Northgate Care Center
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 8 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.
- Above-median deficiencies (8 vs median 5)
Below average in IA · Critically understaffed (RN) · Significantly below average staffing · Low staff turnover (stable workforce) · No penalties on record
What this means for your family
Northgate Care Center is highly regarded for its warm staff and quality dining experience. While the reviews are overwhelmingly positive, families should note that many recent reviews are brief and lack specific operational details; we recommend scheduling an in-person tour to observe daily interactions firsthand.
Google Reviews
Google Reviews
8 reviews on Google“Northgate Care Center receives high praise from families for its compassionate staff and high-quality meal service. Reviewers consistently highlight a welcoming environment where residents are treated with kindness and respect, though several reviews lack specific details.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- High-quality, well-prepared meals
- Clean and well-maintained facility
- Enriching daily activities and therapy programs
Rating Trends
Tap a year to see what changed
Distribution · 9 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed the facility has a strong reputation for high-quality meals; could you tell me more about how you accommodate specific dietary needs or preferences for new residents?
- 2Given that the facility has a 3-star staffing rating, what steps are you taking to ensure that residents receive consistent, one-on-one attention throughout the day?
- 3I see that the facility has had some recent state violations; could you walk me through the specific improvements you’ve implemented to address those concerns and ensure ongoing compliance?
- 4It is great to see that you actively engage with feedback online; how do you use that family input to shape the daily activities and therapy programs offered here?
- 5With 50 residents, how do you balance the need for a structured daily schedule with the desire for residents to have personalized, enriching social time?
- 6In the event of a medical emergency, what is your specific protocol for notifying family members and coordinating with local hospitals?
Personalized based on this facility's data
Key Review Excerpts
“I feel that Northgate staff does an excellent job at caring for John. He likes being here and is treated with kindness and respect.”
“At Northgate Care Center residents find genuine connection with the staff who are not only hard working but truly caring. Residents are able to feel at home with the comfort of a private room and excellent meals served with dignity.”
“Northgate is a very caring professional place to be. Staff is excellent. Food is super good. Facility is well kept.”
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 · 16 measures
9
measures
5
measures
2
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Residents vaccinated for pneumonia
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
Northgate Care Center shows a concerning pattern with families filing multiple complaints that triggered a large cluster of deficiencies in November 2025, including problems with resident rights, nursing staffing, medication management, care planning, and infection control. Medication errors were cited twice across different surveys, and while all issues have reported correction dates, the recent surge in complaint-driven deficiencies suggests ongoing care quality concerns that warrant careful evaluation during any visit.
Mar 4, 2026Routine8
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.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
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 Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 4, 2026Complaint2
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Nov 14, 2025Complaint8
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 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.
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Sep 22, 2024Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Apr 25, 2024Routine2
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal Penalties
Fine
Mar 4, 2026
$71,110
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Apr 15, 2026InspectionClean
Fed violations: 0, State violations: 0
Mar 4, 2026InspectionClean
Fed violations: 10, State violations: 1
Dec 11, 2025ComplaintClean
Fed violations: 0, State violations: 0
Nov 14, 2025ComplaintClean
Fed violations: 8, State violations: 1
Feb 20, 2025InspectionClean
Fed violations: 0, State violations: 0
Oct 17, 2024ComplaintClean
Fed violations: 0, State violations: 0
Sep 22, 2024ComplaintClean
Fed violations: 1, State violations: 0
Jun 4, 2024InspectionClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Northgate Care Center
for profit
Chain Affiliation
Legacy Healthcare
89 facilities nationwide
Chain avg rating: 3.0/5 · Rank 46 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
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
8 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.