Tabor Manor Care Center
Tabor, Iowa · CCN 165546
26 surveys since 2011, 6 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 171
- Surveys
- 26
- Harm or worse
- 6
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 46
- Ownership
- For profit - Corporation
- Chain
- Independent
- County
- Fremont · rural
- Medicare-certified since
- 2004
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 3
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 137 for-profit facilities with fewer than 66 beds in Iowa.
Last survey on record
Jun 23, 2026
139 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.76 | 3.63 |
| Registered-nurse hours per resident day | 0.55 | — |
| Annual nurse turnover | 60.4% | 44.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G11.6% | H— | I— |
| No harm, potential for more than minimal | D3960.9% | E1625.0% | F812.5% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5803×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6583×
Ensure services provided by the nursing facility meet professional standards of quality.
- F8423×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5822×
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
In the surveyor’s words
From the most serious findings on record at Tabor Manor Care Center, in the surveyor’s own words.
- Immediate jeopardy, patternF689Dec 20, 2022
Based on record review, staff interviews, and facility policy review, the facility failed to provided adequate nursing supervision and assistance devices to prevent accidents for 1 of 1 residents (Resident #141) reviewed for elopement (when a resident leaves the facility without staff knowledge or permission). On the afternoon of 7/11/22, a facility employee heard knocking and found Resident #141 outside asking to be let back into the facility. The resident had exhibited increased confusion, voiced her intention to leave the facility, and demonstrated exit-seeking behavior, but staff failed to increase supervision or complete an elopement risk assessment in an attempt to keep her from leaving the facility unattended. This constituted an Immediate Jeopardy to resident health and safety. […]
- Actual harm, isolatedF689Feb 10, 2025
Based on observations, clinical record review, staff interviews, and policy review the facility failed to protect residents from accidents and injuries for 2 of 2 residents (Resident #33, and #193) reviewed for falls. Resident #33 fell on [DATE] and sustained a right greater tuberosity of humerus fracture (right upper arm) when his alarm failed to go off alerting staff that he had gotten up without staff assistance. Resident #193 fell on [DATE] when he got up out of bed and walked across his room without staff assistance, fell , and sustained a left intertrochanteric fracture (left hip fracture). The facility reported a census of 43. Findings include: 1. […]
- No harm, potential for more than minimal, widespreadF575Feb 10, 2025
Based on observation and staff interviews, the facility failed to post required notifications of State Survey Agencies and other support for advocacy in a form or manner accessible and understandable to residents or representatives. The facility reported a census of 43 residents. Findings include: Surveyor's observations throughout the survey dates 2/3/25 - 2/6/25 revealed information posted in the common area by the nurses station on how to contact state agencies was above eye level and in small print flyers. Information on Residents Rights was not posted. A framed flyer that read current state survey, fire marshall's report, medicaid and medicare information located in lobby bookcase did not have all listed information in the lobby's bookcase. […]
- No harm, potential for more than minimal, widespreadF585Feb 10, 2025
Based on staff interview, record review and facility policy review, the facility failed to make information on how to file a grievance available to the residents and make efforts to resolve complaints for 1 resident out of 8 residents reviewed. The facility reported a census of 43 residents. Findings include: During an observation on 2/3/25 at 10:24 am of the common areas, no information was posted on how to file a complaint or a grievance, including a name of the grievance official. In an interview with the Administrator on 2/3/25 at 3:00 pm he revealed the grievances forms and records were located in his office. During the review of the Grievances records, only 1 record was located in the binder filed on 1/2/25 and the section 3 for follow up comments was left blank. […]
- No harm, potential for more than minimal, widespreadF842Feb 10, 2025
Based on observations, and staff interviews the facility failed to safeguard medical record information against loss, destruction, or unauthorized use. The facility reported a census of 43 residents. Findings include: Observation on 100 hallway on 2/4/25 from 7:50 am until 8:00 am revealed an unattended medication cart located near the exit door of the hallway. The medication cart equipped with a built-in computer monitor on top of it displayed an Electronic Health Record of a current resident. It revealed personal identifiable information, including full name, room number, birthday, code status, and several medication/treatment orders. One resident walked past the unlocked computer monitor. […]
Read 26 findings in full →The most serious and the most recent: 26 of 171 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 23, 2026Complaint5 findings
- Mar 4, 2026Standard and complaint18 findings
- Nov 13, 2025Complaint2 findings
- Aug 20, 2025Complaint2 findings
- Feb 10, 2025Standard and complaint27 findings · 1 harm
- Aug 7, 2024Complaint2 findings
- Apr 4, 2024Standard7 findings
- Dec 22, 2023Complaint1 finding
Show the 18 earlier surveys
- Dec 20, 2022Standard and complaint18 findings · 1 harm
- Feb 10, 2022Complaint3 findings
- Jun 14, 2021Standard and complaint15 findings
- Jun 5, 2019Standard8 findings
- Mar 1, 2018Standard1 finding
- Jan 12, 2017Complaint3 findings
- Dec 22, 2016Standard3 findings
- Jan 14, 2016Standard6 findings
- Dec 18, 2014Standard6 findings
- Sep 8, 2014Complaint1 finding
- Jul 8, 2014Complaint5 findings
- Jan 16, 2014—3 findings · 1 harm
- Oct 14, 2013—11 findings
- Aug 14, 2012—10 findings · 1 harm
- Jan 26, 2012—3 findings
- Dec 22, 2011—1 finding · 1 harm
- Oct 13, 2011—3 findings · 1 harm
- Jul 21, 2011—7 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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