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METHODIST MANOR RETIREMENT COMMUNITYNon-Profit

EIN: 420837578

UEI: SZ4ZD41LG6D3

Audited by: Williams & Company, P.C.

Oversight agency: 10 [Department of Agriculture]

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Data as of September 7, 2026

METHODIST MANOR RETIREMENT COMMUNITY8 audit years11 findings2 repeat
8
Audit Years
11
Total Findings
2
Repeat Findings
$27.7M
Federal Awards Expended (FY 2025)

FY 2025-12-31

MATERIAL NONCOMPLIANCE DISCLOSED$27,681,548 federal awards expended
2025-003
Special Tests & Provisions
OTHER MATTERS

During our review of compliance with the Community Facilities Loans & Grants, we identified that the funds were not deposited for several of the required months and the funds were not in a separate general ledger account. Cause: The requirement was not met due to an oversight by management. Effect: As a result the agency reserves the right to withdraw Agency funding. Recommendation: The Organization should setup a separate general ledger account to separate the required funds, and have a review process to verify that the deposits were made properly. Client Response: The Organization has automated a reoccurring ACH that deposits $10,343 into the reserve account every month and funded the balance to the required amount. The bookkeeping company and management have added a reserve account review to their monthly checklist.

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Full finding narrative

Criteria: The Organization is responsible for depositing $10,343 into a separate general ledger account every month to fund the restricted debt service reserve and they must obtain permission before using the funds. Condition: During our review of compliance with the Community Facilities Loans & Grants, we identified that the funds were not deposited for several of the required months and the funds were not in a separate general ledger account. Cause: The requirement was not met due to an oversight by management. Effect: As a result the agency reserves the right to withdraw Agency funding. Recommendation: The Organization should setup a separate general ledger account to separate the required funds, and have a review process to verify that the deposits were made properly. Client Response: The Organization has automated a reoccurring ACH that deposits $10,343 into the reserve account every month and funded the balance to the required amount. The bookkeeping company and management have added a reserve account review to their monthly checklist.

Corrective Action Plan

Criteria: The Organization is responsible for depositing $10,343 into a separate general ledger account every month to fund the restricted debt service reserve and they must obtain permission before using the funds. Condition: During our review of compliance with the Community Facilities Loans & Grants, we identified that the funds were not deposited for several of the required months and the funds were not in a separate general ledger account. Cause: The requirement was not met due to an oversight by management. Effect: As a result the agency reserves the right to withdraw Agency funding. Recommendation: The Organization should setup a separate general ledger account to separate the required funds, and have a review process to verify that the deposits were made properly. Client Response: The Organization has automated a reoccurring ACH that deposits $10,343 into the reserve account every month and funded the balance to the required amount. The bookkeeping company and management have added a reserve account review to their monthly checklist. Conclusion: Response accepted.

About Special Tests and Provisions →
2025-004
Special Tests & Provisions
OTHER MATTERS

During our review of compliance with the Community Facilities Loans & Grants, we identified that the required reports were not sent to the USDA. Cause: The requirement was not met due to an oversight by management. Effect: As a result the agency reserves the right to withdraw Agency funding. Recommendation: The Organization should create a checklist to track/remind management to send the required reports to the USDA as well create a monthly electronic calendar reminder Client Response: The facility has submitted the required reports and added items to their monthly checklist and calendar for future reporting periods.

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Full finding narrative

Criteria: The Organization is responsible for sending the following reports to the USDA: FYE 12-31- 2024 Audit, FY 2026 Budget, Quarterly reports for 3/30/2025, 6/30/2025, and 9/30/2025, and Certification of Insurance. Condition: During our review of compliance with the Community Facilities Loans & Grants, we identified that the required reports were not sent to the USDA. Cause: The requirement was not met due to an oversight by management. Effect: As a result the agency reserves the right to withdraw Agency funding. Recommendation: The Organization should create a checklist to track/remind management to send the required reports to the USDA as well create a monthly electronic calendar reminder Client Response: The facility has submitted the required reports and added items to their monthly checklist and calendar for future reporting periods.

