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

St Luke's Helen G Nassif Transitional Care Center

Cedar Rapids, IA · 46 certified beds · Last Life Safety survey March 5, 2026

CMS Certification Number 165389 · first certified April 1998

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

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

13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within IA

13 citations — more than 53% 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 2 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was March 2026. 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

3 inspection-and-testing tags have 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

3 of the 13 citations on file are 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

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 facility13IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
82024-0132025-0122026-03
Citations at each Life Safety survey
Survey dateCitations
January 18, 20248
January 30, 20253
March 5, 20262

Most-cited tags

Most-cited tags at this facility
K-03453K-09182K-03532K-07121E-00061K-03471E-00041K-07611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.32026-03-05
K-0918Have generator or other power source capable of supplying service within 10 seconds.22026-03-05
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-01-30
K-0712Have simulated fire drills held at unexpected times.12024-01-18
E-0006Conduct risk assessment and an All-Hazards approach.12024-01-18
K-0347Properly provide smoke detection systems in areas open to corridors.12024-01-18
E-0004Develop and maintain an Emergency Preparedness Program (EP).12024-01-18
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12024-01-18

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Emergency Preparedness Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Emergency Preparedness Deficiencies3
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2

Every citation on file

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

March 5, 2026 — 2 citations

Citations issued on March 5, 2026
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 4, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 4, 2026)

January 30, 2025 — 3 citations

Citations issued on January 30, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (February 13, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 5, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 4, 2025)

January 18, 2024 — 8 citations

Citations issued on January 18, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (February 8, 2024)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (February 8, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 25, 2024)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (January 25, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 25, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 25, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (January 25, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 25, 2024)

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