Manly 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.

42.6% 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 45 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 71.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 21 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.17 therapist hours per resident per day in 2026Q1 — more than 16% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% 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 44 beds and averages 38.6 residents a day — about 88% occupied, or roughly 5 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 3.60 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.98 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.38 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 3.30 hrs/resident/day on weekends vs 3.72 on weekdays — 11% thinner on weekends. RN hours go from 1.17 to 0.51 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 27% is below the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.

• Immediate jeopardy · J2024-01-17 · tag F0660 — isolated
  Plan the resident's discharge to meet the resident's goals and needs.
  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 interview with staff, family and medical professionals, and record and policy review the facility failed to adequately plan for resident's discharge for 1 of 4 residents reviewed. Resident #1 was admitted to the facility after surgery to install a feeding tube. The facility failed to teach her how to use the feeding tube pump, and failed to ensure she had all the needed supplies and medications when she returned home. This failure resulted in the hospitalization of the resident related to dehydration, failure to thrive and urinary tract infection, therefore causing an Immediate Jeopardy to the health, safety and security of the residents. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of 1/1/24, on 1/10/24 at 9:57 AM. The facility removed the Immediate Jeopardy on 1/10/24 with the following actions: a. Staff education completed on proper discharge procedure to assure that the resident that are transferred/ discharged have proper orientation and planning of 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-05 · tag F0605 — failed to not use drugs as a restraint — pattern
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 and staff interview, the facility failed to document non-pharmacological interventions prior to administering anti-anxiety medication for anxiety and/or restlessness for 1 of 1 resident sampled (Resident #39). The facility identified a census of 36. Findings include:Resident #39's Minimum Data Set (MDS) assessment dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 4, indicating a severe cognitive loss. The MDS listed diagnoses of non-Alzheimer's dementia, depression, and anxiety. Resident #39's Medication Administration Record (MAR) for February documented Haloperidol (an antipsychotic medication) 0.5 milligrams (mg). Administer every 8 hours as needed for agitation and irritability. Resident #39's MAR for February 2026 documentation reflected the nurse administered Haloperidol on the 15th, 18th, 20th, 22nd, 23rd, 24th, 25th, 26th, 27th and 28th. The supplemental documentation lacked documentation of nonpharmacological interventions tried prior…

  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 · E2026-03-05 · tag F0609 — failed to report abuse allegations — pattern
  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, facility policy review, and staff interviews the facility failed to report allegations of abuse to the Iowa Department of Inspections, Appeals, and Licensing (DIAL) for 2 of 3 residents reviewed (Resident #5, Resident #39, and Resident #20). The investigation determined the facility failed to report when Resident #39 pushed Resident #5 in one incident and grabbed her in another incident. in addition, the facility failed to report when Resident #39 poked Resident #20 in the head. The facility reported a census of 36 residents. Findings include:Resident #39's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview of Mental Status (BIMS) score of 4, indicating severe cognitive impairment. Resident #39 experienced verbal behavioral symptoms directed towards others for 1 to 3 days in the lookback period. The MDS listed Resident #39 as independent with walking 10 feet and 50 feet with two turns. She didn't use a wheelchair or a scooter. The MDS included diagnoses…

  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 · E2026-03-05 · tag F0610 — failed to investigate and act on abuse reports — pattern
  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, facility policy review, and staff interviews the facility failed to investigate and review interventions to ensure interviews are adequate to prevent further abuse for a known resident with a history of aggression for resident-to-resident abuse for 2 of 3 resident reviewed. (Residents #5, #20, and #39). Resident #39 grabbed Resident #5 and poked Resident #20 in the head. The facility reported a census of 36 residents. Findings include:1. Resident #39's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview of Mental Status (BIMS) score of 4, indicating severe cognitive impairment. Resident #39 experienced verbal behavioral symptoms directed towards others for 1 to 3 days in the lookback period. The MDS listed Resident #39 as independent with walking 10 feet and 50 feet with two turns. She didn't use a wheelchair or a scooter. The MDS included diagnoses of non-Alzheimer's dementia, Alzheimer's disease, anxiety, and depression. The Care Plan Focus revised…

  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 · D2026-03-05 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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, facility policy review and staff interviews the facility failed to ensure staff protected and prevented resident-to-resident abuse for 1 of 3 reviewed (Resident #45). Resident #39 hit Resident #45 on the right upper arm. At the time of the incident Resident #45 sat with a staff member. The staff member failed to intervene until after Resident #39 hit Resident #45. Resident #39 had a known history of resident-to-resident altercations and the facility failed to evaluate the effectiveness of the interventions to prevent harm to other residents, see F609 and F610 for additional information regarding additional incidents. The facility reported a census of 36 residents. Findings include:Resident #39's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview of Mental Status (BIMS) score of 4, indicating severe cognitive impairment. Resident #39 experienced verbal behavioral symptoms directed towards others for 1 to 3 days in the lookback period. The MDS listed Resident #39 as…

