Home›Browse›Iowa›Garner›Concord Care Center

Nursing homeFAID #4276

Concord Care Center

490 West Lyons Street, GARNER, IA, 50438

(641) 923-2677

46 licensed beds

CMS rates Concord Care Center 5 out of 5 overall. Federal inspectors issued 26 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall4/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

490 West Lyons Street

Garner, IA 50438

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

165364

Care type

Nursing home

County

Hancock

Facility name

Concord Care Center

Street address

490 West Lyons Street

City / state / ZIP

Garner, IA 50438

Phone

(641) 923-2677

About this facility — Concord Care Center

Concord Care Center is a Medicare/Medicaid-certified skilled nursing facility in Garner, Iowa. It is licensed for 46 beds — below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 3 senior care facilities in Garner and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Legacy Healthcare, a group of 97 facilities on this site.

Federal inspectors have cited Concord Care Center 26 times across 9 inspections in the last three years; no federal fines are on record. 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 November 6, 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

Parent company

Legacy Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Beasley, Karla

Operational control · Additional disclosable party — since 2024

Behounek, Linsey

Operational control · Additional disclosable party — since 2024

Borcherding, Jenny

Operational control · Additional disclosable party — since 2024

Burken, Sheri

Operational control · Additional disclosable party — since 2024

Cascade Capital Holdings Llc

Additional disclosable party — since 2024

Cascade Capital Partners Llc

Additional disclosable party — since 2024

Ccg Gorgona Llc

Additional disclosable party — since 2024

Diamond, Renee

Operational control · Additional disclosable party — since 2024

Friedenberg, Laura

Operational control · Additional disclosable party — since 2024

Friedman, Brian

Owner of a disclosable party — since 2025

Garner Ia Property Holdings, Llc

Additional disclosable party — since 2024

Gorgona Holdco Llc

Additional disclosable party — since 2024

Gorgona Propco Holdings Llc

Additional disclosable party — since 2024

Gorgona Sub Holdco Llc

Additional disclosable party — since 2024

Hedberg, Jennifer

Operational control · Additional disclosable party — since 2024

Heying, Larina

Operational control · Additional disclosable party — since 2024

Houston, Mindy

Operational control · Additional disclosable party — since 2024

Jaeger, Krystle

Operational control · Additional disclosable party — since 2024

Kloser, Kaitlyn

Operational control · Additional disclosable party — since 2024

Larson, Melissa

Operational control · Additional disclosable party — since 2024

Legacy Healthcare Financial Services Llc

Operational control · Additional disclosable party — since 2024

Lewis, Janet

Operational control · Additional disclosable party — since 2024

Mcclure, Dorothy

Operational control · Additional disclosable party — since 2024

Otterbeck, Patricia

Operational control · Additional disclosable party — since 2024

Rajchenbach, Avrum

Owner of a disclosable party — since 2025

Rajchenbach, Chaim

Operational control · Additional disclosable party — since 2024

Rajchenbach, Rivka

Owner of a disclosable party — since 2025

Shabat, Ahuva

Owner of a disclosable party — since 2025

Shabat, Menachem

Officer · Operational control · Additional disclosable party — since 2024

Shear, Kiley

Operational control · Additional disclosable party — since 2024

Van Veghel, Elizabeth

Operational control · Additional disclosable party — since 2024

Wierschem, Bobbie

Operational control · Additional disclosable party — since 2024

Regulatory standing

Federal court records

20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1997-09-18

CMS overall rating

5 of 5 stars

Health deficiencies

5 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-09-25

Nurse staffing

3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$298 per day (≈ $9,060/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

44% Medicaid · 5% Medicare · 51% private/other

Occupancy

59% (fiscal year 2023)

Vs. state median

13% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds

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 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.

2026-04-17Health inspectionComplaint-triggered3 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 2026-04-30

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 2026-04-30

F-0684

D · No harm foundFrom a complaint

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

Corrected 2026-04-30

2025-09-25Health inspection2 citations

F-0684

D · No harm found

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

Corrected 2025-10-01

F-0868

D · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-10-01

5 earlier / fire-safety inspections (21 citations)

2024-10-24Health inspectionComplaint-triggered5 citations

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-11-24

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 2024-11-24

F-0725

D · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-11-24

F-0868

D · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-11-24

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-11-24

2023-12-08Health inspectionComplaint-triggered1 citation

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 2024-01-08

2025-09-25Fire-safety inspection2 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2025-10-23

K-0918

F · No harm found

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

Corrected 2025-10-01

2024-10-24Fire-safety inspection7 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-11-28

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2024-11-28

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-11-01

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-11-04

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-15

K-0374

E · No harm found

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

Corrected 2024-11-04

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-11-04

2023-08-24Fire-safety inspection6 citations

E-0013

F · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2023-09-14

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2023-09-30

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-08-31

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-31

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-09-05

K-0374

E · No harm found

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

Corrected 2023-09-30

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 165364.

Quality of care & staffing

How it compares in Iowa.

Inspection citations, 3 years

More than 46% of nursing homes in the state

State median: 27

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

3.6

Higher than 38% of nursing homes in the state

State median: 3.8

Nursing staff turnover, annual

53%

Higher than 76% of nursing homes in the state

State median: 42%

Resident outcomes

On 21 federal quality measures, this facility does better than the Iowa average on 13 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	10.9%	16.6%	13.5%	Better than state
Lose too much weight	6.8%	4.4%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.5%	1.4%	0.7%	Better than state
With a urinary tract infection	0.8%	2.4%	1.5%	Better than state
Have depressive symptoms	0.8%	4.2%	13.5%	Better than state
Were physically restrained	0.0%	0.2%	0.1%	Better than state
Experiencing one or more falls with major injury	2.9%	3.9%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	82.4%	94.2%	93.7%	Worse than state
Ability to walk independently worsened	11.7%	15.2%	12.7%	Better than state
Received an antianxiety or hypnotic medication	32.5%	21.0%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	91.2%	95.8%	95.3%	Near state average
With pressure ulcers	0.0%	4.1%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	27.6%	25.0%	18.3%	Worse than state
Received an antipsychotic medication	20.3%	19.8%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	0.84	1.45	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.15	1.94	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	77.9%	84.0%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	2.1%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	65.6%	74.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	10.1%	20.7%	23.4%	Better than state
Had an outpatient emergency department visit	11.7%	13.0%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

E-0039 3 inspections. Conduct testing and exercise requirements.
F-0684 2 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0868 2 inspections. Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.
K-0374 2 inspections. Install smoke barrier doors that can resist smoke for at least 20 minutes.

Verify & compare

Where to check, and what's nearby.

Who to contact in Iowa

Licensing: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities Division
File a complaint: 877-686-0027 · Online
Long-Term Care Ombudsman: 866-236-1430. A free advocate for residents and families.
Adult Protective Services: 800-362-2178. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Hancock County Health System, about 10 miles.
Iowa Specialty Hospital - Belmond, about 17 miles.
Mercyone North Iowa Medical Center, about 20 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Westview Care Center, Britt, about 10 miles. CMS rating 5 of 5.
Oakwood Care Center, Clear Lake, about 11 miles. CMS rating 3 of 5.
Good Samaritan - Forest City, Forest City, about 12 miles. CMS rating 4 of 5.
Kanawha Community Home, Kanawha, about 14 miles. CMS rating 5 of 5.
Rehabilitation Center of Belmond, Belmond, about 16 miles. CMS rating 5 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 26 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 only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

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