Nursing homeActive
Concord Care Center
490 West Lyons Street, Garner, IA 50438641923267746 certified beds · 39 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
11
● 0● 11● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-17
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 3
Quality 5
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-17 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-09-25 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-10-24 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2023-12-08 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-24 | 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.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 165364-20260417-F550
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.Corrected 2026-04-30Record 165364-20260417-F609
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 165364-20260417-F684
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 165364-20250925-F684
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 165364-20250925-F868
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-24Record 165364-20241024-F645
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-24Record 165364-20241024-F689
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-24Record 165364-20241024-F725
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-24Record 165364-20241024-F868
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-24Record 165364-20241024-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-08Record 165364-20231208-F689
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.49
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.50
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.07
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover53%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover60%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.8% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.5% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 19.2% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.5% | 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 | 11.2% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.0% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 33.1% | 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 |
|---|---|---|---|---|
| Beasley, Karla Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Behounek, Linsey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Borcherding, Jenny Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Burken, Sheri Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Diamond, Renee Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Friedenberg, Laura Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hedberg, Jennifer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Heying, Larina Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Houston, Mindy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Jaeger, Krystle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kloser, Kaitlyn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Larson, Melissa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Legacy Healthcare Financial Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lewis, Janet Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mcclure, Dorothy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Otterbeck, Patricia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rajchenbach, Chaim Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shear, Kiley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Van Veghel, Elizabeth Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wierschem, Bobbie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Beasley, Karla Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Behounek, Linsey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Borcherding, Jenny Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Burken, Sheri Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cascade Capital Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cascade Capital Partners LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ccg Gorgona LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Diamond, Renee Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Friedenberg, Laura Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Friedman, Brian Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Garner Ia Property Holdings, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gorgona Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gorgona Propco Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gorgona Sub Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hedberg, Jennifer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Heying, Larina Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Houston, Mindy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jaeger, Krystle Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kloser, Kaitlyn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Larson, Melissa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Legacy Healthcare Financial Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lewis, Janet Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mcclure, Dorothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Otterbeck, Patricia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rajchenbach, Avrum Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rajchenbach, Chaim Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rajchenbach, Rivka Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shabat, Ahuva Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Shear, Kiley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Van Veghel, Elizabeth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wierschem, Bobbie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Legacy Healthcare — 89 facilities
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 Hancock.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Good Samaritan - Forest City Forest City | 11.7 mi | 2025-08-07 | 072 |
| Westview Care Center Britt | 10.3 mi | 2026-06-25 | 000 |
| Oakwood Care Center Clear Lake | 11.5 mi | 2025-12-31 | 0120 |
| Rehabilitation Center of Belmond Belmond | 16.4 mi | 2026-04-23 | 0110 |
| Kanawha Community Home, INC. Kanawha | 14.1 mi | 2025-09-11 | 000 |
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
| 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 |