this site.

When was Lake Mills Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 15 Apr 2026; the most recent standard health survey was 15 Apr 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.