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Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-29 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-07-24 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-09-12 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2024-04-25 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerQuality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.9% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.0% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 12.3% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.8% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 8.3% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.3% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.2% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Routh, Gary Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Routh, Patricia Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Casteel, Monica Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fooken, Amber Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Marsh-Narigon, Whitney Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ramsey, Robin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Routh, Gary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Routh, Matthew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Routh, Patricia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Willcox, Kathleen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Access Technologies Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bcg Holdings Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brighton Consulting Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cattail Bcg LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cattail Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Clearview - Routh LP Organization | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ecsi Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Guardian Pharmacy LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Guardian Pharmacy Of Iowa LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Guardian Pharmacy Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Iowa Health Care Association Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Key Rehabilitation Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Routh, Gary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Welgaard Cpas And Advisors Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Willcox, Kathleen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Ringgold.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Mount Ayr Health Care Center Mount Ayr | 0.8 mi | 2026-04-14 | 0110 |
| Worth County Convalescent Center Grant City | 18.3 mi | 2026-02-26 | 0120 |
| Lamoni Specialty Care Lamoni | 17.4 mi | 2026-02-19 | 050 |
| Lenox Care Center Lenox | 20.2 mi | 2026-03-24 | 0280 |
| Accura Healthcare of Creston Creston | 24.4 mi | 2026-06-25 | 2342 |
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |