The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Southfield Wellness Community
Webster City, IA · Medicare-certified · 65 beds
Needs attention
For-profitChain member
1 of 5 overall
Southfield Wellness Community in Webster City, IA has a 1 out of 5 overall rating, with a 1-star health inspection rating and 2-star quality measures rating, while staffing is rated 4 stars but reported nurse staffing is 3.71 hours per resident per day versus the 4.1-hour federal benchmark. It also has a recent federal penalty and $33,540 in fines over the last 24 months, with recent inspection citations for care, infection/continence-related care, and accident prevention.
Facility ratings
Health inspections
Staffing
3.7142 hrs/resident/day
Quality measures
Last inspection: February 19, 2026Penalties, last 24 months: $33,540recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7142.
Staffing detail
- Registered nurses
- 0.74
- Licensed practical nurses
- 0.34
- Nurse aides
- 2.64
- Weekend nursing
- 3.34
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 50%
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
20%12.5%Improving
Residents with a fall causing major injury
2.2%5.7%Worsening
Residents with pressure ulcers (bedsores)
3.9%0%Improving
Residents with a urinary tract infection
2.2%0%Improving
Residents who lost too much weight
7.1%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.5%9.1%Improving
Residents whose ability to walk got worse
15%11.7%Improving
Long-stay residents on antianxiety or sleep medication
11.9%17.4%Worsening
Short-stay residents newly given an antipsychotic
—3.1%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
31.5%30.5%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
97.8%100%Improving
Short-stay residents given the seasonal flu vaccine
—90%—
Short-stay residents given the pneumonia vaccine
75%100%Improving
What the inspectors found
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 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 have a plan for how it would carry out quality improvement and oversight activities. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $33,540 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $71,897 in total fines.
- $33,540
Federal fine
Dec 4, 2024
- $38,357
Federal fine
Nov 6, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
- Occupancy
- 55.3 residents on an average day (85% of 65 beds)
- Medicare history
- Certified for 27 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.