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Chariton Specialty Care

1214 North Seventh Street, Chariton, IA 50049 · For profit - Corporation · 60 certified beds · (641) 774-5921 Medicare & Medicaid certified

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Abuse-prevention, restraint, or reporting citations — no harm found (F0609, F0610) — most recent Mar 20241 immediate-jeopardy citation$15,134 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $15,134 in federal fines (most recent 2023-09-14)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • nursing-staff turnover (58%) runs well above the national median (45%)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1030 N 7th St · (641) 217-9115 · Call to confirm hours
Pharmacy
Shopko1.3 mi
1901 Court Ave · (641) 774-5505 · Call to confirm hours
Grocery
Hy-Vee1.4 mi
2001 Court Ave · (641) 774-5051 · Call to confirm hours
Park
900 N 14th St · Typically dawn to dusk
Place of worship

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

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased7.6%17.1%15.4%better
Long-stay residents who lose too much weight3.1%4.6%5.4%better
Long-stay residents with a catheter left in their bladder0.0%1.5%0.9%better
Long-stay residents with a urinary tract infection1.5%2.4%2.0%better
Long-stay residents with depressive symptoms3.3%4.2%6.5%better
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.5%3.8%3.3%better
Long-stay residents whose ability to walk worsened17.6%16.6%16.1%typical
Long-stay residents on antianxiety or hypnotic medication26.5%20.8%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.3%95.3%typical
Long-stay residents with pressure ulcers2.2%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control26.8%25.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table26.0%19.5%17.1%worse
Short-stay residents who newly got an antipsychotic medication4.4%2.1%1.4%worse
Short-stay residents given the seasonal flu vaccine95.8%73.3%79.4%better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

48.4% 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 25 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

48.4%U.S. median 51.5%
Got home and stayed home
11.8%U.S. median 10.7%
Went back to hospital
0.12U.S. median 0.31
Therapy hours / resident / day
0.08hours / resident / day
Physical therapy
0.04hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF48.4%CMS range 33.6–61.451.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.8%CMS range 6.8–17.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.791.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.99
RN hours/ resident / day
0.61
LPN hours/ resident / day
2.21
Aide hours/ resident / day
3.81
Total nurse hours/ resident / day
0.52
RN hoursweekends
58.1%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 33.9 residents a day — about 56% occupied, or roughly 26 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.81 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.99 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.21 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 3.32 hrs/resident/day on weekends vs 4.00 on weekdays — 17% thinner on weekends. RN hours go from 1.18 to 0.52 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above 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

2
deficiencies at the latest standard inspection (2026-01-14)
7
at the previous standard inspection (2025-01-30)

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.

ABCDEFGHIJKL

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.

18 citations, most serious first. The 11 most serious are shown; the remaining 7 are one tap away and print in full.

  • Immediate jeopardy · J2023-09-14 · 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 clinical record review, physician, family and staff interviews and policy review, the facility failed to provide necessary assessment, treatment, and services to promote healing of skin injuries, prevent infection, and prevent additional skin damage. The facility failed to implement appropriate interventions with follow-up measures for wound care and physician notification. The facility failed to seek a higher level of care to provide treatment for the wounds that failed to heal. Resident #1 obtained a puncture to the left posterior calf identified on 6/1/23, progressed to a large venous ulceration that became infected with bacteria with purulent green drainage and a strong odor and the right lower leg wound became infected with bacteria as well. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of August 29, 2023 on September 13, 2023 at 1:15 P.M. The facility staff removed the Immediate Jeopardy on September 13, 2023 by implementing the following actions: 1. Facility…

    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 before2026-01-14 · 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 observations, clinical record review, provider interview and staff interviews, the facility failed to follow physician orders while administering medications through a feeding tube for 1 of 1 residents reviewed for tube feeding (Resident #38). The facility reported a census of 33 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #38 scored a 15 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated cognition intact. The MDS indicated medical diagnosis of traumatic subdural hemorrhage with loss of consciousness of unspecified duration. The MDS revealed the resident utilized a feeding tube.The Care Plan revealed a focus area dated 7/15/25 for tube feeding osmolyte 1.2 calorie. The Electronic Medical Record (EMR) revealed the following Physician Orders: Enteral Feed- dated 9/22/25- three times a day Flush feeding tube with at 60 ML of water before and after administration of medicationsThe January Medication Administration Record…

