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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 15 Google reviews
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No Medicare penalties on record
This facility has areas of concern that warrant careful consideration. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Careage Hills Rehabilitation and Healthcare receives high praise for its dedicated nursing staff, effective therapy department, and supportive administrative team that assists families with complex tasks like Medicaid enrollment. However, the facility has faced serious criticism regarding professional conduct during end-of-life situations, with at least one report of staff displaying inappropriate behavior toward a grieving family. Families generally report a warm, home-like environment, but the recent negative experience highlights potential gaps in staff sensitivity and crisis management.
Quality Themes
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Concerns
Rating Trends
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Distribution · 16 analyzed
This facility rarely responds to reviews.
Personalized based on this facility's data
Key Review Excerpts
“The nursing department is phenomenal. They are so kind and quick to advocate for the residents and help loved ones as best as they can. The therapy department is truly top notch.”
“I don't live close and when I call they always take time to walk the phone over to Mom's room. Sarah goes above and beyond taking care of not only Mom but also helps Dad with any issues that come up.”
“Breakfast eggs are made when you get there, not kept on a steaming tray. The fact that I'd been in Omaha NE put me off my Medicaid, but the social services lady got me back on it. Therapy is fantastic there.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
9
measures
3
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility shows a concerning pattern of recurring safety issues, with families filing 8 complaint-triggered reports leading to deficiencies. The most frequent problems involve accident prevention and safety supervision, resident rights violations, and abuse prevention policies. While the facility has corrected past violations, safety hazards have persisted across multiple years (2024-2025), suggesting ongoing challenges in maintaining a consistently safe environment for residents.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Source: Iowa Dept. of Inspections, Appeals & Licensing
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 6, State violations: 0
Fed violations: 2, State violations: 1
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 1, State violations: 0
Fed violations: 0, State violations: 0
Careage Hills Rehabilitation and Healthcare
for profit
The Ensign Group
342 facilities nationwide
Chain avg rating: 3.2/5 · Rank 229 of 328
Key personnel
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Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
15 reviews from families & visitors
Official Website
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Original nursing home datasets
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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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