The nursing home failed to ensure residents were free from significant medication errors. Cited March 2026 — widespread issue, immediate jeopardy to residents.
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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
1 of 5 overall
Northgate Care Center in Waukon, IA has a 1 out of 5 overall rating, with a 1-star health inspection rating, 2-star quality measures, and 3-star staffing. It is a Special Focus Facility candidate, has had $71,110 in fines in the last 24 months, and its reported nurse staffing is 2.92 hours per resident per day versus the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
2.9222 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 2.9222.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.58
- Nurse aides
- 1.94
- Weekend nursing
- 2.56
Hours per resident per day.
Total staff turnover: 26%
Registered nurse turnover: 40%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
23.6%Worsening
Residents with a fall causing major injury
2.6%Improving
Residents with pressure ulcers (bedsores)
6%Steady
Residents with a urinary tract infection
1.3%Improving
Residents who lost too much weight
8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.5%Improving
Residents whose ability to walk got worse
16.1%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
26.5%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.9%Improving
Residents with new or worsening incontinence
39.9%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
96.7%Improving
Short-stay residents given the pneumonia vaccine
91.4%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.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
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.
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F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited March 2026 — widespread issue, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — 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.
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- INSPECTION
Health inspection found 1 health deficiency.
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Penalties & enforcement
On record with Medicare: 1 fine · $71,110 in total fines.
- $71,110
Federal fine
Mar 4, 2026
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
- Occupancy
- 40.4 residents on an average day (81% of 50 beds)
- Medicare history
- Certified for 28 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.