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D
Poor

Northgate Care Center

960 4th Street NW · Waukon, IA 52172

5635683493 · For profit - Corporation

50 beds40.9 residents64 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Northgate Care Center receives an overall staffing grade of D (Poor). With 2.8055 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3671 HPRD, below the recommended 0.75. It is 1.09 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.11% compared to weekdays. The facility has low agency staff usage (3.46% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.8055 HPRD — needs 0.67 more hours per resident per day.
⚠️RN staffing (0.3671 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (3.46%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
2.8055hrs/resident/day▼ 1.09
CMS benchmark: 3.48
RN HPRD
0.3671hrs/resident/day▼ 0.32
Recommended: 0.75
Weekend Drop-off
15.11%
2.9306 weekday → 2.4879 weekend
Agency Staff
3.46%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6605hrs/resident/day
Direct care aides
LPN HPRD
0.5113hrs/resident/day
Licensed practical nurses
Consistency
0.2744std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Allamakee County Average-0.66 HPRD
3.47
02.81 HPRD
vs. Iowa State Average-1.01 HPRD
3.82
02.81 HPRD
vs. National Average-1.09 HPRD
3.90
02.81 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Northgate Care Center ★
Waukon · This facility
—
D
2.80550.3671★★★☆☆
Good Samaritan Society - Waukon
Waukon
0.8 mi
C
3.30750.9476★★★☆☆
Thornton Manor Nursing and Care Center
LANSING
13.6 mi
A
4.29660.902★★★★☆
The Highlands
Decorah
15.8 mi
C
3.310.536★☆☆☆☆
Great River Care Center
Mc Gregor
23.1 mi
C
3.06650.5323★★★★☆
Good Samaritan Society - West Union
West Union
27 mi
C
3.32680.7637★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
10
Total Deficiencies
$0
Fines Assessed
Nov 14, 2025Health
8 deficiencies cited· Includes actual harm
▼
Sep 22, 2024Health
1 deficiency cited
▼
Apr 25, 2024Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.