Belle Plaine Specialty Care

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 22% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 46 beds and averages 36.6 residents a day — about 80% occupied, or roughly 9 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.02 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.79 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.07 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.67 hrs/resident/day on weekends vs 3.16 on weekdays — 15% thinner on weekends. RN hours go from 0.90 to 0.50 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

• Potential for harm · Dcited before2026-01-21 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, policy review, staff interviews the facility failed to follow physician orders by administering medication intended for one resident to another resident, for one of six residents sampled (Resident #1). The facility reported a census of 36 residents. The facility corrected the deficient practice per past noncompliance through the following actions: -Education with nursing staff on 1/3/26 regarding rights of medication administration.Findings include: Review of the Minimum Data Set (MDS) assessment dated [DATE] for Resident #1 revealed the resident scored 10 out of 15 on a Brief Interview for Mental Status Exam (BIMS), which indicated moderately impaired cognition.Review of the resident's Care Plan revealed the resident was non-ambulatory, and used a wheelchair.The Progress Note for Resident #1 signed on 1/3/26 at 8:57 AM by the Advanced Registered Nurse Practitioner (ARNP) documented the resident received medications he does not normally take in error. The medications received…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Past Non-Compliance
• Potential for harm · F2025-08-28 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on The Centers for Medicare and Medicaid Services (CMS) Payroll Based Journal Staffing (PBJ) Data Report (January 1, 2025 -March31, 2025), schedule review, time card review and staff interviews the facility failed to submit accurate staff reports for the PBJ Staffing Data Report. The facility reported a census of 34 residents.Findings Include:The PBJ Staffing Data Report with a run date of 8/21/25 triggered for excessively low weekend staffing and for failing to have licensed nursing coverage 24 hours/day (4 or more days within the quarter with less than 24 hours per day licensed nursing coverage.) The report reflected 10 days with a failure to provide 24/day licensed nurse coverage during January, February and March 2025.A review of the schedules for the days listed in the PBJ Staffing Data Report revealed licensed nursing shifts had been covered by the Director of Nursing (DON) and outside staffing agencies. A review of the Pay summary Reports revealed the DON's actual worked hours hadn't been reflected when the PBJ Staffing Data had been submitted. In an interview on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-14 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, clinical record review, staff interviews, and policy review, the facility failed to respect resident dignity throughout all care provided and in speaking to them for 2 out of 6 residents reviewed (Residents #3 & #6). The facility reported a census of 39 residents. Findings include: 1. Resident #3's Minimum Data Set (MDS) assessment dated [DATE] identified the diagnoses of Parkinson's, muscle wasting right and left lower legs, abnormal mobility, & repeated falls, and a Brief Interview for Mental Status score of 4 suggesting severely impaired cognition. The Care Plan identified Resident #3 was dependent on staff for ambulation, required assistance with a wheeled walker, gait belt, and to be followed with a wheelchair. The Progress Note for Resident #3 dated 4/1/25 at 6 PM revealed: 1. An annual wellness visit was completed with an assessment by the provider. 2. An increased fall risk and non-compliance of healthcare plan. 3. Cognitively does not understand important safety measures with use…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, resident and staff interviews, the facility failed to appropriately provide an assessment for Resident #2 after a fall that inadvertently pulled out the resident's suprapubic urinary catheter from a surgical opening in her abdomen and failed to provide an intervention for 7 hours for a transfer to the hospital for the catheter to be replaced. The facility reported a census of 39 residents. Findings include: Resident #2's Minimum Data Set (MDS) assessment dated [DATE] identified the diagnoses of diabetes mellitus, retention of urine, & chronic kidney disease, dependent upon staff for transfers, personal hygiene, and toileting and a Brief Interview for Mental Status (BIMS) score of 14 indicating intact cognition. The Care Plan identified a suprapubic catheter and directed staff to provide catheter care every shift. The Care Plan failed to provide direction for staff if the catheter was pulled out. During an interview on 4/8/25 at 10:16 AM, Resident #2 stated she…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, and staff interviews, the facility failed to safely transfer 1 of 1 residents (Resident #6) according to the Care Plan resulting in bruising injuries to the resident's arms. The facility reported a census of 39 residents. Findings include: The MDS dated [DATE] for Resident #6 revealed diagnoses of muscle weakness & dementia, and required total assistance from staff for dressing, toileting, personal hygiene, and transfers from bed to chair. Not attempted to stand or walk. Resident #6 had a Brief Interview for Mental Status (BIMS) score of 3 which suggested severe cognitive impairment. The Care Plan for Resident #6 identified she was non ambulatory and directed staff to utilize a mechanical lift with the assistance of 2 staff for transfers. Progress Notes for Resident #6 dated 4/5/25 