CareSentinel

Federal Nursing-Home Survey Record

Northgate Care Center

CCN 165338 · 960 4th Street NW, Waukon, IA, 52172 · Operated within the LEGACY HEALTHCARE chain

Does Northgate Care Center have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Northgate Care Center (CCN 165338), in Waukon, IA, has federal inspection findings on its record. CMS also lists the facility as a candidate for its Special Focus Facility program; a candidate is not on the active watch list. In its current inspection cycle, CMS cited the facility for 18 deficiencies; the most serious carries scope/severity L on CMS's A–L scale, a level CMS classifies as Immediate Jeopardy. The most recent federal survey on file is dated 2026-03-04. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $71,110 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for an Immediate Jeopardy deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

SFF Candidate

A candidate for the federal Special Focus Facility watch list

CMS lists this facility as a candidate for the Special Focus Facility program. It is not on the active watch list.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$71,110

CMS has $71,110 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 3.1

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-03-04
CURRENT CYCLE
F760S/S L

Ensure that residents are free from significant medication errors.

2026-03-04
CURRENT CYCLE
F865S/S F

Have a plan that describes the process for conducting QAPI and QAA activities.

2026-03-04
CURRENT CYCLE
F761S/S F

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.

2026-03-04
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2026-03-04
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2026-03-04
CURRENT CYCLE
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2026-03-04
CURRENT CYCLE
F684S/S D

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

2026-03-04
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2026-03-04
CURRENT CYCLE
F605S/S D

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

2026-03-04
CURRENT CYCLE
F688S/S D

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.

2025-11-14
CURRENT CYCLE
F684S/S G

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

2025-11-14
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-11-14
CURRENT CYCLE
F725S/S D

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

2025-11-14
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-11-14
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-11-14
CURRENT CYCLE
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-11-14
CURRENT CYCLE
F760S/S D

Ensure that residents are free from significant medication errors.

2025-11-14
CURRENT CYCLE
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2024-09-22
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2024-04-25
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Northgate Care Center?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…