Senior Home Review
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Nursing homeFAID #4253

Northgate Care Center

960 4TH STREET NW, WAUKON, IA, 52172
(563) 568-3493
50 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
50
CMS facility ID
165338
Care type
Nursing home
County
Allamakee
Facility name
Northgate Care Center
Street address
960 4TH STREET NW
City / state / ZIP
Waukon, IA 52172
Phone
(563) 568-3493

About this facility — Northgate Care Center

Northgate Care Center is a Medicare/Medicaid-certified skilled nursing facility in Waukon, Iowa. It is licensed for 50 beds — close to the median for skilled nursing facilities in Iowa (57 beds).

It is one of 6 senior care facilities in Waukon 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 Northgate Care Center 21 times across 9 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $87,160 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

Parent company
Legacy Healthcare
Ownership type
For profit - Corporation

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
Friedenberg, Laura
Operational control · Additional disclosable party — since 2024
Friedman, Brian
Owner of a disclosable party — since 2025
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
Hennager, Christina
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
Larson, Melissa
Operational control · Additional disclosable party — since 2024
Legacy Healthcare Financial Services Llc
Operational control · Additional disclosable party — since 2024
Love-steiber, Andrea
Operational control · Additional disclosable party — since 2024
Mcclure, Dorothy
Operational control · Additional disclosable party — since 2024
Mn8 Rh Holdco Llc
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
Schwartz, David
Additional disclosable party — since 2025
Shabat, Ahuva
Owner of a disclosable party — since 2025
Shabat, Menachem
Officer · Operational control — since 2024
Shear, Kiley
Operational control · Additional disclosable party — since 2024
Van Veghel, Elizabeth
Operational control · Additional disclosable party — since 2024
Waukon Ia Property Holdings, Llc
Additional disclosable party — since 2024
Wierschem, Bobbie
Operational control · Additional disclosable party — since 2024
Wikan, Lou Ann
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
1997-08-01
CMS overall rating
1 of 5 stars
Health deficiencies
18 at the last standard inspection
Federal fines
$87,160 total
Last standard inspection
2026-03-04
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$294 per day (≈ $8,940/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
57% Medicaid · 4% Medicare · 39% private/other
Occupancy
80% (fiscal year 2024)
Vs. state median
14% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
50
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 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-03-04Health inspectionComplaint-triggered10 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-04-02
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-04-02
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-04-02
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-04-02
F-0688
D · No harm found
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.
Corrected 2026-04-02
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-04-02
F-0760
L · Immediate jeopardyFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-03-25
F-0761
F · No harm foundFrom a complaint
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.
Corrected 2026-04-02
F-0865
F · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2026-04-02
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-02
2025-11-14Health inspectionComplaint-triggered8 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 2025-12-08
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-12-08
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 2025-12-08
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-24
F-0725
D · 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 2025-12-08
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-12-08
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 2025-12-08
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-12-08
3 earlier / fire-safety inspections (3 citations)
2024-09-22Health inspectionComplaint-triggered1 citation
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-10-10
2024-04-25Health inspection1 citation
F-0812
E · 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 2024-05-25
2024-04-25Fire-safety inspection1 citation
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-08

Federal penalties

2026-03-04Fine$87,160
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 165338.

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 21 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 2026-08-31
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