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

Golden Age Care Center

Centerville, IA · 46 certified beds · Last Life Safety survey July 31, 2025

CMS Certification Number 165257 · first certified June 1995

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

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

25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
14
Inspection & testing records
Of the citations on file

Position within IA

25 citations — more than 91% 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 6 citations; the earlier surveys in the window averaged 9.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (June 2026 to August 2026). Most IA facilities have been surveyed by October 2026. This facility’s last Life Safety survey was July 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

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

2 of the 25 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

Physical environment (health survey)

2 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 25 Life Safety citations above. The Physical Environment Index

  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0880 Provide and implement an infection prevention and control program.

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 facility25IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility25
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
112024-0282024-0862025-07
Citations at each Life Safety survey
Survey dateCitations
February 8, 202411
August 22, 20248
July 31, 20256

Most-cited tags

Most-cited tags at this facility
K-07123K-09182K-03532K-03212K-07411K-05111E-00151K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.32025-07-31
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-08-22
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-07-31
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22025-07-31
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12024-02-08
K-0511Have properly installed electrical wiring and gas equipment.12024-02-08
E-0015Address subsistence needs for staff and patients.12024-02-08
K-0363Install corridor and hallway doors that block smoke.12024-02-08

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Miscellaneous Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Emergency Preparedness Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Miscellaneous Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies6
Emergency Preparedness Deficiencies2
Services Deficiencies1
Egress Deficiencies1

Every citation on file

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

July 31, 2025 — 6 citations

Citations issued on July 31, 2025
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (August 1, 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 (August 1, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 1, 2025)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (August 8, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 8, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (August 8, 2025)

August 22, 2024 — 8 citations

Citations issued on August 22, 2024
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 9, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 5, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 6, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (September 6, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (September 6, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 6, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 28, 2024)
K-0922Meet requirements for the use and maintenance of medical gas equipment.Deficient, Provider has date of correction (August 28, 2024)

February 8, 2024 — 11 citations

Citations issued on February 8, 2024
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (February 23, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (February 23, 2024)
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 (February 23, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 23, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 23, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 14, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 23, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 23, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 23, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (February 23, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 14, 2024)

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