Nursing Homes · Waukon, IA
Nursing Homes · Medicare certified
Northgate Care Center
960 4th Street NW · Waukon, IA 52172 · 50 certified beds
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About Northgate Care Center
Northgate Care Center is a nursing home in Waukon, Iowa. Its capacity is 50 beds, below the Iowa median of 58 for nursing homes. It is run by a for-profit operator and is part of Legacy Healthcare. It is Medicare certified. Its public inspection record shows 20 citations, the most recent on March 4, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.43 hours per resident per day. It is one of 2 nursing homes listed in Waukon. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility candidate
CMS lists this nursing home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. About the program.
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
4.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (20)
Records from April 2024 to March 2026.
March 4, 2026
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2026.
March 4, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2026.
March 4, 2026
Tag F0760Ensure that residents are free from significant medication errors.
Severity L: widespread, immediate jeopardy. Corrected March 25, 2026.
March 4, 2026
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2026.
March 4, 2026
Tag F0865Have a plan that describes the process for conducting QAPI and QAA activities.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 2, 2026.
March 4, 2026
Tag F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2026.
March 4, 2026
Tag F0761Ensure 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 2, 2026.
March 4, 2026
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2026.
March 4, 2026
Tag F0688Provide 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2026.
March 4, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 2, 2026.
November 14, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 8, 2025.
November 14, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2025.
November 14, 2025
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2025.
November 14, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity G: isolated, actual harm. Corrected November 24, 2025.
November 14, 2025
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2025.
November 14, 2025
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2025.
November 14, 2025
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2025.
November 14, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2025.
September 22, 2024
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 10, 2024.
April 25, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 25, 2024.
Penalties (2)
Total fines: $87,160
March 4, 2026 · Fine
CMS recorded a civil money penalty of $87,160 against this nursing home on March 4, 2026.
March 4, 2026 · Fine
CMS recorded a civil money penalty of $71,110 against this nursing home on March 4, 2026.
Staffing
3.43 nurse hours per resident per day in Q2 2026, up from 2.92 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Legacy Healthcare, a chain of 96 nursing homes.
Average CMS star ratings across the chain: 3.0 overall, 2.8 for health inspections, 2.7 for staffing, 3.5 for quality measures.
- Parent company: Legacy Healthcare Financial Services LLC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
Source: IA Medicaid NF rate publication (opens in a new tab), updated 2026-01-01
Nearby alternatives
Other licensed providers in Waukon.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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