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Nursing HomeMedicaid Investigative

Altoona Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

200 Seventh Avenue Sw, Altoona, IA 50009106 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 44 Google reviews

5
4
3
2
1
Altoona Nursing and Rehabilitation Center Nursing Home in Altoona, IA — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (15 vs median 5)

Bottom 25% in IA · Below recommended RN staffing · Worst in CAMPBELL STREET SERVICES chain · No penalties on record

Source: Medicare data

What this means for your family

While the facility has demonstrated success in short-term rehab and hospice care, the recurring reports of poor wound management and communication failures are significant red flags. If you choose this facility, we strongly recommend frequent, unannounced visits to monitor your loved one's condition and ensure that care plans are being followed consistently.

Google Reviews

Google Reviews

44 reviews on Google
Altoona Nursing and Rehabilitation Center receives highly polarized feedback, with some families praising the compassionate hospice and rehab care while others report severe concerns regarding patient safety and communication. Recurring criticisms highlight issues with wound care, staff responsiveness, and administrative transparency, while positive experiences often focus on specific staff members and successful short-term rehabilitation outcomes. Potential families should be aware of the significant inconsistency in care quality reported across different years and departments.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean3.0ActivitiesN/AMeds2.0MemoryN/AComms2.0Value5.0

Strengths

  • Compassionate end-of-life/hospice care
  • Effective short-term physical therapy
  • Helpful administrative support for financial/Medicaid processes

Concerns

  • Poor wound care and development of pressure sores (mentioned by 3 reviewers)
  • Lack of communication regarding medical status or hospital transfers (mentioned by 3 reviewers)
  • Unresponsive or unprofessional staff/management (mentioned by 4 reviewers)
  • Inadequate hygiene and facility cleanliness (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'12(1)'17(2)'19(2)'21(1)'24(6)'26(11)

Distribution · 44 analyzed

5
19
4
4
3
4
2
1
1
16

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1How does your team ensure that family members are kept closely informed and updated immediately when there is a change in a resident's medical status or a hospital transfer?
  • 2What specific protocols do you have in place to ensure skin integrity and prevent the development of pressure sores for residents?
  • 3I've heard wonderful things about the compassion shown during end-of-life care here; how does your staff support both the residents and their families during those sensitive times?
  • 4Can you walk me through your daily routine for facility cleaning and how you ensure resident hygiene is consistently maintained?
  • 5What is your process for managing medications to ensure accuracy and prevent any errors in administration?
  • 6What kind of daily activities or social programs do you offer to keep residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

My mom went here under hospice care they took such good care of her. Wilson, Kim there are to many to remember they touched our hearts with the way they took care of our mother in her final days.

Hospice family member · 2026★★★★★

Yvonne went above and beyond to guide my family and me through every step of the Medicaid application process, ensuring we understood what to expect and what to do along the way.

Long-term care family member · 2025★★★★★

My father went in for rehab for a broken hip and shoulder, two (2) month after arriving there he had sepsis and his whole heal was rotting. I found on my daily visits that he never had his call light or urinal.

Rehab patient's daughter · 2017☆☆☆☆
Source: 44 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility32.2%
Worse than Avg
Here
32.2%
US
19.4%
IA
25.9%
Polk
19.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
12.1%
IA
4.1%
Polk
3.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility20.4%
Worse than Avg
Here
20.4%
US
15.5%
IA
19.4%
Polk
10.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.3%
Better than Avg
Here
98.3%
US
93.4%
IA
93.9%
Polk
96.7%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility92.6%
Worse than Avg
Here
92.6%
US
95.5%
IA
95.3%
Polk
96.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility18.6%
Worse than Avg
Here
18.6%
US
15.3%
IA
17.5%
Polk
16.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility62.3%
Worse than Avg
Here
62.3%
US
79.8%
IA
73.3%
Polk
83.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.0%
Better than Avg
Here
93.0%
US
81.8%
IA
84.1%
Polk
90.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.0%
Worse than Avg
Here
2.0%
US
1.6%
IA
2.0%
Polk
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
Well above state avg (6.2)
34 complaint-triggered

This facility shows a concerning pattern with 33 family-filed complaints leading to deficiencies across nursing staffing, medication management, and infection control. The same core issues have persisted repeatedly across multiple surveys since 2022, including inadequate nursing staff levels, medication errors, and failure to maintain a safe, clean environment. While the facility corrects deficiencies when cited, the recurring nature of these fundamental care problems suggests ongoing systemic issues that families should carefully consider.

Mar 19, 2026Routine
15
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0362Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Mar 19, 2026Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Oct 30, 2025Complaint
3
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jun 26, 2025Complaint
2
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Feb 27, 2025Routine
11
0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0865Potential for harm · PatternCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0922Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use and maintenance of medical gas equipment.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Feb 27, 2025Complaint
7
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
21deficiencies
Apr 27, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Mar 19, 2026Inspection
Clean

Fed violations: 5, State violations: 0

Nov 20, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Oct 30, 2025Complaint
Clean

Fed violations: 3, State violations: 1

Sep 23, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jul 18, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jun 26, 2025Complaint
Clean

Fed violations: 2, State violations: 0

Mar 20, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Altoona Nursing and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Campbell Street Services

Chain Size

20 facilities nationwide

Chain avg rating: 2.1/5 · Rank 14 of 16 (Worst)

Ownership & Management

Owners

Holdco Goldfinch, LLC

Owner · Organization

Chitai Investment, LLC

Owner (parent company) · Organization

Holdco Tabletop, LLC

Owner (parent company) · Organization

Investco Tabletop, LLC

Owner (parent company) · Organization

Techcare CORP

Owner (parent company) · Organization

Curcio, Dominic

Owner (parent company)

Dole, Isaac

Owner (parent company)

Thomas, Joseph

Owner (parent company)

Key personnel

Realco Altoona, Ia, LLC5% or Greater Mortgage InterestCampbell Street Services LLCManagerManagerco Goldfinch, LLCManagerManagerco Tabletop, LLCManagerBaucom, StaceyManager
Source: Medicare provider data

Contact

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Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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