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406 West Washington, Mount Ayr, IA 50854641464224082 certified beds · 72 residentsFor profit - PartnershipMedicare and Medicaid
Surveys on file
4
since 2024
Deficiencies
3
030
Penalties · 3 yrs
none on file
Last survey
2026-05-29
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-29Complaint020CMS-2567 (Care Compare)
2025-07-24Standard000CMS-2567 (Care Compare)
2024-09-12Standard010CMS-2567 (Care Compare)
2024-04-25Standard000CMS-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.

2026-05-29Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 165269-20260529-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 165269-20260529-F609
2024-09-12Standard survey · 1 deficiencyOfficial report
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-25Record 165269-20240912-F842

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.60
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.25
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours2.90
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover44%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover10%
Facility
Iowa
National
Iowa 42% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIowaNational
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)
EntityRoleInterestSinceRegistry
Routh, Gary
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST50%
Routh, Patricia
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST50%
Casteel, Monica
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fooken, Amber
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Marsh-Narigon, Whitney
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ramsey, Robin
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Routh, Gary
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Routh, Matthew
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Routh, Patricia
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Willcox, Kathleen
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Access Technologies Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Bcg Holdings Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Brighton Consulting Group LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Cattail Bcg LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Cattail Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Clearview - Routh LP
Organization
LIMITED PARTNERSHIP INTERESTNOT APPLICABLE
Ecsi Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Guardian Pharmacy LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Guardian Pharmacy Of Iowa LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Guardian Pharmacy Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Iowa Health Care Association
Organization
ADP OF THE SNFNOT APPLICABLE
Key Rehabilitation Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Routh, Gary
Individual
ADP OF THE SNFNOT APPLICABLE
Welgaard Cpas And Advisors
Organization
ADP OF THE SNFNOT APPLICABLE
Willcox, Kathleen
Individual
ADP OF THE SNFNOT 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

FacilityDistanceLast surveyDeficiencies · 3 yrs
Mount Ayr Health Care Center
Mount Ayr
0.8 mi2026-04-140110
Worth County Convalescent Center
Grant City
18.3 mi2026-02-260120
Lamoni Specialty Care
Lamoni
17.4 mi2026-02-19050
Lenox Care Center
Lenox
20.2 mi2026-03-240280
Accura Healthcare of Creston
Creston
24.4 mi2026-06-252342
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01