    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 · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-14 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, observations, facility policy review, resident and staff interviews, the facility failed to ensure staff provided therapy prescribed restorative nursing services to maintain a resident's ability to walk and transfer for 1 of 1 sampled residents (Resident #20). The facility reported a census of 33.Findings include:Review of the Minimum Data Set (MDS) assessment for Resident #20, dated 10/30/25, revealed a Brief Interview for Mental Status (BIMS) score of 13 out of 15 which was indicative of a mild cognitive impairment. The MDS assessment revealed the resident utilized a walker and wheelchair for mobility, required substantial/maximum assistance for transfers and had not attempted to walk during the assessment period. Resident #20 had diagnoses of stroke, abnormalities of gait and mobility, muscle weakness, lack of coordination, and a history of falls. Review of the Care Plan for Resident #20, last revised 12/29/25, revealed the resident required assistance with Activities of Daily Living (ADLs) including an intervention for the assistance of one staff…

    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 · E2025-09-18 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, food temperatures during food service and resident interview, the facility failed to serve food at an acceptable temperature during one of three meals sampled. The facility reported census was 40. Findings include:The Minimum Data Set for Resident #5 dated 8/18/25 documented a Brief Interview of Mental Status score of 15 indicating intact cognition.Observation on 9/18/25 at 12:30 p.m. a sample tray, consisting of a grilled cheeseburger, macaroni salad and potato salad was provided to this surveyor. The hamburger patty was served well done, at room temperature and with a slice of cold cheese on a bun. The macaroni salad and potato salad was served cold and had good flavor.In an interview on 9/18/25 at 10:50 a.m. Resident #5 stated the meals are often not very good and the facility does not always follow their menus.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-30 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 record review, staff interviews, and policy review, the facility failed to develop a personalized Care Plan for 4 of 12 residents (#2, #7, #16, and #24) reviewed for Care Plans. The facility reported a census of 32 residents. Findings include: 1. On 1/27/25, a record review of Resident #2's Electronic Health Record (EHR) revealed she received antipsychotic and antidepressant medications. The Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated completely intact cognition. It included diagnoses of End-Stage Renal Disease (ESRD), Diabetes Mellitus (DM), Non-Alzheimer's Dementia, Bipolar Disorder, and depression. It also revealed the resident received antipsychotic (AP) and antidepressant (AD) medications during the last 7 days. The EHR included a physician's order for an antipsychotic medication, Quetiapine fumarate 100 milligrams (mg) by mouth at bedtime for Bipolar Disorder and an antidepressant medication, Trazadone hydrochloride…

    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 · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-01-30 · 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, staff interview, guidance from the 2022 US Food and Drug Administration (FDA) Food Code, and facility policy review, the facility failed to use proper sanitation and glove use during lunch service. The facility reported a census of 32 residents. Findings include: The facility's posted menu for lunch on 1/29/25 identified the menu to be: Pulled pork sandwich Broccoli Banana Cream Pie Continuous observation of lunch service began on 1/29/25 at 11:30 am. The Dietary Services Manager (DSM) first prepared pureed broccoli for the residents who required a pureed diet. After this task, the then stated she would puree the pulled pork. The DSM placed gloves on her hands. She picked up the food processor bowl and carried it to the counter. She placed four servings of pulled pork into the food processor bowl. She then obtained a measuring cup and added some barbeque sauce to it. She walked to the coffee maker and obtained hot water from the coffee maker and added it to the cup, still wearing the same gloves. After adding the water and sauce mixture to the pork, she picked…

