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Nursing HomeMedicaid

Concord Care Center

Strong Medicare quality ratings; families often praise professional and tender nursing care. Still worth an in-person visit.

490 West Lyons Street, Garner, IA 5043846 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 6 Google reviews

5
4
3
2
1
Concord Care Center Nursing Home in Garner, IA — Street View
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What this means for your family

Recent feedback suggests that the facility has improved its communication and quality of care for long-term residents. However, given the serious historical concerns raised regarding dementia care, families should conduct a thorough tour and ask pointed questions about current patient rights policies and staff training.

Google Reviews

Google Reviews

6 reviews on Google
Concord Care Center receives highly polarized feedback, ranging from praise for attentive, professional staff to serious concerns regarding historical ethical practices. While recent reviews highlight consistent communication and tender care for long-term residents, older reports cite significant controversies regarding patient rights and care standards for those with dementia.

Quality Themes

Tap a score for details
FoodN/AStaff8.0CleanN/AActivitiesN/AMedsN/AMemory1.0Comms9.0ValueN/A

Strengths

  • Professional and tender nursing care
  • Proactive communication with family members
  • Consistent, high-quality attention to resident needs

Concerns

  • Historical controversies regarding patient rights and care standards

Rating Trends

Tap a year to see what changed

2341.02015(2)5.02017(2)5.02018(2)5.02020(2)3.02022(2)5.02024(2)

Distribution · 12 analyzed

5
8
4
0
3
2
2
0
1
2

How They Respond to Reviews

33%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given that memory care is a specialized area of focus for you, what specific programming or environmental modifications are in place to support residents with cognitive needs?
  • 2I noticed your team has been proactive in communicating with families; what is your preferred method for keeping us updated on our loved one's daily well-being and health status?
  • 3With your current staffing levels, how do you ensure that the high-quality, tender nursing care mentioned by other families is consistently maintained for every resident?
  • 4Could you walk me through your protocols for handling medical emergencies or sudden changes in a resident's health condition during the overnight hours?
  • 5I see there have been some past discussions regarding patient rights and care standards; what steps has the facility taken recently to strengthen your internal oversight and ensure resident advocacy?
  • 6How do you balance the 46-resident capacity with personalized activity planning to ensure residents stay engaged and connected throughout the week?

Personalized based on this facility's data


Key Review Excerpts

My aunt has been cared for by the wonderful staff at Concord for nearly 2 years. She has received such tender care, always done with professional expertise! I am responsible for my aunt’s well-being, and they have been so considerate to me, keeping me informed of even the smallest details of my aunt’s care.

Long-term resident's family · 2024★★★★★

Was horrified by what this care center did to the family of one of its patients--the premise of care is that if a patient with dementia can't specifically ask for a normal human need they should be denied it.

Community member · 2015☆☆☆☆
Source: 6 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
59%
Registered nurses for medical care
Total Nursing
3.32hrs
81%
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

8

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility33.6%
Worse than Avg
Here
33.6%
US
19.5%
IA
20.7%
Hancock
25.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
12.1%
IA
4.1%
Hancock
11.9%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.1%
Worse than Avg
Here
29.1%
US
19.4%
IA
25.9%
Hancock
23.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility91.0%
Worse than Avg
Here
91.0%
US
93.4%
IA
93.9%
Hancock
96.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.3%
Mixed vs Avgs
Here
12.3%
US
14.4%
IA
17.6%
Hancock
11.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.7%
Worse than Avg
Here
19.7%
US
15.5%
IA
19.4%
Hancock
14.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility21.7%
Worse than Avg
Here
21.7%
US
79.8%
IA
73.3%
Hancock
82.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility84.4%
Better than Avg
Here
84.4%
US
81.8%
IA
84.1%
Hancock
82.2%
💊

Short-stay residents newly given antipsychotics

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

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Near state avg (6.2)
5 complaint-triggered

This facility shows a concerning pattern of recurring issues across multiple areas, with families filing complaint reports about resident safety hazards. The most frequent problems involve fire safety systems (sprinkler maintenance, smoke barriers, emergency drills), emergency preparedness (testing requirements, power systems), and resident accident prevention. While all deficiencies were reportedly corrected, the same issues reappear across surveys, suggesting ongoing challenges with maintaining compliance in critical safety areas.

Apr 17, 2026Complaint
3
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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 25, 2025Routine
4
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0868Potential for harm · IsolatedCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Oct 24, 2024Routine
11
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0725Potential for harm · IsolatedCorrected

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.

0868Potential for harm · IsolatedCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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.

Oct 24, 2024Complaint
1
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.

Dec 8, 2023Complaint
1
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.

Aug 24, 2023Routine
6
0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
12deficiencies
May 11, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Apr 17, 2026Complaint
Clean

Fed violations: 3, State violations: 1

Nov 15, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Sep 25, 2025Inspection
Clean

Fed violations: 2, State violations: 0

Feb 6, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Nov 24, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Oct 24, 2024Inspection
Clean

Fed violations: 5, State violations: 0

Jan 8, 2024Other
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Concord Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

89 facilities nationwide

Chain avg rating: 3.0/5 · Rank 11 of 89

Ownership & Management

Owners

Friedman, Brian

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Rajchenbach, Avrum

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Rajchenbach, Rivka

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Shabat, Ahuva

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Shabat, MenachemOfficer / DirectorLegacy Healthcare Financial Services LLCManagerBeasley, KarlaManagerBehounek, LinseyManagerBorcherding, JennyManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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