Starfile

Starfile / Iowa

Pioneer Valley Living And Rehab

400 Sergeant Square Drive, Sergeant Bluff, IA 51054 · CCN 165615

SFF Candidate

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★★★★☆ 4

Facility

Ownership type
For profit - Limited Liability company
Certified beds
66
Avg residents/day
44.4
Phone
7129432350

Inspection history vs Iowa & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityIowa avgNational avgvs state
12025-02-06346.29.5+27.8 worse
22024-02-15157.09.8+8.0 worse
32022-12-15127.99.3+4.1 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care9
Resident assessment and care planning14
Resident rights3
Pharmacy service4
Administration2
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.0349.1%
RN staffing (reported)0.7233.3%
Total nurse staffing (adjusted)4.53

Fines & penalties

Total fines
$29,572
Number of fines
1
Number of penalties
2
Payment denials
1

Inspection citations (61)2 immediate jeopardy3 actual harm

  1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-03 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  2. DF0637Assess the resident when there is a significant change in condition2025-04-03 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  3. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-04-03 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  4. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-03 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  5. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-03 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  6. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-04-03 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  7. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-03 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  8. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-03 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  9. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-03 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  10. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-03 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  11. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-04-03 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  12. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-04-03 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  13. DF0880Provide and implement an infection prevention and control program.2025-04-03 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  14. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-06 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  15. EF0625Notify 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.2025-02-06 · Health · corrected 2025-03-06

    Potential for more than minimal harm

  16. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-02-06 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  17. DF0637Assess the resident when there is a significant change in condition2025-02-06 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  18. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2025-02-06 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  19. EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-02-06 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  20. DF0641Ensure each resident receives an accurate assessment.2025-02-06 · Health · corrected 2025-03-06

    Potential for more than minimal harm

  21. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-06 · Health · corrected 2025-03-06

    Potential for more than minimal harm

  22. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-06 · Health · corrected 2025-03-06

    Potential for more than minimal harm

  23. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-06 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  24. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-02-06 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  25. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-06 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  26. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-06 · Health · corrected 2025-05-22

    Actual harm

  27. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-06 · Health · corrected 2025-05-22

    Actual harm

  28. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-06 · Health · corrected 2025-03-06

    Potential for more than minimal harm

  29. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-06 · Health · corrected 2025-03-06

    Potential for more than minimal harm

  30. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-02-06 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  31. GF0760Ensure that residents are free from significant medication errors.2025-02-06 · Health · corrected 2025-02-20

    Actual harm

  32. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-06 · Health · corrected 2025-03-06

    Potential for more than minimal harm

  33. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-02-06 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  34. DF0880Provide and implement an infection prevention and control program.2025-02-06 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  35. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  36. EF0637Assess the resident when there is a significant change in condition2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  37. EF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  38. EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  39. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  40. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  41. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  42. EF0692Provide enough food/fluids to maintain a resident's health.2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  43. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  44. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  45. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  46. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  47. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  48. FF0880Provide and implement an infection prevention and control program.2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  49. FF0895Have a Compliance and Ethics Program.2024-02-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  50. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-07-13 · Health · corrected 2023-08-18

    Immediate jeopardy

  51. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-07-13 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  52. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-07-13 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  53. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-13 · Health · corrected 2023-08-18

    Immediate jeopardy

  54. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-07-13 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  55. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-13 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  56. DF0761Ensure 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.2023-07-13 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  57. EF0880Provide and implement an infection prevention and control program.2023-07-13 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  58. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-12-15 · Health · corrected 2023-01-15

    Potential for more than minimal harm

  59. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-15 · Health · corrected 2023-01-15

    Potential for more than minimal harm

  60. EF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2022-12-15 · Health · corrected 2023-01-15

    Potential for more than minimal harm

  61. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-12-15 · Health · corrected 2023-01-15

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
AMICK, STEPHANIEIndividualLIMITED PARTNERSHIP INTEREST2018-01-01
DEWITT, JOSEPHIndividualLIMITED PARTNERSHIP INTEREST2011-03-01
HENGGELER, PATRICKIndividualLIMITED PARTNERSHIP INTEREST2009-09-25
JP SENIOR MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2016-03-01
AMICK, STEPHANIEIndividualOPERATIONAL/MANAGERIAL CONTROL2024-05-22
DEWITT, JOSEPHIndividualOPERATIONAL/MANAGERIAL CONTROL2022-01-01
HENGGELER, PATRICKIndividualOPERATIONAL/MANAGERIAL CONTROL2016-01-01
NIELSEN, TIMIndividualOPERATIONAL/MANAGERIAL CONTROL2021-04-05

Other facilities in Sergeant Bluff

NameOverallBeds
Embassy Rehab and Care Center★☆☆☆☆60

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.