Northgate Care Center

960 4th Street NW, Waukon, IA 52172 · CCN 165338 · 50 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

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Serious inspection findings

2026-03-04 — IMMEDIATE JEOPARDY (tag F0760, severity L)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

2025-11-14 — ACTUAL HARM (tag F0684, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

2.61

state median 3.10

Weekend staffing gap

−8%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.26

registered nurses only

Contract (agency) staff

19%

share of all nursing hours

Nursing staff turnover

34%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $71,110 in fines.

Date	Type	Amount
2026-03-04	Fine	$71,110

Ownership

Ownership type: For profit - Corporation. Part of the LEGACY HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

GROVE OF FOX VALLEY,THE (AURORA, IL) — CMS overall4 of 5
Nexus at Berwyn (BERWYN, IL) — CMS overall1 of 5
BELLA TERRA MORTON GROVE (MORTON GROVE, IL) — CMS overall2 of 5
LAKEFRONT NURSING & REHAB CTR (CHICAGO, IL) — CMS overall4 of 5
GLENVIEW TERRACE (GLENVIEW, IL) — CMS overall3 of 5
GROVE OF LAGRANGE PARK, THE (LA GRANGE PARK, IL) — CMS overall3 of 5
WARREN BARR GOLD COAST (CHICAGO, IL) — CMS overall4 of 5
GROVE OF ELMHURST, THE (ELMHURST, IL) — CMS overall2 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 18 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-03-04	F0552	Resident Rights Deficiencies	D	not recorded
2026-03-04	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-03-04	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-03-04	F0684	Quality of Life and Care Deficiencies	D	not recorded
2026-03-04	F0688	Quality of Life and Care Deficiencies	D	not recorded
2026-03-04	F0689	Quality of Life and Care Deficiencies	D	not recorded
2026-03-04	F0760	Pharmacy Service Deficiencies	L	not recorded
2026-03-04	F0761	Pharmacy Service Deficiencies	F	not recorded
2026-03-04	F0865	Administration Deficiencies	F	not recorded
2026-03-04	F0880	Infection Control Deficiencies	E	not recorded
2025-11-14	F0550	Resident Rights Deficiencies	D	not recorded
2025-11-14	F0580	Resident Rights Deficiencies	D	not recorded
2025-11-14	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-11-14	F0684	Quality of Life and Care Deficiencies	G	not recorded
2025-11-14	F0725	Nursing and Physician Services Deficiencies	D	not recorded
2025-11-14	F0760	Pharmacy Service Deficiencies	D	not recorded
2025-11-14	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-11-14	F0880	Infection Control Deficiencies	E	not recorded
2024-09-22	F0760	Pharmacy Service Deficiencies	D	not recorded
2024-04-25	F0812	Nutrition and Dietary Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Northgate Care Center, Waukon” at medicare.gov/care-compare.