Northgate Care Center
Nursing home in Waukon, IA
Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)
Public-record details
- Address
- 960 4th Street NW, Waukon, IA 52172
- Phone
- (563) 568-3493
- Listed under
- For-profit
- Medicare CCN
- 165338
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 3 of 5
- Certified beds
- 50
- Average residents per day
- 41
- Ownership
- For-profit, corporation
- Legal business name
- Waukon Ia Skilled Nursing Facility LLC
- Chain
- Legacy Healthcare (89 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Aug 1, 1997
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Mar 4, 2026. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 25, 2024 to Mar 4, 2026): 11 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.
| Inspection | Citation | Severity |
|---|---|---|
| Mar 4, 2026 | Ensure that residents are fully informed and understand their health status, care and treatments. | D |
| Mar 4, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D |
| Mar 4, 2026 | Ensure each resident receives an accurate assessment. | D |
| Mar 4, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Mar 4, 2026 | 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 |
| Mar 4, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Mar 4, 2026 | Provide and implement an infection prevention and control program. | E |
| Mar 4, 2026 | 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… | F |
| Mar 4, 2026 | Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| Mar 4, 2026 | Ensure that residents are free from significant medication errors. | L |
| Nov 14, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Nov 14, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
Fines and payment denials
CMS records 1 fine totalling $87,160 in the last three years.
| Mar 4, 2026 | Fine: $87,160 |
Staffing
- Total nurse staffing per resident per day
- 2.97 hours
- Registered nurse (RN) time per resident per day
- 0.40 hours
- Nurse aide time per resident per day
- 2.04 hours
- Total nurse staffing on weekends
- 2.62 hours
- Nursing staff turnover (yearly)
- 34%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.