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HomeIowaNorthgate Care Center

Northgate Care Center

960 4th Street NW, Waukon, IA 521725635683493Google Maps
4.9on Google(8 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
3/5
Quality
3/5
Beds
50
certified
Special Focus Facility: SFF Candidate
1 fine(s) totaling $71,110

How Northgate Care Center Compares in Iowa

Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
IA average
3.1/5
Below state average
Health inspection rating
1/5
IA average
2.8/5
Below state average
Staffing rating
3/5
IA average
3.6/5
Below state average
Nursing hours per resident
2.97 hrs/day
IA average
3.81 hrs/day
Below state average
RN hours per resident
0.40 hrs/day
IA average
0.74 hrs/day
Below state average
Staff turnover
34.3%
IA average
44.1%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 1/5 health inspection rating is below the Iowa average of 2.8/5.
Reported nursing time is 2.97 hours per resident per day, below the state average of 3.81.
Reported RN time is 0.40 hours per resident per day, below the state average of 0.74.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
1
deficiency citation
Inspected Feb 20, 2025
Most recent cycle
18
deficiency citations
Inspected Mar 4, 2026
The most recent cycle recorded 17 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Allamakee County 65+
3,190
22.7% of county
County Population
14,046
Allamakee County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Northgate Care Center is a 1-star Medicare and Medicaid certified nursing home in Waukon, Iowa with 50 certified beds. It has been operating since 1997. Its overall CMS rating is 1 out of 5.

Beds
50
Avg Residents/Day
41.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 1, 1997
Sprinklers
Yes
Council
None
County
Allamakee
Last Inspection
Mar 4, 2026
Deficiencies (Cycle 1)
18
Weighted Score
219.3
Infection Citations
0

Deficiency Citations (20)

F0760Immediate Jeopardy

Ensure that residents are free from significant medication errors.

Survey: Mar 4, 2026Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Mar 4, 2026Corrected: NoCycle: 1
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Mar 4, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 4, 2026Corrected: NoCycle: 1
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Mar 4, 2026Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Mar 4, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Mar 4, 2026Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Mar 4, 2026Corrected: NoCycle: 1
F0688Potential for Harm

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.

Survey: Mar 4, 2026Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 4, 2026Corrected: NoCycle: 1
F0684Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Nov 14, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 14, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Nov 14, 2025Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Nov 14, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Nov 14, 2025Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Nov 14, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Nov 14, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Nov 14, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Sep 22, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Apr 25, 2024Corrected: NoCycle: 3
Total Fines
$71,110
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMar 4, 2026
$71,110

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.04 hrs
National avg: 2.32 hrs
LPN0.54 hrs
National avg: 0.86 hrs
RN0.40 hrs
National avg: 0.69 hrs
Total Nursing2.97 hrs
National avg: 3.86 hrs
Weekend Total2.62 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
34.3%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (55)

