Caring Acres Nursing and Rehab Center
Nursing Home · Anita, IA
CMS certification number165217
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
Contact & location
1000 Hillcrest DriveAnita, IA 50020
Cass County
- Phone
- (712) 762-3219
- ZIP code
- 50020 – all care providers
Facility details
- Certified beds
- 41
- Residents per day
- 24.1 (59% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Anew Healthcare Operations - Anita LLC
- Medicare certified since
- May 1, 1994
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.60 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 1.32 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.21 (state 0.56 · U.S. 0.86)
- Nurse aides
- 2.07 (state 2.51 · U.S. 2.32)
- Weekend total
- 3.26 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 73.3 (state 44.0 · U.S. 45.8)%
- RN turnover
- 42.9 (state 42.1 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- February 12, 2026
- Health deficiencies (last cycle)
- 17.0 (state 6.5 · U.S. 9.3)
- From complaints
- 11
- Citations on record (3 years)
- 52 health · 28 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-04 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-06-28 |
| 2026-06-04 | Honor the resident's right to manage his or her financial affairs. F0567 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-28 |
| 2026-06-04 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-28 |
| 2026-06-04 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-28 |
| 2026-06-04 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-28 |
| 2026-06-04 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-28 |
| 2026-06-04 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-28 |
| 2026-02-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-13 |
| 2026-02-12 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-13 |
| 2026-02-12 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-13 |
| 2026-02-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-13 |
| 2026-02-12 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-13 |
| 2026-02-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-13 |
| 2026-02-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-13 |
| 2025-10-14 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-04 |
| 2025-10-14 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-04 |
| 2025-10-14 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-04 |
| 2025-06-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-07-02 |
| 2025-06-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-02 |
| 2025-06-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-02 |
| 2025-06-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-19 |
| 2025-06-19 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-02 |
| 2025-06-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-02 |
| 2025-02-20 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | 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. F0726 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. F0887 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. F0606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-02-20 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. F0836 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2024-11-26 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-26 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-26 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-08-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-08-23 |
| 2024-08-02 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-08-23 |
| 2024-08-02 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-23 |
| 2024-06-25 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-06-25 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-03-21 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-10 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $51,773 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-08-02 | Fine | $51,773 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Anew Holdings Iowa LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Hastings, Mark (individual) | 5%+ Indirect Ownership Interest · 100% | |
| 1000 Hillcrest Drive Propco LLC (organization) | Administrator · NOT APPLICABLE | |
| Cornerstone Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Flanagan, Michael (individual) | Administrator · NOT APPLICABLE | |
| Miller, Daniel (individual) | Administrator · NOT APPLICABLE | |
| Peterson, Rebecca (individual) | Administrator · NOT APPLICABLE | |
| Thoren, Tracy (individual) | Administrator · NOT APPLICABLE | |
| Hastings, Mark (individual) | Corporate Officer · NOT APPLICABLE | |
| Flanagan, Michael (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Cornerstone Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Flanagan, Michael (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Miller, Daniel (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Peterson, Rebecca (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Thoren, Tracy (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Caring Acres Nursing and Rehab Center?
Caring Acres Nursing and Rehab Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.
How many beds does Caring Acres Nursing and Rehab Center have?
It has 41 certified beds and cares for about 24 residents per day.
Has Caring Acres Nursing and Rehab Center been fined?
Yes. CMS lists 1 penalty totaling $51,773 in the last three years.
What is the phone number of Caring Acres Nursing and Rehab Center?
(712) 762-3219. The facility is located at 1000 Hillcrest Drive, Anita, IA 50020.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.