Careage Hills Rehabilitation and Healthcare
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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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (6 vs median 5)
Below average in IA · Below recommended RN staffing · Below chain average · No penalties on record
What this means for your family
Careage Hills is highly regarded for its therapy services and administrative support, particularly with Medicaid navigation. However, given the serious report of unprofessional staff behavior during a family crisis, we recommend that families observe staff interactions during a tour and ask how the facility handles sensitive end-of-life communication.
Google Reviews
Google Reviews
15 reviews on Google“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
Tap a score for detailsStrengths
- Highly effective physical therapy department
- Supportive and helpful administrative staff
- Warm, family-oriented environment
- Proactive communication with distant family members
Concerns
- Lack of staff sensitivity and unprofessional behavior during family crises
Rating Trends
Tap a year to see what changed
Distribution · 16 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the facility's strong reputation for physical therapy, how do you integrate those therapy goals into the daily routine for residents who are not currently in active sessions?
- 2I noticed your administrative team is very responsive to family inquiries; what is the best way for us to maintain that proactive communication regarding our loved one's health updates?
- 3With the facility having a smaller capacity of 44 residents, how do you foster that warm, family-oriented environment during daily activities and mealtimes?
- 4We understand that family crises can be stressful; what specific training or protocols do you have in place to ensure staff remain supportive and professional when families are going through difficult moments?
- 5Regarding the recent health inspection reports, what specific steps is the facility taking to improve those areas and ensure the highest quality of care for residents?
- 6Since you have a strong staffing rating, how do you ensure that this consistent support translates into personalized attention for each resident throughout the day?
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
10
measures
2
measures
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)
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Dec 9, 2025Complaint2
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.
Nov 5, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Feb 6, 2025Routine3
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.
Nov 5, 2024Complaint2
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.
Jun 20, 2024Complaint2
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.
Mar 28, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Mar 30, 2026InspectionClean
Fed violations: 0, State violations: 0
Mar 5, 2026InspectionClean
Fed violations: 6, State violations: 0
Dec 9, 2025OtherClean
Fed violations: 2, State violations: 1
Nov 29, 2025ComplaintClean
Fed violations: 0, State violations: 0
Nov 13, 2025OtherClean
Fed violations: 0, State violations: 0
Nov 5, 2025ComplaintClean
Fed violations: 1, State violations: 0
Oct 15, 2025ComplaintClean
Fed violations: 0, State violations: 0
Feb 27, 2025InspectionClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Careage Hills Rehabilitation and Healthcare
for profit
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 3.2/5 · Rank 229 of 328
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
15 reviews from families & visitors
Official Website
Visit careagehills.com
Medicare data downloads
Original nursing home datasets
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