  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 · D2026-03-05 · tag F0812 — failed to store, cook, and serve food safely — isolated
  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 observations, staff interviews and policy review the facility failed to maintain a sanitary kitchen; failed to serve and prepare food in accordance with professional standards for food safety to reduce the risk of cross contamination and food borne illness. The facility reported a census of 36 residents. Findings include:On 3/2/26 at 11:00 AM observed the ice machine covered in a mineral deposit build-up all over the sides of the machine. Inside the ice machine noted mineral deposit build-up streaks and small pin point black particles in the ice machine on the white plastic baffle (A shield that directs falling ice to the back of the bin, preventing it from jamming the door). On 3/3/26 at 3:54 PM observation of the Ice machine remained the same as the previous day. On 3/4/26 at 8:20 AM the Maintenance Supervisor reported he deep cleaned and descaled the ice machine every 6 months and the kitchen cleaned it weekly. He reported it has been an ongoing issue with the ice machine mineral deposit build-up. He reported nothing gets it fully cleaned. On 3/4/26 at 10:55 AM 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 · F2025-02-27 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility records, review of the Facility Assessment, and staff interviews, the facility failed to have a clinically qualified nutrition professional who met the required qualifications of a Certified Dietary Manager or a full time Registered Dietician. The facility reported a census of 41 residents. Findings Include: On 2/24/25 at 10:20 AM, Staff A, [NAME] stated the facility didn't have a kitchen manager and haven't had one for approximately six months. She stated worked there for approximately three years. Staff A stated she assisted with some duties such as ordering supplies but she is not officially the kitchen manager. On 2/26/25 at 10:12 AM, the Administrator stated the prior Certified Dietary Manager, still worked at the facility but no longer in that position worked approximately 25 hours a week. He added she occasionally did pick up extra shifts. The Facility Assessment, dated 12/17/24 indicated the facility personnel should include a Registered Dietitian and Nutrition Services Staff. It further stated each department is led by a department manager. In addition,…

  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 · E2025-02-27 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  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, policy review and staff interviews, the facility failed to ensure all residents received medication as ordered by a physician; and failed to prevent potentially serious medication errors when staff administered the wrong medications or dosage from 5/8/24 to 2/21/25 for 8 of 8 residents reviewed (Residents #6, #8, #35, 38, #44, #145, #146, #147, and #148). The facility reported a census of 41 residents. Findings include: During a confidential interview staff reported concerns with frequent medication errors and reported concerns that Staff G, Registered Nurse (RN), had several medication errors. The staff member reported they felt the facility didn't look into the medication errors to correct the issue. The facility provided the following Incident Reports related to medication errors: a. 5/8/24: Resident #148 received the wrong medications. Resident #148 received amiodarone (treat heart rhythm problems), colchicine (used to treat inflammation and pain), metoprolol (used to treat high blood…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-27 · tag F0803 — failed to meet residents' dietary needs — pattern
  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 documentation, staff, and resident interview, the facility failed to follow the posted menu and serve the appropriate portions for 3 of 3 residents who received pureed diets (Residents #13, #21, and #24). In addition, the facility failed to serve the ordered therapeutic menu for 5 of 5 residents with an order for low sodium diets. Additionally, 2 residents, (Residents #8 and #11) didn't get the substitution menu as they requested. 2 other residents (Residents #20 and #38) didn't receive their double proteins as directed on their menu cards. In addition, the facility had 19 residents with an order for the NIP (Nutritional Intervention Program), adding extra foods/calorie/nutrition to their meals. Of the 19 residents with the NIP on their menu cards, 9 of them didn't receive any extra food on their trays. The facility reported a census of 41 residents. Findings Include: Posted lunch menu for 2/26/25: Baked [NAME] Chicken, 4 ounces (oz) Poultry Gravy, 2 oz Garden [NAME] 1/2 cup or White [NAME] 1/2 (for residents on low sodium diet) Herbed [NAME] Beans 1/2…

  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 · E2025-02-27 · 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 — an excerpt from the official record, may be distressing

  Based on observation, staff interviews, guidance from the 2022 Food and Drug Administration (FDA) Food Code, and facility policy, the facility failed to serve food within the acceptable temperature range. The facility reported a census of 41 residents. Findings include: Continuous observation of lunch service stated on 2/26/25 at 11:05 AM. Observed Staff A, Cook, preparing the foods for the residents who required a pureed diet. After completing the task, she was ready to begin lunch service and proceeded to take the food temperatures of all foods prior to serving. All hot foods were found to be at an appropriate temperature. When she checked the cold foods, she documented the following at 11:23 AM: Chilled Pears 41.5 degree Fahrenheit (°F) Chef salad 45°F Milk 38.9°F Cottage cheese 45°F Staff A left all items out at room temperature. Staff A gathered menu cards and other items needed for meal service, and service began at 11:30 AM. As Staff A prepared plates for each resident of the facility, noted several residents requested deli sandwiches in place of the scheduled entree.…

  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 · D2025-02-27 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 Resident Assessment Instrument (RAI) Manual the facility failed to accurately code 2 of 12 residents' (Residents #1 and #33) Minimum Data Set (MDS) Assessment. The facility reported a census of 41 residents. Findings include: 1. Resident #1's Preadmission Screening and Resident Review (PASRR) assessment dated [DATE] listed her as a Level II PASRR due to a serious mental illness. Resident #1's annual MDS assessment dated [DATE] coded Resident #1 as a PASRR level I (a person without a serious mental illness). During an interview on 2/27/25 at 8:05 AM, the Social Services Coordinator reported Resident #1 had a level II PASRR approved with specialized services. During an interview on 2/27/25 at 8:35 AM the Assistant Director of Nursing (ADON) reported they had some confusion on Resident #1's PASRR, that is why the MDS didn't get coded as a level II. On 2/27/25 at 8:46 AM the Director of Nursing (DON) reported the facility didn't have a policy for MDS. She reported they…

  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

“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

$13,627 in federal fines across 1 penalty.

• $13,627 — penalty dated 2024-01-17

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 →

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 24 rows in the source record cover these 20 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 74% 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 $366K 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