    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 · D2025-01-30 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, staff interview, and instructions of CMS form 10123-NOMNC, the facility failed to appropriately provide a Notice of Medicare Non Coverage (NOMNC) to 2 of 3 (Resident #35 and #36) residents reviewed for Beneficiary Notification. The facility reported a census of 32 residents. Findings include: 1. The census portion of the Electronic Health Record (EHR) of Resident #35 revealed the resident began receiving skilled care under Medicare A payer source on 9/9/24 and Medicare continued to pay for her stay through 11/22/24. The facility was unable to provide documentation of Resident #35 receiving a Notice of Medicare Non Coverage (NOMNC) form. 2. The census portion of the EHR of Resident #36 revealed the resident began receiving skilled care under Medicare A payer source on 7/26/24 and Medicare paid for his stay through 9/11/24. The facility did provide Resident #36 a NOMNC form on 9/10/24, one day prior to his Medicare services ending. The document titled Form Instructions for the Notice of Medicare Non-Coverage (NOMNC) CMS-10123 directed: A Medicare…

    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 · D2025-01-30 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, staff interview, guidance from the 2024 Resident Assessment Instrument (RAI) Manual, and facility policy review, the facility failed to complete a Significant Change Minimum Data Set (MDS) Assessments following a significant change within federal guidelines for 1 of 5 residents (Res #4) reviewed for significant change. The facility reported a census of 32 residents. Findings include: The Census Line portion of the Electronic Health Record (EHR) of Resident #4 documented the resident enrolled in hospice care on 9/12/24. The Significant Change MDS of Resident #4 documented an Assessment Reference Date (ARD) of 10/3/24. Page 58 of the MDS documented the MDS was signed as Assessment Completion on 10/8/24 which is 26 days following hospice admission. According to the 2024 RAI, a Significant Change (comprehensive) assessment, the ARD must be no later than the 14th calendar day after determination that a significant change in the resident's status occurred. The RAI stated a Significant Change MDS is required to be performed when a terminally ill resident…

    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 · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-30 · 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 observation, resident and staff interviews, and clinical record review, the facility failed to follow the physician's orders for 1 of 12 residents (Resident #7) reviewed. The facility reported a census of 32 residents. Findings include: On 1/27/25 at 9:42 AM, Resident #7 was observed lying in his room. The bottom half of the resident's legs were uncovered and noted to be discolored. The resident stated he was supposed to have tubigrips (a tubular bandage that provides support for sprains, strains, swelling, and other injuries) on the lower half of both legs. He stated they were to be applied in the morning and removed at night. The Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated completely intact cognition. It included diagnoses of Heart Failure (HF), Diabetes Mellitus (DM), Alzheimer's Disease, Schizoaffective Disorder, depression, left lower limb cellulitis, and erythematous condition (redness of the skin typically caused by…

    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 · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-30 · 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, facility menu review, and staff interviews, the facility failed to follow the posted menu and serve the appropriate portions for 3 of 3 residents who received pureed diets (Resident #9, #23, #29). Findings include: The facility's menu for lunch on 1/29/25 included the following items to be served to the residents. 2 oz of pulled pork 1 slice of bread 1/2 cup of broccoli 1 slice banana cream pie Continuous observation of lunch service began on 1/29/25 at 11:30 am. The Dietary Services Manager (DSM) stated she would first puree the broccoli for the puree diet residents. She used a #8 (4 oz) scoop and placed four servings of broccoli into a blender cup. She stated the facility had three residents who received pureed diets but she always made one extra serving. She then placed an unmeasured amount of chicken broth into the blender cup and blended the food to an appropriate texture. She transferred the broccoli into a steam pan with no measurement of the total volume (Measuring the volume of the entire product and dividing by the number of servings calculates the…

