Cottage Grove Place
2115 First Avenue Se · Cedar Rapids, IA · 52402 · 3193632420
64 certified beds Non profit - Other Chain: Life Care Services Part of a CCRC
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 3.90 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (23 in the current record)
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Immediate jeopardy · J April 14, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 8, 2026 · Quality of Life and Care
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Actual harm · G January 6, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 23, 2026 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · E May 1, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected May 30, 2025 · Nutrition and Dietary
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Potential for harm · E May 1, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 30, 2025 · Nutrition and Dietary
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Potential for harm · E September 30, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 30, 2024 · Nursing and Physician Services
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Potential for harm · D September 30, 2024 · found via complaint
Implement 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.
Corrected October 30, 2024 · Pharmacy Service
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Potential for harm · D August 1, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected September 2, 2024 · Quality of Life and Care
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Potential for harm · D July 9, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 9, 2024 · Resident Rights
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Potential for harm · D July 9, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 9, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 9, 2024 · Quality of Life and Care
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Potential for harm · D July 9, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 9, 2024 · Quality of Life and Care
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Potential for harm · D July 9, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 9, 2024 · Quality of Life and Care
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Potential for harm · D July 9, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 9, 2024 · Quality of Life and Care
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Potential for harm · D July 9, 2024 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected August 9, 2024 · Quality of Life and Care
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Potential for harm · E July 9, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 9, 2024 · Nursing and Physician Services
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Potential for harm · D July 9, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 9, 2024 · Pharmacy Service
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Potential for harm · D July 9, 2024 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected August 9, 2024 · Quality of Life and Care
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Potential for harm · D February 5, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 5, 2024 · Quality of Life and Care
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Potential for harm · D February 5, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 5, 2024 · Pharmacy Service
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Potential for harm · D May 4, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 4, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 4, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 1, 2023 · Quality of Life and Care
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165322 · certified since May 7, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.