Corrective Action Plan

Criteria: The Organization is responsible for sending the following reports to the USDA: FYE 12-31-2024 Audit, FY 2026 Budget, Quarterly reports for 3/30/2025, 6/30/2025, and 9/30/2025, and Certification of Insurance. Condition: During our review of compliance with the Community Facilities Loans & Grants, we identified that the required reports were not sent to the USDA. Cause: The requirement was not met due to an oversight by management. Effect: As a result the agency reserves the right to withdraw Agency funding. Recommendation: The Organization should create a checklist to track/remind management to send the required reports to the USDA as well create a monthly electronic calendar reminder Client Response: The facility has submitted the required reports and added items to their monthly checklist and calendar for future reporting periods. Conclusion: Response accepted.

About Special Tests and Provisions →
2025-005
Special Tests & Provisions
SIGNIFICANT DEFICIENCY

During our review of compliance with the Community Facilities Loans & Grants, we identified that the funds were not deposited for several of the required months and the funds were not in a separate general ledger account. Cause: The requirement was not met due to an oversight by management. Effect: As a result the agency reserves the right to withdraw Agency funding. Recommendation: The Organization should setup a separate general ledger account to separate the required funds, and have a review process to verify that the deposits were made properly. Client Response: The Organization has automated a reoccurring ACH that deposits $10,343 into the reserve account every month and funded the balance to the required amount. The bookkeeping company and management have added a reserve account review to their monthly checklist.

Show full finding ▾
Full finding narrative

Criteria: The Organization is responsible for depositing $10,343 into a separate general ledger account every month to fund the restricted debt service reserve and they must obtain permission before using the funds. Condition: During our review of compliance with the Community Facilities Loans & Grants, we identified that the funds were not deposited for several of the required months and the funds were not in a separate general ledger account. Cause: The requirement was not met due to an oversight by management. Effect: As a result the agency reserves the right to withdraw Agency funding. Recommendation: The Organization should setup a separate general ledger account to separate the required funds, and have a review process to verify that the deposits were made properly. Client Response: The Organization has automated a reoccurring ACH that deposits $10,343 into the reserve account every month and funded the balance to the required amount. The bookkeeping company and management have added a reserve account review to their monthly checklist.

Corrective Action Plan

Criteria: The Organization is responsible for depositing $10,343 into a separate general ledger account every month to fund the restricted debt service reserve and they must obtain permission before using the funds. Condition: During our review of compliance with the Community Facilities Loans & Grants, we identified that the funds were not deposited for several of the required months and the funds were not in a separate general ledger account. Cause: The requirement was not met due to an oversight by management. Effect: As a result the agency reserves the right to withdraw Agency funding. Recommendation: The Organization should setup a separate general ledger account to separate the required funds, and have a review process to verify that the deposits were made properly. Client Response: The Organization has automated a reoccurring ACH that deposits $10,343 into the reserve account every month and funded the balance to the required amount. The bookkeeping company and management have added a reserve account review to their monthly checklist. Conclusion: Response accepted.

About Special Tests and Provisions →
2025-006
Special Tests & Provisions
SIGNIFICANT DEFICIENCY

During our review of compliance with the Community Facilities Loans & Grants, we identified that the required reports were not sent to the USDA. Cause: The requirement was not met due to an oversight by management. Effect: As a result the agency reserves the right to withdraw Agency funding. Recommendation: The Organization should create a checklist to track/remind management to send the required reports to the USDA as well create a monthly electronic calendar reminder Client Response: The facility has submitted the required reports and added items to their monthly checklist and calendar for future reporting periods

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Full finding narrative

Criteria: The Organization is responsible for sending the following reports to the USDA: FYE 12-31- 2024 Audit, FY 2026 Budget, Quarterly reports for 3/30/2025, 6/30/2025, and 9/30/2025, and Certification of Insurance. Condition: During our review of compliance with the Community Facilities Loans & Grants, we identified that the required reports were not sent to the USDA. Cause: The requirement was not met due to an oversight by management. Effect: As a result the agency reserves the right to withdraw Agency funding. Recommendation: The Organization should create a checklist to track/remind management to send the required reports to the USDA as well create a monthly electronic calendar reminder Client Response: The facility has submitted the required reports and added items to their monthly checklist and calendar for future reporting periods