    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 · D2025-01-30 · 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, resident and staff interviews, clinical record review, and policy review, the facility failed to implement infection control practices to prevent urinary tract infection (UTI) for 2 of 2 residents (Resident #26 and #21) reviewed. The facility reported a census of 32. Findings include: 1. On 1/28/25 at 9:20 AM, observed Resident #26 to have an indwelling urinary catheter. The Minimum Data Set (MDS) dated [DATE] revealed Resident #26 had a Brief Interview for Mental Status (BIMS) score of 12 out of 15 which indicated moderately impaired cognition. It included diagnoses of Non-Alzheimer's Dementia, benign prostatic hyperplasia with lower urinary tract symptoms (enlarged prostate that affects urination), and age-related macular degeneration (eye condition that affects central vision). It also revealed he was independent with eating, required setup assistance with oral and toileting hygiene, moderate assistance with dressing and personal hygiene, and maximum assistance with bathing. It did not…

    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
Show the remaining 7 citations
  • Potential for harm · Ecited before2024-03-07 · 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, policy review and staff interview the facility failed to follow practices of safe food handling during 2 of 2 meals observed. The facility reported a census of 71 residents. Findings include: During an observation of the noon meal on 3/5/24 beginning at 12:14 PM, Staff G, Non-CNA (NC) was observed handling multiple residents' beverage glasses touching the drinking surface. Staff B, Restorative Aide (RA) did not sanitize hands prior to touching the glasses. During an observation of the noon meal on 3/6/24 beginning at 12:30 PM, Staff G, NC was observed handling multiple residents' beverage glasses touching the drinking surface. Staff B, RA was observed handling two resident beverage glasses touching the drinking surface. Staff B, RA was observed touching her face multiple times between delivering meal trays to residents without properly sanitizing hands. During an interview on 3/7/24 at 3:34 PM the Administrator provided facility policies. She explained her expectation of the staff was that they would grab the side of the glass, not the top of the glass where…

    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 · D2024-03-07 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 and staff interviews and the facility policy review, the facility failed to maintain a clean, free from possible hazards, and homelike environment. The facility reported a census of 71 residents. Findings include: An observation of room [ROOM NUMBER] on 3/4/24 at 12:30 PM revealed a wall located at the head of a residents' bed with multiple areas of scratched up paint with shallow holes. On 3/4/24 at 1:10 PM an observation of the main Nurses Station near the Dining room revealed a wall with missing floor board, wallpaper torn and mismatched paint. On 3/6/24 at 12:10 PM an observation of the main Dining Room where 24 residents were seated at noon meal, 5 out of 22 ceiling lights were not on. During an interview on 3/7/24 at 2:34 PM the Administrator confirmed that room [ROOM NUMBER] did not appear homelike. She further confirmed the missing paint on the wall near the dining room and the ceiling lights did not meet her expectations. The facility did not have any maintenance personnel on site.…

    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 · D2024-03-07 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    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 and resident interview, the facility failed to ensure one of one allegation of abuse was reported to the appropriate State Agency (SA). Resident #2 reported an allegation that Staff D, Certified Nursing Aide (CNA) was rough with Resident #21 during cares. Staff interviews confirmed the facility Administrator and the Director of Nursing (DON) were notified of Resident #2's allegation involving Staff D, CNA with no evidence the allegation was reported to the SA. Staff D remained actively working with access to all residents. The facility reported a census of 42 residents. Findings include: On 3/04/24 at 11:26 AM, a resident stated she reported Staff D, Certified Nursing Aide (CNA) to Staff E, Dietary Aide (DA) and Staff F, [NAME] for being rough with Resident #21 while providing cares. The Quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #21 had a BIMS score of 03 of 15, which indicated severe cognitive impairment and included diagnoses of…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-07 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    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 and resident interview, the facility failed to prevent further potential abuse by failing to separate the alleged perpetrator from the alleged victim pending an investigation of an abuse allegation. Resident #2 reported an allegation that Staff D, Certified Nursing Aide (CNA) was rough with Resident #21 during cares. Staff interviews confirmed the facility Administrator and the Director of Nursing (DON) were notified of Resident #2's allegation involving Staff D, CNA with no evidence the alleged perpetrator was immediately separated from the alleged victim pending the allegation investigation. Staff D remained actively working with access to all residents. The facility reported a census of 42 residents. Findings include: On 3/04/24 at 11:26 AM, a resident stated she reported Staff D, Certified Nursing Aide (CNA) to Staff E, Dietary Aide (DA) and Staff F, [NAME] for being rough with Resident #21 while providing cares. The Quarterly MDS dated [DATE] 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-07 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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, record review, staff interview, and policy review, the facility failed to provide the necessary services to maintain personal and oral hygiene for 2 of 12 residents reviewed (#20 & #21). The facility reported a census of 42 residents. Findings include: 1. On 3/04/24 at 11:07 AM, Resident #20 was observed positioned at the front edge of his wheelchair seat with his feet resting on the floor past the foot plates. Three staff members repositioned Resident #20 in his wheelchair. The Quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #20 had a Brief Interview for Mental Status (BIMS) score of 03 of 15, indicating severe cognitive impairment. The MDS documented that the resident had bilateral lower extremity impairment, normally used a wheelchair, was dependent on staff for chair/bed-to-chair transfer, and toilet transfer. The MDS included diagnoses of Non-Alzheimer's dementia, Traumatic Brain Injury, lack of coordination, and hydrocephalus (abnormal buildup of fluid in the brain).…

