The nursing home failed to ensure residents were free from significant medication errors. Cited March 2026 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: L
Nursing home report
Northgate Care Center
Waukon, IA · Medicare-certified · 50 beds
Needs attention
Special Focus candidateFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
Northgate Care Center in Waukon, IA has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating, SFF Candidate special-focus status, and $71,110 in fines over the last 24 months. Reported nurse staffing is 2.97 hours per resident per day, below the federal benchmark of 4.1, while staffing and quality measures are both rated 3 out of 5 stars.
Facility ratings
Health inspections
Staffing
2.9708 hrs/resident/day
Quality measures
Last inspection: March 4, 2026Penalties, last 24 months: $71,110special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9708.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.54
- Nurse aides
- 2.04
- Weekend nursing
- 2.62
Hours per resident per day.
Total staff turnover: 34%
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
25.9%23.3%Improving
Residents with a fall causing major injury
5.4%2.6%Improving
Residents with pressure ulcers (bedsores)
7.3%7.7%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
8.1%2.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.4%8.3%Improving
Residents whose ability to walk got worse
11.9%7.5%Improving
Long-stay residents on antianxiety or sleep medication
24.3%18.4%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
43.4%22.4%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
—100%—
Long-stay residents given the pneumonia vaccine
97.3%97.4%No change
Short-stay residents given the pneumonia vaccine
92%95.2%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to properly label and securely store medications and biologicals. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $71,110 was recorded.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $71,110 in total fines.
- $71,110
Federal fine
Mar 4, 2026
Operator & ownership
Recent ownership change · Aug 15, 2024
Now operated by Waukon Ia Skilled Nursing Facility LLC, previously Abcm Corporation.
- Ownership
- For profit - Corporation
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 3 stars avg
- Occupancy
- 41.2 residents on an average day (82% of 50 beds)
- Medicare history
- Certified for 29 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.