Corrective Action Plan

Criteria: The Organization is responsible for sending the following reports to the USDA: FYE 12-31-2024 Audit, FY 2026 Budget, Quarterly reports for 3/30/2026, 6/30/2 025, and 9/30/2025, and Certification of Insurance. Condition: During our review of compliance with the Community Facilities Loans & Grants, we identified that the required reports were not sent to the USDA. Cause: The requirement was not met due to an oversight by management. Effect: As a result the agency reserves the right to withdraw Agency funding. Recommendation: The Organization should create a checklist to track/remind management to send the required reports to the USDA as well create a monthly electronic calendar reminder Client Response: The facility has submitted the required reports and added items to their monthly checklist and calendar for future reporting periods. Conclusion: Response accepted.

About Special Tests and Provisions →

FY 2024-12-31

$27,977,840 federal awards expendedNo findings recorded this year

FAC accepted this audit on July 13, 2025 — management decision was due January 13, 2026.

FY 2023-12-31

$28,050,264 federal awards expended

FAC accepted this audit on June 17, 2024 — management decision was due December 17, 2024.

2023-002
Other
OTHER MATTERS

During our review of compliance requirements for the Community Facilities Loans & Grants Cluster, we identified the funds were not in a separate general ledger account. Cause: The requirement was not met due to an oversight of management. Potential Effect: As a result, the Agency reserves the right to withdraw Agency funding. Recommendation: The Organization should setup a separate general ledger account for debt service reserve. Client Response: The Organization has setup a separate general ledger account.

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Full finding narrative

Criteria: The debt service reserve should have a separate general ledger account. Condition: During our review of compliance requirements for the Community Facilities Loans & Grants Cluster, we identified the funds were not in a separate general ledger account. Cause: The requirement was not met due to an oversight of management. Potential Effect: As a result, the Agency reserves the right to withdraw Agency funding. Recommendation: The Organization should setup a separate general ledger account for debt service reserve. Client Response: The Organization has setup a separate general ledger account.

Corrective Action Plan

Compliance Reporting – Reserve Funds Criteria: The debt service reserve should have a separate general ledger account. Condition: During our review of compliance requirements for the Community Facilities Loans & Grants Cluster, we identified the funds were not in a separate general ledger account. Cause: The requirement was not met due to an oversight of management. Potential Effect: As a result, the Agency reserves the right to withdraw Agency funding. Recommendation: The Organization should setup a separate general ledger account for debt service reserve. Client Response: The Organization has setup a separate general ledger account. Conclusion: Response accepted.

About Other →
2023-003
Other
SIGNIFICANT DEFICIENCYOTHER MATTERS

During our review of compliance requirements for the Community Facilities Loans & Grants Cluster, we identified the funds were not in a separate general ledger account. Cause: The requirement was not met due to an oversight of management. Potential Effect: As a result, the Agency reserves the right to withdraw Agency funding. Recommendation: The Organization should setup a separate general ledger account for debt service reserve. Client Response: The Organization has setup a separate general ledger account.

Show full finding ▾
Full finding narrative

Criteria: The debt service reserve should have a separate general ledger account. Condition: During our review of compliance requirements for the Community Facilities Loans & Grants Cluster, we identified the funds were not in a separate general ledger account. Cause: The requirement was not met due to an oversight of management. Potential Effect: As a result, the Agency reserves the right to withdraw Agency funding. Recommendation: The Organization should setup a separate general ledger account for debt service reserve. Client Response: The Organization has setup a separate general ledger account.

Corrective Action Plan

Compliance Reporting — Reserve Funds Criteria: The debt service reserve should have a separate general ledger account. Condition: During our review of compliance requirements for the Community Facilities Loans & Grants C luster, we identified the funds were not in a separate general ledger account. Cause: The requirement was not met due to an oversight of management. Potential Effect: As a result, the Agency reserves the right to withdraw Agency funding. Recommendation: The Organization should setup a separate general ledger account for debt service reserve. C lient Response: The Organization has setup a separate general ledger account. Conclusion: Response accepted.

