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 September 1, 2026
1 of 5 overall
Northgate Care Center in Waukon, IA has a 1 out of 5 overall star rating, with 1-star health inspection results and SFF Candidate special-focus status. Staffing is below the federal benchmark (2.97 vs 4.1 hours per resident per day), and the facility had $87,160 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
2.9708 hrs/resident/day
Quality measures
Last inspection: March 4, 2026Penalties, last 24 months: $87,160special 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
- PENALTY
A federal fine of $87,160 was recorded.
- 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 · $87,160 in total fines.
- $87,160
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 · 95 homes · 2.9 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.