incident, nurse was notified that resident had bruising to bilateral upper extremities (BUE), observed bruising to right outer forearm and left outer forearm. The resident denied pain,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-30 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, and staff, resident and resident responsible party interviews, the facility failed to assess a resident's decline in condition, and failed to complete and document assessments imperative for the resident's condition/care required over a 3 day period for 1 of 4 resident records reviewed (Resident #2). The facility reported a census of 43 residents. Findings include: The Minimum Data Set (MDS) Assessment tool dated 9/20/24 revealed Resident #2 scored 8 out of 15 points possible on the Brief Interview for Mental Status (BIMS) cognitive assessment, that indicated moderate cognitive impairment with symptoms of delirium present, always able to make himself understood and understood others, had diagnoses that included diabetes, non-Alzheimer's dementia, and muscle weakness, weighed 122 pounds, without weight gain or loss in the 6 months that preceded the assessment and had no identified skin conditions. The Assessment revealed the resident required substantial staff support to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-17 · tag F0805 — failed to prepare food in a form residents can eat — pattern
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility served 1 resident the wrong diet (Resident #27) and failed to initially set up the appropriate diets for 4 other residents with the intention to serve them prior to the Dietician stopping the kitchen staff from serving the wrong diets (Residents #12, #18, #26 and #28). The facility served 37 residents on the day of kitchen observation. The facility reported a census of 37 residents. Findings include: 1. A physician's diet order dated 2/20/24, documented that Resident #12's diet was to be mechanical soft texture. 2. A physician's diet order dated 10/1/21, documented that Resident #18's diet was to be mechanical soft texture. 3. A physician's diet order dated 12/12/23, documented that Resident #26's diet was to be mechanical soft texture. 4. A physician's diet order dated 3/12/24, documented that Resident #27's diet was to be mechanical soft texture. 5. A physician's diet order dated 5/7/24, documented that Resident #28's diet was to be mechanical soft texture. A Therapeutic Spread Report-Spring/Summer Menu '24 signed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-17 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and resident interview the facility failed to provide a resident room tray until early afternoon for 1 resident (Resident #5) and when the tray was served the facility failed to provide metal eating utensils. The facility reported a census of 37 residents. Findings include: During an observation on 10/15/24 at 12:33 PM the administrator approached Resident #5's room to ask if she was coming to the dining room. Resident #5 requested a room tray. The resident's tray was delivered to her room at 1:38 PM. When her tray was delivered she was given plastic eating utensils. During an interview on 10/15/24 at 1:47 PM the resident stated she wished the facility would have given her regular eating utensils, not the plastic.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-17 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, personal health record reviews and pharmacy recommendation reviews, the facility failed to have a provider respond to a monthly pharmacy recommendation in July and in August for 1 of 5 residents reviewed (Resident #8). The facility reported a census of 37 residents. Findings include: A Physician Recommendation dated 7/10/24 and A Physician Recommendation dated 8/7/24, sent from the Consultant Pharmacist to the provider both requested the provider consider a reduction in Sertraline (antidepressant medication) to 150 milligrams (mg). These 2 recommendations went without a provider response. A Physician Recommendation dated 9/9/24, documented this was the third request and requested the provider consider a reduction in Sertraline (antidepressant medication) to 150 mg. The response from the Mental Health Nurse Practitioner documented the patient had been stable and a dose reduction in therapy may impair function and/or cause patient distressed behavior or to be of psychiatric instability by exacerbating this resident's psychiatric disorders. This response was dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-17 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, document review, and resident and staff interview the facility failed to maintain hot foods above 135 degrees Fahrenheit and cold beverages below 41 degrees Fahrenheit for 1 of 1 test trays. The facility failed to address the food temperatures on room trays despite residents voicing their concerns about cold food during Food Council Meetings on 2/20/24, 3/12/24, 4/15/24, 5/21/24 and 1 undated meeting. The facility reported a census of 37 residents. Findings include: During an interview on 10/14/24 at 2:30 PM, Resident #5 explained her food was sometimes cold when she got her room trays. During the lunchtime meal service, a test tray was temperature checked immediately following the last room tray served on the 100 hall. The food temperatures included fish at 149.0 degrees Fahrenheit, rice at 133.7 degrees Fahrenheit, peas at 121.0 degrees Fahrenheit. The chocolate milk temped at 46.6 degrees Fahrenheit and the juice temped at 43.2 degrees Fahrenheit. Staff A explained hot food should be 165 degrees Fahrenheit and cold food and drinks should be below 40 degrees…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CARE INITIATIVES — 43 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 23 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $361K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA