Northgate Care Center

Nursing Home · Waukon, IA

CMS overall rating 1/5 SFF candidate For profit - Corporation

CMS certification number165338
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

960 4th Street NW
Waukon, IA 52172
Allamakee County
Phone
(563) 568-3493
ZIP code
52172 – all care providers

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Facility details

Certified beds
50
Residents per day
41.2 (82% occupied)
Ownership
For profit - Corporation
Legal name
Waukon Ia Skilled Nursing Facility LLC
Chain
Legacy Healthcare (89 facilities, avg 2.9★)
Medicare certified since
August 1, 1997
Participates in
Medicare and Medicaid

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.7
Quality measures★★★★★ 3/5
State avg 3.3
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.97 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.40 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.54 (state 0.56 · U.S. 0.86)
Nurse aides
2.04 (state 2.51 · U.S. 2.32)
Weekend total
2.62 (state 3.37 · U.S. 3.42)
Nursing staff turnover
34.3 (state 44.0 · U.S. 45.8)%
RN turnover
—
Administrators who left
0 in the last year

Inspections

Last standard inspection
March 4, 2026
Health deficiencies (last cycle)
18.0 (state 6.5 · U.S. 9.3)
From complaints
10
Citations on record (3 years)
20 health · 1 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-03-04 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
L
Immediate jeopardy to resident health or safety
Corrected 2026-03-25
2026-03-04 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2026-04-02
2026-03-04 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-04-02
2026-03-04 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-02
2026-03-04 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-02
2026-03-04 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-02
2026-03-04 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-02
2026-03-04 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-02
2026-03-04 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-02
2026-03-04 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
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-02
2025-11-14 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 2025-11-24
2025-11-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-12-08
2025-11-14 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 2025-12-08
2025-11-14 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-08
2025-11-14 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 2025-12-08
2025-11-14 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
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-08
2025-11-14 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-08
2025-11-14 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-08
2024-09-22 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-10
2024-04-25 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
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-25

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 $87,160 in fines.

DateTypeAmount
2026-03-04Fine$87,160

Ownership & management

NameRoleSince
Beasley, Karla (individual)Administrator · NOT APPLICABLE
Behounek, Linsey (individual)Administrator · NOT APPLICABLE
Borcherding, Jenny (individual)Administrator · NOT APPLICABLE
Burken, Sheri (individual)Administrator · NOT APPLICABLE
Cascade Capital Holdings LLC (organization)Administrator · NOT APPLICABLE
Cascade Capital Partners LLC (organization)Administrator · NOT APPLICABLE
CCG Gorgona LLC (organization)Administrator · NOT APPLICABLE
Friedenberg, Laura (individual)Administrator · NOT APPLICABLE
Gorgona Holdco LLC (organization)Administrator · NOT APPLICABLE
Gorgona Propco Holdings LLC (organization)Administrator · NOT APPLICABLE
Gorgona Sub Holdco LLC (organization)Administrator · NOT APPLICABLE
Hedberg, Jennifer (individual)Administrator · NOT APPLICABLE
Hennager, Christina (individual)Administrator · NOT APPLICABLE
Heying, Larina (individual)Administrator · NOT APPLICABLE
Houston, Mindy (individual)Administrator · NOT APPLICABLE
Jaeger, Krystle (individual)Administrator · NOT APPLICABLE
Larson, Melissa (individual)Administrator · NOT APPLICABLE
Legacy Healthcare Financial Services LLC (organization)Administrator · NOT APPLICABLE
Love-Steiber, Andrea (individual)Administrator · NOT APPLICABLE
McClure, Dorothy (individual)Administrator · NOT APPLICABLE
MN8 RH Holdco LLC (organization)Administrator · NOT APPLICABLE
Otterbeck, Patricia (individual)Administrator · NOT APPLICABLE
Rajchenbach, Chaim (individual)Administrator · NOT APPLICABLE
Schwartz, David (individual)Administrator · NOT APPLICABLE
Shear, Kiley (individual)Administrator · NOT APPLICABLE
Van Veghel, Elizabeth (individual)Administrator · NOT APPLICABLE
Waukon Ia Property Holdings, LLC (organization)Administrator · NOT APPLICABLE
Wierschem, Bobbie (individual)Administrator · NOT APPLICABLE
Wikan, Lou Ann (individual)Administrator · NOT APPLICABLE
Shabat, Menachem (individual)Corporate Officer · NOT APPLICABLE
Friedman, Brian (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Rajchenbach, Avrum (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Rajchenbach, Rivka (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Shabat, Ahuva (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Beasley, Karla (individual)Operational/managerial Control · NOT APPLICABLE
Behounek, Linsey (individual)Operational/managerial Control · NOT APPLICABLE
Borcherding, Jenny (individual)Operational/managerial Control · NOT APPLICABLE
Burken, Sheri (individual)Operational/managerial Control · NOT APPLICABLE
Friedenberg, Laura (individual)Operational/managerial Control · NOT APPLICABLE
Hedberg, Jennifer (individual)Operational/managerial Control · NOT APPLICABLE
Hennager, Christina (individual)Operational/managerial Control · NOT APPLICABLE
Heying, Larina (individual)Operational/managerial Control · NOT APPLICABLE
Houston, Mindy (individual)Operational/managerial Control · NOT APPLICABLE
Jaeger, Krystle (individual)Operational/managerial Control · NOT APPLICABLE
Larson, Melissa (individual)Operational/managerial Control · NOT APPLICABLE
Legacy Healthcare Financial Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Love-Steiber, Andrea (individual)Operational/managerial Control · NOT APPLICABLE
McClure, Dorothy (individual)Operational/managerial Control · NOT APPLICABLE
Otterbeck, Patricia (individual)Operational/managerial Control · NOT APPLICABLE
Rajchenbach, Chaim (individual)Operational/managerial Control · NOT APPLICABLE
Shabat, Menachem (individual)Operational/managerial Control · NOT APPLICABLE
Shear, Kiley (individual)Operational/managerial Control · NOT APPLICABLE
Van Veghel, Elizabeth (individual)Operational/managerial Control · NOT APPLICABLE
Wierschem, Bobbie (individual)Operational/managerial Control · NOT APPLICABLE
Wikan, Lou Ann (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Northgate Care Center?

Northgate Care 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 Northgate Care Center have?

It has 50 certified beds and cares for about 41 residents per day.

Has Northgate Care Center been fined?

Yes. CMS lists 1 penalty totaling $87,160 in the last three years.

Who owns Northgate Care Center?

It is part of Legacy Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Northgate Care Center?

(563) 568-3493. The facility is located at 960 4th Street NW, Waukon, IA 52172.

Other nursing homes in Waukon

Compare all nursing homes in Waukon, IA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.