CCRC

Overview

Address
215 Highway 30 SW, Mount Vernon, IA 52314
Phone
3198958891
Certified beds
55
Avg daily residents
41 (75% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1997-06-01
Setting
Urban
3 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
4/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 23.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 4/5
Short-Stay Quality Measures Data not available.

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-03-20 5 5 0 12 1 12
Cycle 2/3 (prior) 2024-05-22 2 0 2 12 1 12
Total weighted health score
12.0
lower is better

Deficiencies (8)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

2 A/B/C No actual harm — minor
6 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. B 2025-03-20 2025-04-19
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. B 2025-03-20 2025-04-19
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2025-03-20 2025-04-19
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2025-03-20 2025-04-19
0699 Provide care or services that was trauma informed and/or culturally competent. D 2025-03-20 2025-04-19
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2024-05-22 2024-06-22
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-05-22 2024-06-22
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2023-03-08 2023-04-08

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 2.3% Medicaid 64.1% Other 33.6%

Operating performance

Operating Margin
-17.8%
Total Margin
-16.9%
Occupancy Rate
70.2%

Revenue & costs

Net Patient Revenue
$3.8M
Total Costs
$178K
Net Income
-$650K

Balance sheet

Total Assets
$950K
Total Liabilities
$371K
Fund Balance
$580K
Current Ratio
1.51

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: LEGACY HEALTHCARE

Chain ID
306
Facilities in chain
90
Legal business name
MOUNT VERNON IA SKILLED NURSING FACILITY LLC
Chain-average star ratings (for peer context)
Overall
3.0
Health
3.0
Staffing
2.6
QM
3.2

Owner / manager organizations (1)

Organization Role Association
LEGACY HEALTHCARE FINANCIAL SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024

Owner / manager individuals (27)

Name Role Association
BEASLEY, KARLA OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
BEHOUNEK, LINSEY OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
BORCHERDING, JENNY OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
BURKEN, SHERI OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
FRIEDENBERG, LAURA OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
HEDBERG, JENNIFER OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
HENNAGER, CHRISTINA OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
HEYING, LARINA OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
HOUSTON, MINDY OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
JAEGER, KRYSTLE OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
KNUTSON, MICHELE OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
LARSON, MELISSA OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
MCCLURE, DOROTHY OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
OTTERBECK, PATRICIA OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
RAJCHENBACH, CHAIM OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
SCHUETT, CLAYTON OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
SCOTT, KATHLEEN OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
SEU, JOSHUA OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
SHABAT, MENACHEM OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
SHEAR, KILEY OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
STAUDT, SANDRA OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
VAN VEGHEL, ELIZABETH OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
VANDERPLOEG, JESSICA OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
WHALEN, ABIGAIL OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
WIERSCHEM, BOBBIE OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024

Showing 25 of 27 individuals. Full list in CSV.

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
None
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Current Ratio 1.51 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 64.1% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 2.3% metrics.medicare_day_share
Cost Report Net Income ($) $-650,327 metrics.net_income
Cost Report Net Patient Revenue ($) $3,826,178 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 70.2% metrics.occupancy_rate
Cost Report Operating Margin (%) -17.8% metrics.operating_margin
Cost Report Total Assets ($) $950,411 metrics.total_assets
Cost Report Total Costs ($) $178,010 metrics.total_costs
Cost Report Total Fund Balances ($) $579,897 metrics.fund_balance
Cost Report Total Liabilities ($) $370,514 metrics.total_liabilities
Cost Report Total Margin (%) -16.9% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote 26 Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 41.0 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.0 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.2 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.6 Chain Average Staffing Rating
Provider Information Chain ID 306 Chain ID
Provider Information Chain Name LEGACY HEALTHCARE Chain Name
Provider Information City/Town Mount Vernon City/Town
Provider Information CMS Certification Number (CCN) 165333 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Linn County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1997-06-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 4 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 41.9162 Latitude
Provider Information Legal Business Name MOUNT VERNON IA SKILLED NURSING FACILITY LLC Legal Business Name
Provider Information Location 215 Highway 30 SW,Mount Vernon,IA,52314 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -91.424 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 55 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 90 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote 23 Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 215 Highway 30 SW Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Hallmark Care Center Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 560 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 12 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 5 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-03-20 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 12 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 5 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 0 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-05-22 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 12 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 2 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 12 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 2 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 26 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote 23 Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote 23 Staffing Rating Footnote
Provider Information State IA State
Provider Information Telephone Number 3198958891 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover Total nursing staff turnover
Provider Information Total nursing staff turnover footnote 26 Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 12.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council None With a Resident and Family Council
Provider Information ZIP Code 52314 ZIP Code