Centerville 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.

59.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 27 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 41.5 residents a day — about 90% occupied, or roughly 4 beds typically open. It runs fairly full. 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 3.24 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.80 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 2.82 hrs/resident/day on weekends vs 3.41 on weekdays — 17% thinner on weekends. RN hours go from 0.59 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below the national median of 45%. 1 administrator has left in the past year.

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 more than at the previous inspection — worsening. 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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · Dcited before2026-03-25 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, clinical record review, review of facility policy, and staff interviews, the facility failed to ensure nursing staff performed hand hygiene between glove changes, and changed gloves between wounds to prevent cross contamination of wounds for 2 of 2 residents observed for wound care treatment (Resident #1 and #3). The facility reported a census of 41 residents. Findings include: 1. Review of the Minimum Data Set (MDS) assessment for Resident #1, dated 2/12/26, revealed a Brief Interview for Mental Status (BIMS) score of 14 out of 15 (intact cognition). The MDS documented the resident dependent on staff for Activities of Daily Living (ADLs, toileting, hygiene, bed mobility, transfers, dressing) with the exception of eating. The MDS included diagnoses congestive heart failure, diabetes, peripheral vascular disease and had 6 venous or arterial ulcers present. Review of wound assessments, titled Skin and Wound, dated 3/19/26, revealed Resident #1 had open venous ulcer wounds to the right and left lateral (outer) calf. Review of Clinical Physician Orders revealed…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, policy review, and staff interview, the facility failed to carry out medication consents for residents to make informed decisions with regard to their care for 2 of 5 residents reviewed for medications(Residents #8 and #29). The facility reported a census of 38 residents.Findings included: 1. The Minimum Data Set(MDS) assessment tool, dated 11/19/25, listed diagnoses for Resident #8 which included anxiety, depression, and non-Alzheimer's dementia. The MDS listed the resident's Brief Interview for Mental Status(BIMS) score as 3 out of 15, indicating severely impaired cognition. The facility policy Antipsychotic Medication Use, revised December 2016, stated the facility would obtain informed consent and document why the benefits of the medications outweighed the risks or adverse consequences.The December 2025 Medication Administration Record(MAR) listed a 12/2/25 order for Abilify(an antipsychotic medication) 2 milligram(mg) one time per day. A 12/2/25 Care Plan entry stated the resident had an order for Abilify. A 12/3/25 11:50 a.m. Nurses Note stated…

  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 before2025-12-04 · 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

  Based on clinical record review, policy review, and staff interviews, the facility failed to carry out assessments and interventions after high blood sugar readings for 1 of 2 residents(Resident #29) reviewed for insulin(an injectable medication used to lower blood sugar). The facility reported a census of 38 residents. Findings included: The Minimum Data Set(MDS) assessment tool, dated 10/23/25, listed diagnoses for Resident #29 which included diabetes, heart failure, and coronary artery disease. The MDS listed the resident's Brief Interview for Mental Status(BIMS) score as 9 out of 15, indicating moderately impaired cognition. A 6/24/22 Care Plan entry stated the resident used insulin related to diabetes.A 9/5/25 Care Plan entry directed staff to notify the provider if blood sugars exceeded 500 milligrams(mg)/deciliter(dl).The November and December 2025 Medication Administration Records(MARs) directed staff to obtain the resident's blood sugar before meals, at bedtime, and at 12:00 p.m. The MAR directed staff to notify the provider of blood sugars over 500 mg/dl.The resident's…

  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 before2025-12-04 · 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

  Based on observation, clinical record review, policy review, and resident and staff interviews, the facility failed to carry out fall interventions(the use of a gait belt) in order to prevent a fall for 1 of 4 residents reviewed for falls(Resident #5). The facility reported a census of 38 residents.Findings included:The Minimum Data Set(MDS) assessment tool, dated 11/4/25, listed diagnoses for Resident #5 which included restless leg syndrome, Alzheimer's disease, and non-Alzheimer's dementia. The MDS stated the resident was dependent on staff for toilet transfers and required partial to moderate assistance for walking. The MDS listed a Brief Interview for Mental Status(BIMS) score as 5 out of 15, indicating severely impaired cognition. The facility policy Safe Lifting and Movement of Residents, revised 2017, stated the facility would incorporate resident safety, dignity, comfort, and medical conditions into the goals and decisions regarding the safe lifting and moving of residents. The facility stated staff were trained in the use of gait belts.Care Plan entries, dated 11/1/25,…

