The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
Nursing home report
Embassy Rehab and Care Center
Sergeant Bluff, IA · Medicare-certified · 60 beds
Needs attention
For-profitChain member
1 of 5 overall
Embassy Rehab and Care Center in Sergeant Bluff, IA has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and an attention flag for the lowest overall rating. Staffing is rated 4 stars, but reported nurse staffing is 3.49 hours per resident day, below the federal benchmark of 4.1; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.4913 hrs/resident/day
Quality measures
Last inspection: October 23, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4913.
Staffing detail
- Registered nurses
- 0.85
- Licensed practical nurses
- 0.66
- Nurse aides
- 1.99
- Weekend nursing
- 2.91
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 25%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
28%34.5%Worsening
Residents with a fall causing major injury
2.6%2.6%No change
Residents with pressure ulcers (bedsores)
0%2%Worsening
Residents with a urinary tract infection
8.1%8.3%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.7%14.3%No change
Residents whose ability to walk got worse
—15.8%—
Long-stay residents on antianxiety or sleep medication
23.5%22.9%Improving
Short-stay residents newly given an antipsychotic
—2.8%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.9%19.9%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.7%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—70%—
Short-stay residents given the pneumonia vaccine
—90%—
What the inspectors found
The home failed to ensure residents received food prepared in a form that met their individual needs. Cited May 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 805 — 42 CFR §483.60 — S/S: K
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to submit complete and accurate staffing information based on verifiable records. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LANTIS ENTERPRISES · 5 homes · 1.4 stars avg
- Occupancy
- 42.7 residents on an average day (71% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.