Concord Care Center
490 West Lyons Street, Garner, IA 50438
Concord Care Center is a nursing home in Garner, Iowa. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (641) 923-2677
- Last standard health inspection
- September 25, 2025 (1 year ago)
- Certified beds
- 46
- Residents per day, on average
- 37.7
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Garner Ia Skilled Nursing Facility LLC
- Chain
- Legacy Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Iowa average (11 vs 21).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 5 of 5.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
3 citations
Health inspection on April 17, 2026
CMS lists this as a complaint inspection.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on April 30, 2026.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on April 30, 2026.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on April 30, 2026.
CMS has cited this home for F0684 2 times since 2025.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
2 citations
Health inspection on September 25, 2025
CMS lists this as a standard inspection.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on October 1, 2025.
Citation F0868. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS lists it as corrected on October 1, 2025.
CMS has cited this home for F0868 2 times since 2024.
2 citations
Fire safety inspection on September 25, 2025
CMS lists this as a standard inspection.
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on October 23, 2025.
CMS has cited this home for E0039 3 times since 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on October 1, 2025.
CMS update of September 24, 2025
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
CMS update of June 25, 2025
Ownership
CMS lists this home under a new chain.
CMS update of May 28, 2025
Ownership
CMS lists this home under a new chain.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
CMS update of December 20, 2024
Name
CMS lists a new legal business name for this home.
5 citations
Health inspection on October 24, 2024
CMS lists this as a standard inspection and a complaint inspection.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on November 24, 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on November 24, 2024.
CMS has cited this home for F0689 2 times since 2023.
Citation F0725. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on November 24, 2024.
Citation F0868. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS lists it as corrected on November 24, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on November 24, 2024.
7 citations
Fire safety inspection on October 24, 2024
CMS lists this as a standard inspection.
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on November 28, 2024.
Citation E0041. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on November 28, 2024.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on November 4, 2024.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on November 15, 2024.
CMS has cited this home for K0353 2 times since 2023.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on November 4, 2024.
Citation K0374. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on November 4, 2024.
CMS has cited this home for K0374 2 times since 2023.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on November 1, 2024.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
1 citation
Health inspection on December 8, 2023
CMS lists this as a complaint inspection.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 8, 2024.
6 citations
Fire safety inspection on August 24, 2023
CMS lists this as a standard inspection.
Citation E0013. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop Emergency Preparedness policies and procedures.
CMS lists it as corrected on September 14, 2023.
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on September 30, 2023.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on August 31, 2023.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on August 31, 2023.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on September 5, 2023.
Citation K0374. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on September 30, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOperational/managerial control · not applicable · since 08/15/2024
- BEASLEY, KARLAOperational/managerial control · not applicable · since 08/15/2024
- BEHOUNEK, LINSEYOperational/managerial control · not applicable · since 08/15/2024
- BORCHERDING, JENNYOperational/managerial control · not applicable · since 08/15/2024
- BURKEN, SHERIOperational/managerial control · not applicable · since 08/15/2024
- DIAMOND, RENEEOperational/managerial control · not applicable · since 08/15/2024
- FRIEDENBERG, LAURAOperational/managerial control · not applicable · since 08/15/2024
- HEDBERG, JENNIFEROperational/managerial control · not applicable · since 08/15/2024
- HEYING, LARINAOperational/managerial control · not applicable · since 08/15/2024
- HOUSTON, MINDYOperational/managerial control · not applicable · since 08/15/2024
- JAEGER, KRYSTLEOperational/managerial control · not applicable · since 08/15/2024
- KLOSER, KAITLYNOperational/managerial control · not applicable · since 09/01/2024
- LARSON, MELISSAOperational/managerial control · not applicable · since 08/15/2024
- LEWIS, JANETOperational/managerial control · not applicable · since 08/15/2024
- MCCLURE, DOROTHYOperational/managerial control · not applicable · since 08/15/2024
- OTTERBECK, PATRICIAOperational/managerial control · not applicable · since 08/15/2024
- RAJCHENBACH, CHAIMOperational/managerial control · not applicable · since 08/15/2024
- SHABAT, MENACHEMOperational/managerial control · not applicable · since 08/15/2024
- SHEAR, KILEYOperational/managerial control · not applicable · since 08/15/2024
- VAN VEGHEL, ELIZABETHOperational/managerial control · not applicable · since 08/15/2024
- WIERSCHEM, BOBBIEOperational/managerial control · not applicable · since 08/15/2024
Questions
When was Concord Care Center last inspected?
CMS lists September 25, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Concord Care Center have?
CMS lists 11 health citations since December 8, 2023. CMS also calls these deficiencies.
Has Concord Care Center been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Concord Care Center?
Its CMS overall star rating is 5 of 5.
Is Concord Care Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.