Iowa › Hamilton County › Webster City
Southfield Wellness Community
2416 Des Moines Street, Webster City, IA 50595
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 65 beds, Southfield Wellness Community serves Webster City in Hamilton County, Iowa and has taken Medicare and Medicaid residents since 1999.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.
Inspectors recorded 58 health deficiencies across the three most recent survey cycles (19, 15, 24 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 89.2 per 100 beds, more than the state median of 27.5.
CMS lists 2 penalties in the period covered: fines totalling $72K.
Reported nurse staffing is 3.7 hours per resident per day (0.8 RN), close to the Iowa median of 3.7; nursing staff turnover is 53.6%.
Compared with county, state and nation
| Measure | This facility | Hamilton Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 58 | 31 | 16 | 28.7 |
| Citations per 100 beds | 89.2 | 58.5 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.7 | 0.7 |
| Nursing staff turnover | 53.6% | 53.6% | 41.9% | 45.8% |
| Fines listed | $71,897 | $25,136 | $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: 19 Feb 2026, 3 Mar 2025.
Severity mix: G ×4 D ×46 E ×6 F ×2
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 |
|---|---|---|---|---|---|
| 19 Feb 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 | Standard survey | 16 Mar 2026 |
| 19 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Mar 2026 |
| 19 Feb 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 16 Mar 2026 |
| 19 Feb 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 16 Mar 2026 |
| 19 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 16 Mar 2026 |
| 19 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Mar 2026 |
| 19 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 16 Mar 2026 |
| 19 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 16 Mar 2026 |
| 19 Feb 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 16 Mar 2026 |
| 19 Feb 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 16 Mar 2026 |
| 19 Feb 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 16 Mar 2026 |
| 28 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 2 Feb 2026 |
| 17 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 16 Jan 2026 |
| 18 Nov 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 19 Dec 2025 |
| 18 Nov 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 19 Dec 2025 |
| 18 Nov 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Complaint investigation | 19 Dec 2025 |
| 18 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 19 Dec 2025 |
| 18 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 Dec 2025 |
| 18 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 Dec 2025 |
| 3 Mar 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 2 Apr 2025 |
| 3 Mar 2025 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 2 Apr 2025 |
| 3 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 2 Apr 2025 |
| 3 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 2 Apr 2025 |
| 3 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 2 Apr 2025 |
| 3 Mar 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 2 Apr 2025 |
| 3 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 2 Apr 2025 |
| 3 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Apr 2025 |
| 3 Mar 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 2 Apr 2025 |
| 3 Mar 2025 | F0713 | Provide or arrange emergency care by a doctor 24 hours a day. | D | Standard survey | 2 Apr 2025 |
| 3 Mar 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 2 Apr 2025 |
| 3 Mar 2025 | 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 | Standard survey | 2 Apr 2025 |
| 4 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 19 Dec 2024 |
| 4 Dec 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint investigation | 19 Dec 2024 |
| 4 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 19 Dec 2024 |
| 6 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 29 Nov 2023 |
| 6 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 29 Nov 2023 |
| 6 Nov 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 11 Dec 2023 |
| 6 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 Dec 2023 |
| 6 Nov 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 11 Dec 2023 |
| 6 Nov 2023 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard survey | 11 Dec 2023 |
| 6 Nov 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 11 Dec 2023 |
| 6 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 29 Nov 2023 |
| 6 Nov 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 29 Nov 2023 |
| 6 Nov 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 11 Dec 2023 |
| 6 Nov 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 11 Dec 2023 |
| 6 Nov 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 11 Dec 2023 |
| 6 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 11 Dec 2023 |
| 6 Nov 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 | 11 Dec 2023 |
| 6 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 11 Dec 2023 |
| 6 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 11 Dec 2023 |
| 6 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 11 Dec 2023 |
| 6 Nov 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint investigation | 11 Dec 2023 |
| 6 Nov 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 Dec 2023 |
| 6 Nov 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 11 Dec 2023 |
| 6 Nov 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 11 Dec 2023 |
| 6 Nov 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 11 Dec 2023 |
| 6 Nov 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 | Complaint investigation | 11 Dec 2023 |
| 6 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 4 Dec 2024 | Fine | $33,540 | |
| 6 Nov 2023 | Fine | $38,357 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 53.6%, RNs 42.9%; 0 administrators 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 | 15.2% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.3% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.9% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.2% | 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: Webster City Ia Skilled Nursing Facility Llc. Chain: Legacy Healthcare (89 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Iowa Portfolio Opco Holdings LLC | Direct ownership interest | NOT APPLICABLE | 08/15/2024 |
| Oakway Operations LLC | Indirect ownership interest | 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 Holdco 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 |
| Oakway Operations LLC | Adp of the snf | NOT APPLICABLE | 03/03/2025 |
| Webster City 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 Hamilton County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Crestview Nursing and Rehabilitation | Webster City | 70 | 2 | 2 | 4 | 19 | 27.1 | $25K | 17 Nov 2025 |
| Stratford Specialty Care | Stratford | 53 | 2 | 2 | 4 | 31 | 58.5 | — | 4 Dec 2025 |
All 3 facilities in Hamilton County
Questions and answers
How many deficiencies has Southfield Wellness Community been cited for?
58 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Southfield Wellness Community been fined?
Yes. CMS lists fines totalling $72K in the period covered.
How does staffing at Southfield Wellness Community compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Southfield Wellness Community?
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 and Oakway Operations LLC. Individual owners and managers are not listed on this site.
When was Southfield Wellness Community last inspected?
The most recent survey or investigation in the CMS record is dated 19 Feb 2026; the most recent standard health survey was 19 Feb 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.