Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Hallmar Village

Cedar Rapids, IA · 55 certified beds · Last Life Safety survey October 2, 2025

CMS Certification Number 165798 · first certified January 2024

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Hallmar Village AL (8900 C Avenue NE). Matched by the street address the two records share. The records are separate and are never added together.

Ownership

Operated by PRESBYTERIAN HOMES & SERVICES · Non profit - Church related

No change of ownership on CMS record since January 1, 2016, when the records begin.

14
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within IA

14 citations — more than 59% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: August 2026 to October 2026. This facility’s last Life Safety survey was October 2025. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 14 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 14 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

This facility14IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
72023-1232024-0942025-10
Citations at each Life Safety survey
Survey dateCitations
December 28, 20237
September 26, 20243
October 2, 20254

Most-cited tags

Most-cited tags at this facility
K-03542K-03212K-09182K-03241K-03451K-07611K-09201K-03531
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.22024-09-26
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22025-10-02
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-10-02
K-0324Provide properly protected cooking facilities.12024-09-26
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12023-12-28
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-12-28
K-0920Ensure proper usage of power strips and extension cords.12023-12-28
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-12-28

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Emergency Preparedness Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies2
Emergency Preparedness Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

October 2, 2025 — 4 citations

Citations issued on October 2, 2025
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (October 8, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (October 10, 2025)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (October 6, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 7, 2025)

September 26, 2024 — 3 citations

Citations issued on September 26, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (October 10, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 10, 2024)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (October 10, 2024)

December 28, 2023 — 7 citations

Citations issued on December 28, 2023
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (January 27, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 27, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 27, 2024)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (January 27, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (January 27, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 27, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 27, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.