Nursing homeActive
Happy Siesta Health Care Center
423 Roosevelt St, Remsen, IA 51050712786112562 certified beds · 56 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
5
● 0● 4● 1
Penalties · 3 yrs
—
none on file
Last survey
2025-06-12
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 4
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 |
|---|---|---|---|---|
| 2025-06-12 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-06-20 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-04-17 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-05-18 | 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.
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-25Record 165405-20250612-F580
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-25Record 165405-20250612-F605
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 2025-06-25Record 165405-20250612-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-25Record 165405-20250612-F812
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-04Record 165405-20240417-F689
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.77
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.30
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.05
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover53%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover40%
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 | 1.8% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.6% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 27.4% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.1% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 16.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.1% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.3% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 28.6% | 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 |
|---|---|---|---|---|
| Cornerstone Senior Communities Of Remsen Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Cody, Mark Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cornerstone Senior Communities Of Remsen Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cronin, Cheryl Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Draper, Thomas Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Geha, Andrew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gergen, Elizabeth Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Heidesch, Margaret Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kuiken, Jennifer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ltc Accounting Services, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Owens, Valerie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Premier Senior Management LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sanow, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Schultz, Judith Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sievers, Susan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Staab, Jackie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Steele, Helen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Williams & Company PC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cody, Mark Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cody, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Cornerstone Senior Communities Of Remsen Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cronin, Cheryl Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Draper, Thomas Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Geha, Andrew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gergen, Elizabeth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Heidesch, Margaret Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kuiken, Jennifer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ltc Accounting Services, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Owens, Valerie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Premier Senior Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sanow, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schultz, Judith Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sievers, Susan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Staab, Jackie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Steele, Helen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Williams & Company PC Organization | 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 Plymouth.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Heartland Care Center Marcus | 8.3 mi | 2026-05-07 | 0180 |
| Good Samaritan - Lemars Le Mars | 9.2 mi | 2026-05-14 | 060 |
| Accura Healthcare of Le Mars Le Mars | 9.7 mi | 2025-05-29 | 0132 |
| Prairie Ridge Care Center Orange City | 14.6 mi | 2026-06-18 | 0100 |
| Kingsley Specialty Care Kingsley | 15.1 mi | 2026-05-21 | 0311 |
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 |