    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 · E2023-09-14 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interview, employee record review, and facility internal investigation notes, the facility failed to employ competant nursing staff to care for the residents. The facility reported a census of 42. Findings include: On 9/11/23 at 2:32 pm, Staff A, Licensed Practical Nurse, former employee stated that in February of 2023 she was working an evening shift at the facility, she believed this to be either 2/26/23 or 2/27/23. She reported Staff C, housekeeper, was working this shift as well. At that time Staff C was an Environmental Aide (EA). Staff A stated she was in a resident room and heard something odd. She stepped into the hall to investigate and heard screaming from another resident room. She stated she knocked on the door of the resident room and entered the room. She witnessed Staff C in the room with the resident standing at her bedside performing cares. She stated he had his arm over her hip repositioning her and the resident was screaming. She said that Staff C told her the resident had been hitting him. She asked him to step away from the resident and leave the…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-14 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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 record review, observations, resident and staff interviews and policy review, the facility failed to provide Activity of Daily Living (ADL) care to 3 out of 3 residents reviewe, (Resident #6, #9 and #10). The facility was not providing oral hygiene for residents. The facility reported a census of 42 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] for Resident #6 revealed a diagnosis of dementia, heart failure, malnutrition and required the extensive assistance of one staff member to provide personal hygiene. Resident #6 had a Brief Interview for Mental Status (BIMS) of 0 which indicated a severe cognitive impairment. The Care Plan revision date of 4/4/23 for Resident #6 directed staff to assist for all ADL care. The Point of Care (POC) document titled Oral Hygiene dated September 2023 for Resident #6 revealed: 9/11/23 at 1:59 PM completed and 9:59 PM not completed. 9/12/23 at 1:59 PM not completed, 9:59 PM completed. 9/13/23 at 1:59 AM and 9:59 PM not completed. 2. The MDS 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.

    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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$15,134 in federal fines across 1 penalty.

