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Nursing HomeMedicaid

Denison Care Center

Strong Medicare quality ratings; families often praise helpful business office staff. Still worth an in-person visit.

1202 Ridge Road, Denison, IA 5144246 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 12 Google reviews

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

While some families report positive experiences with individual caregivers, the facility has faced serious allegations regarding resident safety and billing transparency. We strongly advise families to ask for detailed incident reporting protocols and to have a clear, written understanding of all financial obligations before admission.

Google Reviews

Google Reviews

12 reviews on Google
Denison Care Center receives highly polarized feedback, with recent reviews highlighting a stark divide between praise for individual caregiver attentiveness and severe concerns regarding resident safety and administrative transparency. While some families appreciate the helpfulness of the business office and nursing staff, others report distressing incidents involving resident falls and aggressive billing practices.

Quality Themes

Tap a score for details
FoodN/AStaff5.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms2.0Value1.0

Strengths

  • Helpful business office staff
  • Attentive individual caregivers
  • Tag-free facility environment

Concerns

  • Lack of transparency and inconsistent reporting regarding resident falls (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02018(1)1.02023(1)1.82024(5)4.02025(4)1.02026(1)

Distribution · 12 analyzed

5
5
4
0
3
0
2
0
1
7

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that staffing levels are a priority for us, could you walk us through how you ensure consistent, personalized attention for each of the 46 residents throughout the day and night?
  • 2We understand that communication is vital for peace of mind; what is your standard process for notifying families immediately following a resident's fall or any change in their health status?
  • 3Since you have a smaller capacity of 46 residents, how does this size allow you to create a more personalized daily activity schedule compared to larger facilities?
  • 4We appreciate that your business office is noted for being helpful; how do you extend that same level of transparency and responsiveness when families have questions about their loved one's care plan?
  • 5With the recent state violations in mind, what specific steps has the leadership team taken to improve oversight and ensure consistent quality of care for all residents?
  • 6How do you balance the cost of care with the services provided to ensure that families feel they are receiving high-value, reliable support for their loved ones?

Personalized based on this facility's data


Key Review Excerpts

The business office was helpful to make sure all the insurance stuff was filed correctly as well. Its nice to see people care for your own like you would!!

Long-term resident's family · 2025★★★★★

I got 5 different stories of what happened . One gal told me she got hit by a mattress being brought into another room and it was a whole different wing.

Long-term resident's family · 2026☆☆☆☆

They just took my client off here Medicare adv plan forcing them to have a 15k bill.. when I called to ask what happened she was rude and not helpful and hung up on me

Client advocate · 2025☆☆☆☆
Source: 12 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.77hrs
OK
Registered nurses for medical care
Total Nursing
3.66hrs
89%
All nurses + aides combined
Staff Turnover
65%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

Total 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

Medicare Rating
3/ 5
Better Than Avg

11

measures

Worse Than Avg

2

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility45.1%
Worse than Avg
Here
45.1%
US
15.5%
IA
19.4%
Crawford
19.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.2%
Better than Avg
Here
13.2%
US
19.5%
IA
20.7%
Crawford
26.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
12.1%
IA
4.1%
Crawford
9.8%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.5%
Better than Avg
Here
7.5%
US
15.3%
IA
17.5%
Crawford
16.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.0%
Better than Avg
Here
97.0%
US
93.4%
IA
93.9%
Crawford
91.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.7%
Mixed vs Avgs
Here
24.7%
US
19.4%
IA
25.9%
Crawford
22.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility73.9%
Mixed vs Avgs
Here
73.9%
US
79.8%
IA
73.3%
Crawford
72.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility82.7%
Mixed vs Avgs
Here
82.7%
US
81.8%
IA
84.1%
Crawford
78.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Crawford
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (6.2)
2 complaint-triggered

Families filed complaints that led to findings about accident hazards and treatment care deficiencies in late 2024. The facility shows recurring issues with fire safety systems, electrical equipment maintenance, and emergency preparedness across multiple surveys from 2023-2025. While all deficiencies have reported correction dates, the pattern of repeated problems with safety systems and the recent complaint-triggered violations warrant careful consideration during your visit.

Oct 23, 2025Complaint
2
0689Actual 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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 3, 2025Routine
5
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Jul 11, 2024Routine
6
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

May 24, 2023Routine
10
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
4deficiencies
Dec 9, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Nov 25, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Oct 23, 2025Other
Clean

Fed violations: 2, State violations: 1

Jul 11, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Jul 3, 2025Inspection
Clean

Fed violations: 1, State violations: 0

Dec 24, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Oct 22, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Aug 13, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Denison Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Campbell Street Services

Chain Size

20 facilities nationwide

Chain avg rating: 2.1/5 · Rank 3 of 16

Ownership & Management

Owners

Birchwood Foundation LLC

Owner · Organization

Davis Square Holdings LLC

Owner · Organization

Holdco, Ia, 10, LLC

Owner · Organization

Virtus Equity LLC

Owner · Organization

Birchwood Healthcare Partners LLC

Owner (parent company) · Organization

Dole, Isaac

Owner (parent company)

Key personnel

Dole, IsaacManaging Control - Governing BodyBirchwood Healthcare Partners LLCManagerCampbell Street Ia 10 LLCManagerCampbell Street Services LLCManagerHoldco, Ia, 10, LLCManager
Source: Medicare provider data

Contact

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References & Resources

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