Iowa › Floyd County › Nora Springs
Nora Springs Care Center
907 W Congress, Nora Springs, IA 50458
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.
Nora Springs Care Center is a For-profit, limited liability company nursing home in Nora Springs, Iowa, certified for 50 beds and caring for about 44 residents a day.
CMS gives it 4 of 5 stars overall, above the Iowa median of 3; the health inspection rating is 4, staffing 2 and quality measures 4.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (4, 1, 4 by cycle, most recent first), none at the actual-harm level. That is 18.0 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 3.1 hours per resident per day (0.3 RN), close to the Iowa median of 3.7; nursing staff turnover is 40.4%.
Compared with county, state and nation
| Measure | This facility | Floyd Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 9 | 6 | 16 | 28.7 |
| Citations per 100 beds | 18.0 | 10.5 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 4.0 | 3.7 | 3.9 |
| RN hours per resident day | 0.3 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 40.4% | 40.4% | 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
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 May 2025, 3 Jul 2024.
Severity mix: D ×9
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 Apr 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 Apr 2026 |
| 14 Apr 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 16 Apr 2026 |
| 8 Jan 2026 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 15 Jan 2026 |
| 18 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Nov 2025 |
| 3 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 4 Jul 2024 |
| 18 May 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 18 Jun 2023 |
| 18 May 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 18 Jun 2023 |
| 18 May 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 18 Jun 2023 |
| 18 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 18 Jun 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 40.4%, RNs 50.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.5% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.7% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.7% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.9% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.9% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.7% | 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, limited liability company. Legal business name: Nora Springs Ia Skilled Nursing Facility Llc. Chain: Legacy Healthcare (89 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Iowa Portfolio Opco Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 08/15/2024 |
| Oakway Operations LLC | Indirect ownership interest | NOT APPLICABLE | 08/15/2024 |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| Cascade Capital Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Cascade Capital Partners LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Ccg Gorgona LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Gorgona Propco Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Gorgona Sub Holdco LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Legacy Healthcare Financial Services LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Mn8 Rh Holdco LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Nora Springs Ia Property Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
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 Floyd County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Chautauqua Guest Home #2 | Charles City | 53 | 5 | 4 | 5 | 2 | 3.8 | — | 18 Sep 2025 |
| Chautauqua Guest Home #3 | Charles City | 57 | 5 | 5 | 5 | 6 | 10.5 | — | 3 Jul 2025 |
All 3 facilities in Floyd County
Questions and answers
How many deficiencies has Nora Springs Care Center been cited for?
9 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Nora Springs Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Nora Springs Care Center compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Nora Springs Care Center?
It is part of the Legacy Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Iowa Portfolio Opco Holdings LLC, Oakway Operations LLC and Legacy Healthcare Financial Services LLC. Individual owners and managers are not listed on this site.
When was Nora Springs Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 14 Apr 2026; the most recent standard health survey was 29 May 2025.
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.