Northgate Care Center: Staffing, Turnover, and Inspection Record
Northgate Care Center is a 50-bed for-profit nursing home in Waukon, Iowa, part of Legacy Healthcare. In the CMS August 2026 release it reported 2.04 nurse aide hours per resident per day, 19% below the Iowa average of 2.51, and 34.3% nursing staff turnover (Iowa average 44.0%).
Northgate Care Center
960 4th Street NWWaukon, IA 52172
Allamakee County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Northgate Care Center, nurse aides logged 2.04 hours per resident per day, 19% below the Iowa average. With about 41 residents a day, that works out to roughly 84 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.04 | 2.51 | 2.32 |
| Licensed practical nurses | 0.54 | 0.56 | 0.86 |
| Registered nurses | 0.40 | 0.74 | 0.69 |
| All nursing staff | 2.97 | 3.82 | 3.86 |
| All nursing staff, weekends | 2.62 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
34.3% of nursing staff at Northgate Care Center left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 4, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 18 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $87,160 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 4, 2026 | Fine | $87,160 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Northgate Care Center holds 1 of 5 overall; the Iowa average is 3.1.
About Northgate Care Center
- Ownership: For profit - Corporation
- Chain: Legacy Healthcare, 89 homes
- Legal name: Waukon Ia Skilled Nursing Facility LLC
- Medicare and Medicaid certified since: Aug 1, 1997
- Area: rural
Nursing homes near Northgate Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Good Samaritan - Waukon Waukon | 0.8 | 60 | 1.81 | 3.17 | 43.5% | 2 | $8,281 |
| Wellington Place Decorah | 13.3 | 56 | 2.30 | 3.47 | 48.1% | 3 | None |
| Thornton Manor Nursing and Care Center Lansing | 13.6 | 40 | 2.37 | 3.88 | 38.5% | 4 | None |
| The Highlands Decorah | 15.8 | 86 | 2.79 | 3.90 | 53.3% | 2 | $93,839 |
| Ossian Care Center Ossian | 17.1 | 46 | 3.15 | 4.63 | 40.7% | 2 | None |
| Tweeten Lutheran Health Care Center Spring Grove · SFF candidate · many days without an RN | 20.7 | 49 | 0.53 | 0.95 | 81.0% | 1 | None |
| Great River Care Center Mc Gregor | 23.1 | 39 | 2.07 | 3.42 | 63.0% | 4 | $8,281 |
| Prairie Maison Prairie Du Chien | 23.9 | 50 | 2.92 | 4.48 | 32.8% | 2 | $152,525 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.