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Nursing HomeMedicaid Investigative

Southfield Wellness Community

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2416 Des Moines Street, Webster City, IA 5059565 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 11 Google reviews

5
4
3
2
1
Southfield Wellness Community Nursing Home in Webster City, IA — Street View
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3/ 10
moderate Risk

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 (20 vs median 5)

Bottom 25% in IA · Below recommended RN staffing · $71,897 in fines

Source: Medicare data

What this means for your family

While Southfield Wellness Community has a strong reputation for long-term care, recent feedback from rehab patients indicates significant lapses in sanitation and staff responsiveness. If considering this facility, we strongly recommend requesting a tour of the rehab wing and asking specifically about their protocols for patient safety and call-light response times.

Google Reviews

Google Reviews

11 reviews on Google
Southfield Wellness Community receives praise from long-term families who appreciate the caring staff and the facility's longevity in providing care. However, recent reports from short-term rehab patients highlight serious concerns regarding cleanliness, unexplained injuries, and slow staff response times.

Quality Themes

Tap a score for details
FoodN/AStaff6.0Clean4.0ActivitiesN/AMedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Long-term staff consistency
  • Compassionate care for long-term residents
  • Well-established facility reputation

Concerns

  • Slow staff response times for assistance (mentioned by 2 reviewers)
  • Poor cleanliness and sanitation (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02017(3)4.02019(2)1.02022(1)5.02023(2)3.02025(4)4.02026(6)

Distribution · 18 analyzed

5
9
4
5
3
0
2
1
1
3

How They Respond to Reviews

55%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed that many of your staff members have been with the community for a long time; how does that continuity of care benefit the residents' daily routines?
  • 2What specific protocols do you have in place to ensure the facility remains exceptionally clean and sanitary for the residents?
  • 3How do you manage call bells and ensure that staff can respond quickly when a resident needs immediate assistance?
  • 4Can you tell me more about the daily activities and social engagement opportunities available to help residents stay active?
  • 5What is the process for handling medical emergencies or changes in a resident's condition during the night?
  • 6I saw that you are active in responding to feedback; how does the administration use resident or family concerns to implement improvements in care?

Personalized based on this facility's data


Key Review Excerpts

The facility is always very clean & the staff is very knowledgeable & very caring.

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

Dirty spoons laying on the floor right along with a dirty disposable glove! When she called for help, it took forever to get a response from an employee!!!!!

Rehab patient's family · 2025☆☆☆☆

The nurses and CNAs care about the residents. It truly helps having staff and managment that might know the residents family outside of the facility.

Long-term resident's family · 2019★★★★
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.74hrs
98%
Registered nurses for medical care
Total Nursing
3.71hrs
91%
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
50%
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
2/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
IA
4.1%
Hamilton
29.8%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.1%
Better than Avg
Here
12.1%
US
19.5%
IA
20.7%
Hamilton
22.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
93.4%
IA
93.9%
Hamilton
88.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility14.8%
Mixed vs Avgs
Here
14.8%
US
14.4%
IA
17.6%
Hamilton
6.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.6%
Worse than Avg
Here
27.6%
US
19.4%
IA
25.9%
Hamilton
22.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility14.6%
Mixed vs Avgs
Here
14.6%
US
15.3%
IA
17.5%
Hamilton
8.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.0%
Better than Avg
Here
90.0%
US
79.8%
IA
73.3%
Hamilton
65.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.0%
Better than Avg
Here
90.0%
US
81.8%
IA
84.1%
Hamilton
70.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.1%
Worse than Avg
Here
3.1%
US
1.6%
IA
2.0%
Hamilton
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

19deficiencies
2penalties
Well above state avg (6.2)
24 complaint-triggered
$71,897 in fines

Families have filed multiple complaints triggering 24 deficiencies, with persistent issues in basic care quality, safety supervision, and nursing staffing appearing repeatedly across surveys from 2022 to 2024. The facility struggles with providing appropriate treatment according to care plans, maintaining accident-free environments, and ensuring adequate nursing coverage, though all deficiencies show correction dates, suggesting the facility addresses problems when identified.

Feb 19, 2026Routine
13
0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0914Potential for harm · WidespreadCorrected

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.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

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.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656Potential for harm · IsolatedCorrected

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.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0865Potential for harm · IsolatedCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

Feb 19, 2026Complaint
2
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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Jan 28, 2026Complaint
1
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.

Jan 13, 2026Complaint
1
0781Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Dec 17, 2025Complaint
1
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.

Nov 18, 2025Complaint
6
0725Potential for harm · PatternCorrected

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.

0584Potential for harm · IsolatedCorrected

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.

0605Potential for harm · IsolatedCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

Federal Penalties

Fine

Dec 4, 2024

$33,540

Fine

Nov 6, 2023

$38,357

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
21deficiencies
Mar 19, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Feb 19, 2026Inspection
Clean

Fed violations: 11, State violations: 1

Feb 4, 2026Other
Clean

Fed violations: 0, State violations: 0

Jan 28, 2026Other
Clean

Fed violations: 1, State violations: 1

Jan 21, 2026Other
Clean

Fed violations: 0, State violations: 0

Jan 20, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Dec 30, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Dec 17, 2025Other
Clean

Fed violations: 1, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Southfield Wellness Community

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

89 facilities nationwide

Ownership & Management

Owners

Iowa Portfolio Opco Holdings LLC

Owner · Organization

Doros Generation Trust U/a/d 1/3/12

Owner (parent company) · Organization

Gpn Family Trust U/a/d 4/28/08

Owner (parent company) · Organization

Oakway Operations LLC

Owner (parent company) · Organization

Key personnel

Shabat, MenachemOfficer / DirectorBeasley, KarlaManagerBehounek, LinseyManagerBorcherding, JennyManagerBurken, SheriManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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