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    Nursing home · Garner, IA

    Concord Care Center

    490 West Lyons Street, Garner, IA 50438

    CMS certification number: 165364 · Updated October 1, 2026

    CMS overall rating

    5 / 5

    Certified beds

    46

    Residents / day

    37.7

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Hancock
    Certified beds
    46
    Average residents per day
    37.7
    First certified
    September 18, 1997

    CMS quality ratings

    Overall
    5 / 5
    Health inspections
    4 / 5
    Staffing
    3 / 5
    Quality measures
    5 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Hancock, Iowa. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    5.00
    County peers
    5.00
    n=2
    State peers
    3.13

    Nurse hours / resident / day

    This home
    3.59
    County peers
    3.96
    n=2
    State peers
    3.86
    n=377

    Weekend nurse hours / resident / day

    This home
    3.21
    County peers
    3.58
    n=2
    State peers
    3.38
    n=377

    Nursing staff turnover (%)

    This home
    53.20
    County peers
    32.40
    n=2
    State peers
    44.05
    n=362

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 10.6% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 53.2% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    15
    Health citations
    11
    Resident measures
    17
    Ownership records
    54
    Penalties
    0
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.58842
    Reported RN Staffing Hours per Resident per Day
    0.45920
    Reported LPN Staffing Hours per Resident per Day
    0.60017
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.52906
    Total number of nurse staff hours per resident per day on the weekend
    3.20939
    Registered Nurse hours per resident per day on the weekend
    0.40279
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.04843
    Total nursing staff turnover
    53.2
    Registered Nurse turnover
    60.0
    Number of administrators who have left the nursing home
    0
    Chain Name
    LEGACY HEALTHCARE
    Number of Facilities in Chain
    96
    Chain Average Overall 5-star Rating
    3.0
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    None
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    IA
    Urban
    N
    Chain ID
    306
    Latitude
    43.0905
    Location
    490 West Lyons Street,Garner,IA,50438
    ZIP Code
    50438
    City/Town
    Garner
    Longitude
    -93.608
    QM Rating
    5
    Abuse Icon
    N
    Chain Name
    LEGACY HEALTHCARE
    County/Parish
    Hancock
    Provider Name
    Concord Care Center
    Provider Type
    Medicare and Medicaid
    Overall Rating
    5
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    0
    Processing Date
    2026-10-01
    Staffing Rating
    3
    Provider Address
    490 West Lyons Street
    Telephone Number
    6419232677
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    GARNER IA SKILLED NURSING FACILITY LLC
    Long-Stay QM Rating
    5
    High Performing Icon
    Y
    Short-Stay QM Rating
    5
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.20491
    Chain Average QM Rating
    3.5
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    4
    Number of Certified Beds
    46
    Provider SSA County Code
    400
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    60.0
    Total Number of Penalties
    0
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.85439
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    53.2
    Chain Average Staffing Rating
    2.7
    Number of Facilities in Chain
    96
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    165364
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    0.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    20
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    21.000
    With a Resident and Family Council
    None
    Average Number of Residents per Day
    37.7
    Chain Average Overall 5-star Rating
    3.0
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    24
    Continuing Care Retirement Community
    Y
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.8
    Rating Cycle 1 Health Deficiency Score
    20
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    24
    Rating Cycle 1 Standard Survey Health Date
    2025-09-25
    Rating Cycle 2 Standard Health Survey Date
    2024-10-24
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.53324
    Case-Mix RN Staffing Hours per Resident per Day
    0.59093
    Reported RN Staffing Hours per Resident per Day
    0.45920
    Adjusted LPN Staffing Hours per Resident per Day
    0.69694
    Case-Mix LPN Staffing Hours per Resident per Day
    0.73637
    Reported LPN Staffing Hours per Resident per Day
    0.60017
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    5
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    6
    Rating Cycle 1 Number of Standard Health Deficiencies
    2
    Rating Cycle 2 Number of Standard Health Deficiencies
    5
    Reported Licensed Staffing Hours per Resident per Day
    1.05936
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    3
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.93685
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.00556
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.52906
    Adjusted Total Nurse Staffing Hours per Resident per Day
    4.16702
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.33285
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    2
    Reported Total Nurse Staffing Hours per Resident per Day
    3.58842
    Registered Nurse hours per resident per day on the weekend
    0.40279
    Date First Approved to Provide Medicare and Medicaid Services
    1997-09-18
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.04843
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.72687
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.93315
    Total number of nurse staff hours per resident per day on the weekend
    3.20939

    COMMUNITY EXPERIENCE

    Reviews of Concord Care Center

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

    Community reviews & discussions

    Explore independent experiences alongside the official record. These links search the named source; a matching listing or discussion is not guaranteed. Confirm the address before relying on a review.

    Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.

    Apply for work at this facility

    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026