North Crest Living Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 40 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 (1/5 stars)
- Above-median deficiencies (17 vs median 5)
- High staff turnover (59%)
- High RN turnover (70%)
Bottom 25% in IA · Below recommended RN staffing · No penalties on record
What this means for your family
North Crest Living Center offers strong rehab services and a clean environment, which many families appreciate. However, because multiple reviewers have reported serious lapses in clinical care and significant communication barriers with management, we strongly recommend conducting unannounced visits and closely monitoring your loved one's care plan during their first few weeks.
Google Reviews
Google Reviews
40 reviews on Google“North Crest Living Center receives highly polarized feedback, with many families praising the compassionate care and effective rehab services, while others report significant failures in communication and basic resident care. While some families feel their loved ones are treated with dignity and kindness, others have raised serious concerns regarding administrative responsiveness and the quality of clinical oversight.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Effective physical therapy and rehab services
- Clean and well-maintained facility environment
- Supportive and professional administrative coordination
Concerns
- Poor administrative communication and lack of follow-up (mentioned by 2 reviewers)
- Inconsistent or negligent clinical care (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 45 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given that medication management is a top priority for our family, could you walk us through the specific protocols and oversight measures you have in place to ensure accuracy and safety?
- 2I noticed the facility has had a high volume of state violations recently; what specific steps is the leadership team taking to address these findings and improve your overall regulatory standing?
- 3We understand that clear communication is vital for peace of mind; what is your standard process for keeping family members updated on changes in a resident’s health or care plan?
- 4While we’ve heard wonderful things about your physical therapy team, how do you ensure that the same level of consistent, attentive care is provided by the nursing staff throughout all shifts?
- 5What does a typical day look like for a resident here, and how do you encourage social engagement among the 62 residents to ensure everyone feels included in the community?
- 6In the event of a medical emergency or an urgent health change, what is the exact chain of communication to ensure family members are notified immediately?
Personalized based on this facility's data
Key Review Excerpts
“The physical therapy team was overly helpful with getting her through therapy and getting her physically able to return home. It is clean and easy to get around.”
“My relative heard them say outside of his room that they don't need to take care of him because he is going to die anyway. He was there for rehab and wasn't on hospice.”
“I am actually pretty disappointed in this place. My grandfather has been in this facility for a total of 4 days… 2 meals he has not been fed in his first 24 hours of being there… his oxygen that is suppose to be at a 6 was at a 2.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
5
measures
6
measures
6
measures
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
North Crest Living Center shows a troubling pattern with families filing 12 complaints that triggered federal investigations, indicating ongoing resident and family concerns. The facility has persistent problems with infection control (appearing in 8 deficiencies), resident communication requirements, and fire safety systems that repeat across multiple surveys from 2023 to 2025. While the provider reports correcting each violation, the recurring nature of these deficiencies suggests systemic issues that warrant careful investigation during any visit.
Aug 26, 2025Complaint3
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.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 24, 2025Routine21
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Sep 19, 2024Routine13
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Sep 19, 2024Complaint3
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.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Aug 2, 2024Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 28, 2024Complaint2
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Jun 11, 2026ComplaintClean
Fed violations: 0, State violations: 0
Oct 23, 2025ComplaintClean
Fed violations: 0, State violations: 0
Sep 30, 2025ComplaintClean
Fed violations: 0, State violations: 0
Aug 26, 2025ComplaintClean
Fed violations: 3, State violations: 0
Aug 23, 2025InspectionClean
Fed violations: 0, State violations: 0
Jul 24, 2025InspectionClean
Fed violations: 14, State violations: 0
Dec 31, 2024ComplaintClean
Fed violations: 0, State violations: 0
Oct 19, 2024InspectionClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
North Crest Living Center
for profit
Ownership & Management
Owners
Goracke, Douglas
Owner
Larison, Audra
Owner
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
40 reviews from families & visitors
Official Website
Visit northcrestliving.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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