NameRoleTypeOwnership %Since
SHABAT, MENACHEMCORPORATE OFFICERIndividualN/AAug 15, 2024
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 15, 2024
BEASLEY, KARLAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
BEHOUNEK, LINSEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
BORCHERDING, JENNYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
BURKEN, SHERIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
FRIEDENBERG, LAURAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
HEDBERG, JENNIFEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
HENNAGER, CHRISTINAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
HEYING, LARINAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
HOUSTON, MINDYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
JAEGER, KRYSTLEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
LARSON, MELISSAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
LOVE-STEIBER, ANDREAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2024
MCCLURE, DOROTHYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
OTTERBECK, PATRICIAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
RAJCHENBACH, CHAIMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
SHABAT, MENACHEMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
SHEAR, KILEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
VAN VEGHEL, ELIZABETHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
WIERSCHEM, BOBBIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
WIKAN, LOU ANNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
FRIEDMAN, BRIANINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AMar 11, 2025
RAJCHENBACH, AVRUMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AMar 11, 2025
RAJCHENBACH, RIVKAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AMar 11, 2025
SHABAT, AHUVAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AMar 11, 2025
CASCADE CAPITAL HOLDINGS LLCADP OF THE SNFOrganizationN/AAug 15, 2024
CASCADE CAPITAL PARTNERS LLCADP OF THE SNFOrganizationN/AAug 15, 2024
CCG GORGONA LLCADP OF THE SNFOrganizationN/AAug 15, 2024
GORGONA HOLDCO LLCADP OF THE SNFOrganizationN/AAug 15, 2024
GORGONA PROPCO HOLDINGS LLCADP OF THE SNFOrganizationN/AAug 15, 2024
GORGONA SUB HOLDCO LLCADP OF THE SNFOrganizationN/AAug 15, 2024
LEGACY HEALTHCARE FINANCIAL SERVICES LLCADP OF THE SNFOrganizationN/AAug 15, 2024
MN8 RH HOLDCO LLCADP OF THE SNFOrganizationN/AAug 15, 2024
WAUKON IA PROPERTY HOLDINGS, LLCADP OF THE SNFOrganizationN/AAug 15, 2024
BEASLEY, KARLAADP OF THE SNFIndividualN/AAug 15, 2024
BEHOUNEK, LINSEYADP OF THE SNFIndividualN/AAug 15, 2024
BORCHERDING, JENNYADP OF THE SNFIndividualN/AAug 15, 2024
BURKEN, SHERIADP OF THE SNFIndividualN/AAug 15, 2024
FRIEDENBERG, LAURAADP OF THE SNFIndividualN/AAug 15, 2024
HEDBERG, JENNIFERADP OF THE SNFIndividualN/AAug 15, 2024
HENNAGER, CHRISTINAADP OF THE SNFIndividualN/AAug 15, 2024
HEYING, LARINAADP OF THE SNFIndividualN/AAug 15, 2024
HOUSTON, MINDYADP OF THE SNFIndividualN/AAug 15, 2024
JAEGER, KRYSTLEADP OF THE SNFIndividualN/AAug 15, 2024
LARSON, MELISSAADP OF THE SNFIndividualN/AAug 15, 2024
LOVE-STEIBER, ANDREAADP OF THE SNFIndividualN/AOct 1, 2024
MCCLURE, DOROTHYADP OF THE SNFIndividualN/AAug 15, 2024
OTTERBECK, PATRICIAADP OF THE SNFIndividualN/AAug 15, 2024
RAJCHENBACH, CHAIMADP OF THE SNFIndividualN/AAug 15, 2024
SCHWARTZ, DAVIDADP OF THE SNFIndividualN/AMar 10, 2025
SHEAR, KILEYADP OF THE SNFIndividualN/AAug 15, 2024
VAN VEGHEL, ELIZABETHADP OF THE SNFIndividualN/AAug 15, 2024
WIERSCHEM, BOBBIEADP OF THE SNFIndividualN/AAug 15, 2024
WIKAN, LOU ANNADP OF THE SNFIndividualN/AAug 15, 2024

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Northgate Care Center and nearby alternatives.

All Iowa facilities
Northgate Care Center
Waukon, IACurrent facility
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $71,110
Good Samaritan - Waukon
Waukon, IA4,224 ft
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $8,281
Wellington Place
Decorah, IA13.3 mi
CMS
3/5
Health
4/5
Staffing
4/5
Recorded fines: $29,689
Thornton Manor Nursing and Care Center
Lansing, IA13.6 mi
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: None
The Highlands
Decorah, IA15.8 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $93,839
Ossian Care Center
Ossian, IA17.1 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: None
Great River Care Center
Mc Gregor, IA23.1 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: $8,281
FacilityDistanceCMSHealthStaffingRecorded fines
Northgate Care Center
Waukon, IA · Current facility
—1/51/53/5$71,110
Good Samaritan - Waukon
Waukon, IA
4,224 ft2/52/54/5$8,281
Wellington Place
Decorah, IA
13.3 mi3/54/54/5$29,689
Thornton Manor Nursing and Care Center
Lansing, IA
13.6 mi4/53/55/5None recorded
The Highlands
Decorah, IA
15.8 mi2/52/54/5$93,839
Ossian Care Center
Ossian, IA
17.1 mi2/52/54/5None recorded
Great River Care Center
Mc Gregor, IA
23.1 mi4/54/53/5$8,281

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Northgate Care Center?▾
Northgate Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Northgate Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Northgate Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Northgate Care Center had any health inspection violations?▾
Northgate Care Center had 18 deficiency citations in its most recent health inspection (Mar 4, 2026). The current CMS dataset records 1 fine(s) totaling $71,110.
What are the staffing levels at Northgate Care Center?▾
Northgate Care Center provides 2.97 total nursing staff hours per resident per day, including 0.40 RN hours, 0.54 LPN hours, and 2.04 nurse aide hours. The total staff turnover rate is 34.3%.
How many beds does Northgate Care Center have?▾
Northgate Care Center has 50 certified beds with an average of 41.2 residents per day, resulting in approximately 82% occupancy. The facility is For profit - Corporation owned and is part of the Legacy Healthcare chain.
Are there other nursing homes near Northgate Care Center?▾
Yes. This page lists 6 nearby nursing homes in Iowa, including 1 in Waukon. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Northgate Care Center?▾
On Google Maps, Northgate Care Center has a rating of 4.9 out of 5 based on 8 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Legacy Healthcare

This chain operates 89 facilities. View all →