About Other →

FY 2022-12-31

GOING CONCERN$28,215,138 federal awards expendedNo findings recorded this year

FAC accepted this audit on July 20, 2023 — management decision was due January 20, 2024.

FY 2021-12-31

GOING CONCERN$908,994 federal awards expended

FAC accepted this audit on January 15, 2023 — management decision was due July 15, 2023.

2021-003
Activities Allowed or Unallowed / Cost Allowability
MATERIAL WEAKNESS

During our review of internal control procedures over expenses reported to the Provider Relief Fund Oversight Agency, we identified a lack of review and segregation of duties where management review was not present in the control environment. Cause: Review procedures were not performed to ensure the allowable expenses reported were eligible to be used towards the use of Provider Relief Funds. Effect: As a result, there could be an un-allowed expense applied to the use of the Provider Relief Funds. Recommendation: We recommend that the Organization should implement review procedures to ensure the expenses and lost revenues identified are accurate and eligible for reimbursement by Provider Relief Funds. Client Response: Nick Landgraf will review invoices for proper payment and allowable under Provider Relief eligibility requirements as his signature is applied to all checks. A board member or member of the Management company will review the information in the PRF reporting portal and authorize future submissions.

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Full finding narrative

Criteria: Management is responsible for maintaining proper controls over the expenses reported semi-annually in the Provider Relief Funds reporting portal. Condition: During our review of internal control procedures over expenses reported to the Provider Relief Fund Oversight Agency, we identified a lack of review and segregation of duties where management review was not present in the control environment. Cause: Review procedures were not performed to ensure the allowable expenses reported were eligible to be used towards the use of Provider Relief Funds. Effect: As a result, there could be an un-allowed expense applied to the use of the Provider Relief Funds. Recommendation: We recommend that the Organization should implement review procedures to ensure the expenses and lost revenues identified are accurate and eligible for reimbursement by Provider Relief Funds. Client Response: Nick Landgraf will review invoices for proper payment and allowable under Provider Relief eligibility requirements as his signature is applied to all checks. A board member or member of the Management company will review the information in the PRF reporting portal and authorize future submissions.

Corrective Action Plan

Criteria: Management is responsible for maintaining proper controls over the expenses reported semi-annually in the Provider Relief Funds reporting portal. Condition: During our review of internal control procedures over expenses reported to the Provider Relief Fund Oversight Agency, we identified a lack of review and segregation of duties where management review was not present in the control environment. Cause: Review procedures were not performed to ensure the allowable expenses reported were eligible to be used towards the use of Provider Relief Funds. Effect: As a result, there could be an unallowed expense applied to the use of the Provider Relief Funds. Recommendation: We recommend that the Organization should implement review procedures to ensure the expenses and lost revenues identified are accurate and eligible for reimbursement by Provider Relief Funds. Client Response: Nick Landgraf will review invoices for proper payment and allowable under Provider Relief eligibility requirements as his signature is applied to all checks. A board member or member of the Management company will review the information in the PRF reporting portal and authorize future submissions.

About Activities Allowed or Unallowed, Allowable Costs / Cost Principles →

FY 2018-12-31

LOW-RISK AUDITEE$9,460,044 federal awards expended

FAC accepted this audit on July 8, 2019 — management decision was due January 8, 2020.

2018-004
Reporting
REPEAT OF 2017-004OTHER MATTERS

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2017-004

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2018-005
Reporting
MATERIAL WEAKNESSREPEAT OF 2017-005OTHER MATTERS

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2017-005

About Reporting →

FY 2017-12-31

$16,366,681 federal awards expended

FAC accepted this audit on October 17, 2018 — management decision was due April 17, 2019.

2017-004
Reporting
MODIFIED OPINION

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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2017-005
Reporting
MATERIAL WEAKNESS

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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FY 2016-12-31

$2,227,835 federal awards expendedNo findings recorded this year

FAC accepted this audit on August 31, 2017 — management decision was due March 3, 2018.

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