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

Nora Springs Care Center

Nora Springs, IA · 50 certified beds · Last Life Safety survey July 23, 2026

CMS Certification Number 165347 · first certified September 1997

Ownership

Operated by LEGACY HEALTHCARE · For profit - Corporation

  • Ownership changed August 15, 2024 (change of ownership)from ABCM CORPORATION
14
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
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 62% 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

Slippingmore citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 9 citations; the earlier surveys on file averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 7 months from now. This facility’s last Life Safety survey was July 2026. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 692 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 about three years in Virginia. How the window is measured

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Which alerts

2 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 cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

How that compares

Citations in CMS's current file

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 in CMS's current file, compared
MeasureCitations
This facility14
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
32024-0722025-0592026-07
Citations at each Life Safety survey
Survey dateCitations
July 3, 20243
May 29, 20252
July 23, 20269

Most-cited tags

Most-cited tags at this facility
K-09182K-03242K-09212K-02911K-03211K-07001K-03471K-09141
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22026-07-23
K-0324Provide properly protected cooking facilities.22026-07-23
K-0921Ensure that testing and maintenance of electrical equipment is performed.22026-07-23
K-0291Install emergency lighting that can last at least 1 1/2 hours.12026-07-23
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-07-03
K-0700Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.12025-05-29
K-0347Properly provide smoke detection systems in areas open to corridors.12026-07-23
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12026-07-23

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Smoke Deficiencies 5
  • Egress Deficiencies 2
  • Miscellaneous Deficiencies 2
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies5
Smoke Deficiencies5
Egress Deficiencies2
Miscellaneous Deficiencies2

Every citation on file

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

July 23, 2026 — 9 citations

Citations issued on July 23, 2026
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (August 1, 2026)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (August 1, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 23, 2026)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (July 23, 2026)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 30, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 1, 2026)
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 (July 23, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 23, 2026)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (July 31, 2026)

May 29, 2025 — 2 citations

Citations issued on May 29, 2025
TagWhat the surveyor checksStatus
K-0700Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.Deficient, Provider has date of correction (May 28, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 5, 2025)

July 3, 2024 — 3 citations

Citations issued on July 3, 2024
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 (July 9, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 9, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (July 15, 2024)

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