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Medicare-certifiedSkilled Nursing

Northgate Care Center

(563) 568-3493

About Northgate Care Center

Northgate Care Center brings skilled nursing and rehabilitation services to Waukon, Iowa with a focus on personalized recovery and compassionate care. Our team helps patients regain strength and independence after surgery, illness, or injury through evidence-based treatment and daily support.

Community at a glance

Capacity

50 residents

Location

Waukon, IA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

960 4th Street NW, Waukon, Iowa 52172

(563) 568-3493

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Northgate Care Center is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.

At its most recent standard inspection, on March 4, 2026, state inspectors cited 18 health deficiencies (the Iowa average is 6.5).

Nurses and nurse aides spend 2 hours 58 minutes with each resident a day, below the Iowa average of 3 hours 49 minutes.

Medicare fined Northgate Care Center once in the last three years, $87,160 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day2 hours 58 minutesBelow the Iowa average
Registered nurse time per resident, per day24 minutesBelow the Iowa average
Nursing staff who left in the past year34%Below the Iowa average

Inspections

20 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

March 4, 2026 · Standard inspection · 10 citations

  • Ensure that residents are free from significant medication errors.

    Immediate danger to residents, widespread (level L)Pharmacy ServiceFrom a complaintCorrected Mar 25, 2026
  • 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.

    Risk of harm, no one hurt, widespread (level F)Pharmacy ServiceFrom a complaintCorrected Apr 2, 2026
  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Apr 2, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Apr 2, 2026
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 2, 2026
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 2, 2026
  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 2, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 2, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 2, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 2, 2026

November 14, 2025 · Complaint investigation · 8 citations

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

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Nov 24, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Dec 8, 2025
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Dec 8, 2025
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 8, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 8, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 8, 2025
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Dec 8, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 8, 2025
September 22, 2024 · Complaint investigation · 1 citation+
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Oct 10, 2024
April 25, 2024 · Standard inspection · 1 citation+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 25, 2024

Fines and payment denials

1 fine totaling $87,160 in the last three years.

  • March 4, 2026Fine: $87,160

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
Waukon Ia Skilled Nursing Facility LLC
Medicare-certified beds
50
Average residents per day
41
Accepts
Medicare and Medicaid
First certified
August 1, 1997
Part of a chain
Legacy Healthcare, 95 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
None
Sprinklers in all required areas
Yes
CMS Certification Number
165338

Location

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960 4th Street NWWaukon, IA 52172

5 other communities within 10 miles

Senior living near Waukon

Questions about Northgate Care Center

How did Northgate Care Center do on its last inspection?+

State inspectors visited on March 4, 2026 and cited 18 health deficiencies, 10 of them from complaint investigations. The Iowa average is 6.5.

How much nursing care does each resident get at Northgate Care Center?+

Nurses and aides spend 2 hours 58 minutes with each resident per day, including 24 minutes from registered nurses. 34% of nursing staff left over the past year.

Has Northgate Care Center been fined by Medicare?+

Yes. Medicare fined Northgate Care Center once in the last three years, totaling $87,160.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Waukon Skilled Nursing in Iowa Skilled Nursing guide Information last updated October 2026