  • $15,134 — penalty dated 2023-09-14

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

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 →

RatingThis homeChain avg
Overall 2 of 52.9-0.9 vs chain
Health inspection 2 of 52.5-0.5 vs chain
Staffing 4 of 53.7+0.3 vs chain
Quality measures 4 of 53.7+0.3 vs chain
The other 42 homes this chain runs (chain average 2.9★, per CMS)
1 of 5Avoca Specialty CareAvoca, IA 1 of 5Correctionville Specialty CareCorrectionville, IA 1 of 5Crestview Specialty CareWest Branch, IA 1 of 5Heritage Specialty CareCedar Rapids, IA 1 of 5Kingsley Specialty CareKingsley, IA 1 of 5Parkridge Specialty CarePleasant Hill, IA 1 of 5Ravenwood Specialty CareWaterloo, IA 1 of 5Westwood Specialty CareSioux City, IA 2 of 5Creston Specialty CareCreston, IA 2 of 5Dubuque Specialty CareDubuque, IA 2 of 5Lantern Park Specialty CareCoralville, IA 2 of 5New London Specialty CareNew London, IA 2 of 5Northcrest Specialty CareWaterloo, IA 2 of 5Northern Mahaska Specialty CareOskaloosa, IA 2 of 5Pinnacle Specialty CareCedar Falls, IA 2 of 5Southridge Specialty CareMarshalltown, IA 2 of 5Stratford Specialty CareStratford, IA 3 of 5Atlantic Specialty CareAtlantic, IA 3 of 5Centerville Specialty CareCenterville, IA 3 of 5Cherokee Specialty CareCherokee, IA 3 of 5Eldora Specialty CareEldora, IA 3 of 5Manly Specialty CareManly, IA 3 of 5Montezuma Specialty CareMontezuma, IA 3 of 5Odebolt Specialty CareOdebolt, IA 3 of 5Panora Specialty CarePanora, IA 3 of 5Ridgewood Specialty CareOttumwa, IA 3 of 5Southern Hills Specialty CareOsceola, IA 3 of 5West Ridge Specialty CareKnoxville, IA 4 of 5Bedford Specialty CareBedford, IA 4 of 5Belle Plaine Specialty CareBelle Plaine, IA 4 of 5Corning Specialty CareCorning, IA 4 of 5Corydon Specialty CareCorydon, IA 4 of 5Dunlap Specialty CareDunlap, IA 4 of 5Laporte City Specialty CareLa Porte City, IA 4 of 5Lyon Specialty CareRock Rapids, IA 4 of 5Oakwood Specialty CareAlbia, IA 5 of 5Fonda Specialty CareFonda, IA 5 of 5Lamoni Specialty CareLamoni, IA 5 of 5Mechanicsville Specialty CareMechanicsville, IA 5 of 5Sibley Specialty CareSibley, IA

Showing 40 of 42; lowest-rated first.

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

Owner / managerTypeRoleShareSince
CARE INITIATIVESOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 11/12/2010
COMPUTERSHARE CORPORATE TRUST COMPANY, NAOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 01/01/2024
BEAL, MICHAELIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 06/01/2020
BOWEN, LANEIndividualCORPORATE DIRECTORsince 01/01/2021
CAROTHERS, MARY JANEIndividualCORPORATE DIRECTORsince 01/01/2023
CHILDS, KEVINIndividualCORPORATE DIRECTORsince 04/01/2023
CORLESS, PETERIndividualCORPORATE DIRECTORsince 01/01/2025
KREIN, KEITHIndividualCORPORATE DIRECTORsince 06/29/2022
RUST, ELIZABETHIndividualCORPORATE DIRECTORsince 01/01/2023
STURM, DENISEIndividualCORPORATE DIRECTORsince 01/01/2021
UPMEYER, LINDAIndividualCORPORATE DIRECTORsince 06/29/2022
DIXON, DAVIDIndividualCORPORATE OFFICERsince 06/01/2016
DRAKE, EMILYIndividualCORPORATE OFFICERsince 01/04/2023
GILYARD, TANYAIndividualCORPORATE OFFICERsince 05/23/2025
KUHN, JERAMYIndividualCORPORATE OFFICERsince 06/25/2008
MCDYER, JESSICAIndividualCORPORATE OFFICERsince 02/22/2023
MAHLER, CARLAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
OBEN, PATRICKIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024
YOUNG, VANESSAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/16/2022

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.

$4.5M
Net patient revenuemost recent cost report
+9.0%
Operating marginrevenue minus expenses
$377K
Related-party expense9% of expenses
Who pays — share of resident-days
Medicaid 68%Medicare 4%Other / private 28%

This home reported $377K 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

$246per resident / day
operating cost
$7,471per month
≈ monthly operating cost
$270per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Iowa Medicaid page.

Typical monthly cost in Iowa
$9,277/mo
Nursing home (semi-private)
$10,038/mo
Nursing home (private)
$5,381/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 165305. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-14, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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