  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 before2025-12-04 · tag F0803 — failed to meet residents' dietary needs — isolated
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, policy review, and staff interview, the facility failed to ensure residents on a mechanical soft and pureed diet received the correct portions for 5 of 5 residents and failed to follow the menu for 3 of 3 residents reviewed. The facility reported a census of 38 residents. Findings include:Observations on 12/03/2025 starting at 11:00 AM revealed the following:a. Staff B, [NAME] placed 2 unweighted sections of ham in the food processor and processed to a mechanical soft (ground) texture. She measured out 5 green scoops (1/3 cup) of the processed ham and stated was for the mechanical soft diets. Staff B added 1 cup of gravy to the remaining ham and processed to a pureed consistency. She measured the pureed ham as 2 cups. During the subsequent meal service, Staff B served the mechanical soft ham to 2 residents and the pureed ham to 3 residents with a 1/3 cup scoop. After serving, she measured 1 cup of mechanical soft ham and 1/3 cup of pureed ham remaining. Interview on 12/03/2025 at 1:15 PM, Staff B stated she did not measure the ham sections before processing 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-04 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  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, staff interviews, and policy review, the facility failed to implement the Infection Prevention and Control Program (IPCP) by staff wearing Personal Protective Equipment (PPE) in the hall after resident care and by allowing the indwelling catheter tubing to contact the floor during resident transport in a wheelchair. The facility reported a census of 38 residents. Findings include:On 12/02/25 at 9:56 AM, Staff A, Physical Therapy Assistant (PTA) transported Resident #7 in a wheelchair from his room to the shower room. Staff A was observed wearing PPE while assisting Resident #7 reposition in his wheelchair in his room. She exited Resident #7's room, did not remove the gown, and transported the resident to the shower room. The resident's indwelling catheter tubing was in contact with the floor during transport.The Minimum Data Set (MDS) dated [DATE] for Resident #7 revealed the resident had a Brief Interview for Mental Status (BIMS) score of 14 out of 15, which indicated completely intact…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-17 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, clinical record review, policy review and staff interview, the facility failed to ensure adequate kitchen sanitation and food handling for 2 of 2 visits to the kitchen. The facility reported a census of 36 residents. Findings include: The facility policy Cleaning Instructions, dated February 2016 stated (staff) would maintain all kitchen areas in a sanitary manner, free of buildup of food, grease, or other soil. The cleaning schedule directed staff to clean items such as: the dish machine, ice machine, steam table, cabinets, drawers, stove hood, and work areas. The initial kitchen tour on 10/14/24 at 10:08 a.m. revealed the following concerns: a. The Dietary Manager's (DM) front bangs protruded from her hair net from the top of her forehead to the top of her eye brows. b. An opened package of turkey breasts was dated 9/30/24. c. The spigots of the fire suppression system had dust particles hanging down from them. A kitchen observation on 10/15/24 at 11:15 a.m., revealed the following concerns: a. Dust remained on the fire suppression spigots. b. The DM picked a…

  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 F0803 — failed to meet residents' dietary needs — isolated
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, policy review, and staff interview, the facility failed to ensure 1 of 1 residents on a pureed diet received the correct portion and texture. The facility reported a census of 36 residents. Findings include: Observations on 10/15/24 at 11:15 a.m. revealed the following: a. The Dietary Manager (DM) placed 1 fish filet in the food processor, added broth, and processed to a pureed consistency. She measured the processed fish as 3/4 of a cup. During the subsequent meal service, the DM served the fish to the resident with a scoop. After serving, she measured 1/4 of a cup remaining. b. The DM placed a half cup of green beans into the food processor, added green bean juice, and processed to a liquid consistency. The DM stated pureed food should be pudding consistency and stated the beans were runny. The DM served the liquid-consistency beans to the resident during the subsequent meal service. On 10/17/24 at 9:39 a.m., the Dietary Manager stated residents who received a pureed diet should receive the same amount as other residents. She stated the resident at lunch…

  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 · D2024-08-22 · 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 clinical record review, staff interviews, and policy review the facility failed to ensure each resident was treated with respect and dignity while interacting with 1 of 3 residents reviewed. (Resident #1) The facility reported census was 40. Findings include: According to a Minimum Data Set (MDS) with a reference date of 7/11/24, Resident #1 had long and short term deficits and severely impaired cognitive abilities. Resident #1 was independent with transfers and mobility, moderate assistance with dressing, toilet use and personal hygiene needs. Resident #1's diagnosis included Non-Alzheimer's dementia, aphasia, coronary artery disease, renal insufficiency, chronic obstructive pulmonary disease. According to Resident #1's Care Plan, he is at risk for aggression and wandering behavior with interventions to approach and speak calmly, offer food or drink, ice cream or Mountain Dew. Remind resident that his behavior is inappropriate. Offer a pleasant diversion or structured activity such as food,…

  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 · Past Non-Compliance
• Potential for harm · Dcited before2024-08-01 · 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

  483.25 Quality of care Quality of care is a fundamental principle that applies to all treatment and care provided to facility residents. Based on the comprehensive assessment of a resident, the facility must ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. Based on clinical record review and staff interviews, the facility failed to ensure residents are appropriately assessed and provided interventions to maintain their optimal health and well being for 2 of 4 residents reviewed. (Resident #5, #6) The facility reported census was 45. Findings include: 1. According to a Minimum Data Set (MDS) with a reference date of 3/28/24, Resident #5 had a Brief Mental Status (BIMS) score of 15 indicating an intact cognitive status. Resident #5 dependent to maximal assistance with transfers, mobility, dressing, toilet use and personal hygiene needs. Resident #5 was coded as having a catheter and continent bowel functioning. Resident #5's diagnosis included renal…

  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

“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.

About 77% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $335K 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