Nursing homeFAID #4156
Caring Acres Nursing and Rehab Center
1000 HILLCREST DRIVE, ANITA, IA, 50020
(712) 762-3219
41 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
41
CMS facility ID
165217
Care type
Nursing home
County
Cass
Facility name
Caring Acres Nursing and Rehab Center
Street address
1000 HILLCREST DRIVE
City / state / ZIP
Anita, IA 50020
Phone
(712) 762-3219
About this facility — Caring Acres Nursing and Rehab Center
Caring Acres Nursing and Rehab Center is a Medicare/Medicaid-certified skilled nursing facility in Anita, Iowa. It is licensed for 41 beds — below the median for skilled nursing facilities in Iowa (57 beds).
It is one of 1 senior care facility in Anita and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Caring Acres Nursing and Rehab Center 93 times across 15 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $51,773 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Ownership type
For profit - Limited Liability company
Registered owners & officers
Anew Holdings Iowa Llc
Direct owner — 100% stake — since 2022
Hastings, Mark
Indirect owner · Officer — 100% stake — since 2022
1000 Hillcrest Drive Propco Llc
Additional disclosable party — since 2022
Cornerstone Services Llc
Operational control · Additional disclosable party — since 2026
Flanagan, Michael
Governing body · Operational control · Additional disclosable party — since 2024
Miller, Daniel
Operational control · Additional disclosable party — since 2025
Peterson, Rebecca
Operational control · Additional disclosable party — since 2026
Thoren, Tracy
Operational control · Additional disclosable party — since 2025
Regulatory standing
Licensed / certified since
1994-05-01
CMS overall rating
1 of 5 stars
Health deficiencies
17 at the last standard inspection
Federal fines
$51,773 total
Last standard inspection
2026-02-12
Nurse staffing
3.6 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$306 per day (≈ $9,300/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
14% Medicaid · 3% Medicare · 83% private/other
Occupancy
75% (fiscal year 2023)
Vs. state median
11% below the IA median of $342/day — full state cost breakdown
Services & coverage
Licensed beds
41
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-04Health inspectionComplaint-triggered7 citations
F-0567
E · No harm foundFrom a complaint
Honor the resident's right to manage his or her financial affairs.
Corrected 2026-06-28
F-0568
E · No harm foundFrom a complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2026-06-28
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2026-06-28
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2026-06-28
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-06-28
F-0803
F · No harm foundFood safetyFrom a complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2026-06-28
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-06-28
2026-02-12Health inspectionComplaint-triggered7 citations
F-0584
D · No harm found
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.
Corrected 2026-03-13
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-03-13
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-03-13
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-03-13
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-03-13
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-03-13
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-03-13
11 earlier / fire-safety inspections (79 citations)
2025-10-14Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-04
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-12-04
F-0865
E · No harm foundFrom a complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-12-04
2025-06-19Health inspectionComplaint-triggered6 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-02
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-02
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-19
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-02
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-02
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-02
2025-02-20Health inspectionComplaint-triggered17 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-04
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2025-03-04
F-0606
D · No harm found
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2025-03-04
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-03-04
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-04
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-04
F-0726
E · No harm found
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.
Corrected 2025-03-04
F-0758
D · No harm found
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.
Corrected 2025-03-04
F-0836
D · No harm found
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2025-03-04
F-0851
F · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-03-04
F-0867
F · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-03-04
F-0868
F · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-03-04
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-04
F-0882
E · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-03-04
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-03-04
F-0887
E · No harm found
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.
Corrected 2025-03-04
F-0947
E · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-03-04
2024-11-26Health inspectionComplaint-triggered4 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-20
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-12-20
F-0727
E · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-12-20
F-0835
D · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-12-20
2024-08-02Health inspectionComplaint-triggered3 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-23
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-08-23
F-0609
J · Immediate jeopardyFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-23
2024-06-25Health inspectionComplaint-triggered2 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-12
F-0835
D · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-07-12
2024-03-21Health inspection3 citations
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-10
F-0625
D · No harm found
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.
Corrected 2024-04-10
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-10
2023-08-03Health inspectionComplaint-triggered8 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-05
F-0609
J · Immediate jeopardyFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-05
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-09-05
F-0661
D · No harm foundFrom a complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-09-05
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-05
F-0741
K · Immediate jeopardyFrom a complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2023-09-05
F-0838
F · No harm foundFrom a complaint
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2023-09-05
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-09-05
2026-02-12Fire-safety inspection10 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2026-03-09
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2026-03-09
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2026-03-09
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2026-03-09
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2026-03-09
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2026-03-09
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-03-09
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2026-03-09
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-03-09
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2026-03-09
2025-02-20Fire-safety inspection15 citations
E-0006
F · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-02-18
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2025-02-18
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-03-19
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-02-18
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-03-13
K-0291
E · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-03-04
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-13
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-17
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-02-28
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-28
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-02-28
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-03-04
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-03-04
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-03-24
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-02-27
2024-03-21Fire-safety inspection8 citations
E-0026
F · No harm found
Establish roles under a Waiver declared by secretary.
Corrected 2024-04-01
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-03-26
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-04-10
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-04-10
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-10
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-04-10
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-03-26
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-04-01
Federal penalties
2024-08-02Fine$51,773
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165217.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 93 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered