Nursing HomeMedicaid

Nora Springs Care Center

Strong Medicare quality ratings; families often praise friendly and caring staff. Still worth an in-person visit.

907 W Congress, Nora Springs, IA 50458|50 beds|Licensed & Active

4/5

Medicare

Inspection

Quality

Staffing

Google rating

4.0/5

based on 4 Google reviews

(641) 749-5331 Directions Website

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What this means for your family

The facility is praised for its clean environment and friendly staff, making it a potentially comfortable home. However, given the report of unresponsive management during a critical hospice intake, families should ensure they have a direct, reliable point of contact before relying on their in-home care services.

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.40hrs

53%

Registered nurses for medical care

Total Nursing

3.59hrs

88%

All nurses + aides combined

Staff Turnover

43%

Lower is better (< 30% = good)

RN Turnover

60%

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

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

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility9.1%

Better than Avg

Here

9.1%

19.5%

20.7%

Floyd

28.1%

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.9%

Better than Avg

Here

0.9%

12.1%

4.1%

Floyd

16.2%

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

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility7.4%

Better than Avg

Here

7.4%

14.4%

17.6%

Floyd

12.2%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility9.4%

Better than Avg

Here

9.4%

15.5%

19.4%

Floyd

17.2%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility7.6%

Better than Avg

Here

7.6%

15.3%

17.5%

Floyd

13.7%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility26.2%

Worse than Avg

Here

26.2%

19.4%

25.9%

Floyd

20.9%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility91.4%

Better than Avg

Here

91.4%

81.8%

84.1%

Floyd

83.9%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility78.4%

Mixed vs Avgs

Here

78.4%

79.8%

73.3%

Floyd

78.8%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility2.1%

Worse than Avg

Here

2.1%

1.6%

2.0%

Floyd

1.5%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies

Near state avg (6.2)

4 complaint-triggered

Nora Springs Care Center has recurring issues with fire safety systems and electrical equipment, with the same generator problem appearing in multiple surveys, suggesting persistent infrastructure challenges. Families have filed complaints resulting in citations for abuse reporting failures, nursing competency issues, and resident rights violations. While the facility corrects deficiencies when cited, the pattern of repeated fire safety and electrical problems, combined with complaint-triggered investigations into serious care concerns, warrants careful consideration during visits.

Apr 14, 2026Complaint2 findings

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jan 8, 2026Complaint1 finding

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nov 18, 2025Complaint1 finding

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.

May 29, 2025Routine2 findings

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0700Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Jul 3, 2024Routine4 findings

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

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.

May 18, 2023Routine7 findings

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

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.

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.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

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.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

6deficiencies

Apr 27, 2026ComplaintNo deficiencies

Clean