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    Nursing home · Waukon, IA

    Northgate Care Center

    960 4th Street NW, Waukon, IA 52172

    CMS certification number: 165338 · Updated October 1, 2026

    Request care assistance5635683493Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    50

    Residents / day

    37.1

    Ownership

    For profit - Corporation

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Corporation
    County
    Allamakee
    Certified beds
    50
    Average residents per day
    37.1
    First certified
    August 1, 1997

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    1 / 5
    Staffing
    4 / 5
    Quality measures
    3 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

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

    CMS overall rating / 5

    This home
    1.00
    County peers
    3.50
    n=2
    State peers
    3.14

    Nurse hours / resident / day

    This home
    3.43
    County peers
    3.57
    n=2
    State peers
    3.86
    n=377

    Weekend nurse hours / resident / day

    This home
    2.86
    County peers
    3.22
    n=2
    State peers
    3.39
    n=377

    Nursing staff turnover (%)

    This home
    55.30
    County peers
    38.70
    n=2
    State peers
    44.04
    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 16.5% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 55.3% 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
    1
    Health citations
    20
    Resident measures
    17
    Ownership records
    55
    Penalties
    1
    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
    3.42668
    Reported RN Staffing Hours per Resident per Day
    0.58960
    Reported LPN Staffing Hours per Resident per Day
    0.47447
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.36261
    Total number of nurse staff hours per resident per day on the weekend
    2.86151
    Registered Nurse hours per resident per day on the weekend
    0.40923
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.00554
    Total nursing staff turnover
    55.3
    Registered Nurse turnover
    40.0
    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
    SFF Candidate
    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
    43.2804
    Location
    960 4th Street NW,Waukon,IA,52172
    ZIP Code
    52172
    City/Town
    Waukon
    Longitude
    -91.48
    QM Rating
    3
    Abuse Icon
    N
    Chain Name
    LEGACY HEALTHCARE
    County/Parish
    Allamakee
    Provider Name
    Northgate Care Center
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Corporation
    Number of Fines
    1
    Processing Date
    2026-10-01
    Staffing Rating
    4
    Provider Address
    960 4th Street NW
    Telephone Number
    5635683493
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    WAUKON IA SKILLED NURSING FACILITY LLC
    Long-Stay QM Rating
    4
    High Performing Icon
    N
    Short-Stay QM Rating
    2
    Special Focus Status
    SFF Candidate
    Nursing Case-Mix Index
    1.19043
    Chain Average QM Rating
    3.5
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    50
    Provider SSA County Code
    020
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    40.0
    Total Number of Penalties
    1
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.84413
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    55.3
    Chain Average Staffing Rating
    2.7
    Number of Facilities in Chain
    96
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    165338
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    56655.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    291
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    219.250
    With a Resident and Family Council
    None
    Average Number of Residents per Day
    37.1
    Chain Average Overall 5-star Rating
    3.0
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    4
    Continuing Care Retirement Community
    N
    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
    291
    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
    4
    Rating Cycle 1 Standard Survey Health Date
    2026-03-04
    Rating Cycle 2 Standard Health Survey Date
    2025-02-20
    Rating Cycle 2/3 Number of Health Revisits
    0
    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
    0.69299
    Case-Mix RN Staffing Hours per Resident per Day
    0.58383
    Reported RN Staffing Hours per Resident per Day
    0.58960
    Adjusted LPN Staffing Hours per Resident per Day
    0.55768
    Case-Mix LPN Staffing Hours per Resident per Day
    0.72752
    Reported LPN Staffing Hours per Resident per Day
    0.47447
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    18
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    1
    Rating Cycle 1 Number of Standard Health Deficiencies
    10
    Rating Cycle 2 Number of Standard Health Deficiencies
    0
    Reported Licensed Staffing Hours per Resident per Day
    1.06407
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    10
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.77692
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    1.98146
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.36261
    Adjusted Total Nurse Staffing Hours per Resident per Day
    4.02759
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.29281
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    1
    Reported Total Nurse Staffing Hours per Resident per Day
    3.42668
    Registered Nurse hours per resident per day on the weekend
    0.40923
    Date First Approved to Provide Medicare and Medicaid Services
    1997-08-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.00554
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.36331
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.89791
    Total number of nurse staff hours per resident per day on the weekend
    2.86151

    COMMUNITY EXPERIENCE

    Reviews of Northgate Care Center

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

    No published community reviews yet.

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