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Odebolt Specialty Care

801 South Des Moines Street, Odebolt, IA 51458 · Non profit - Corporation · 38 certified beds · (712) 340-1236 Medicare & Medicaid certified

Call the home — (712) 340-1236 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
2 actual-harm citations1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)$14,433 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (31% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has 2 actual-harm citations
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $14,433 in federal fines (most recent 2024-07-11)
  • its payroll-based staffing score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)

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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own 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
311 W 1st St · (712) 664-2800 · Call to confirm hours
Pharmacy
1160 3rd St · (712) 665-8554 · Call to confirm hours
Grocery
614 W 1st St · (712) 664-2662 · Call to confirm hours
Park
228 S Blossom St · (712) 657-8712 · 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 3 of 5
Long-stay residentspeople who live here 3 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 improved from 2 to 3 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 rating3★
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 increased19.2%17.1%15.4%worse
Long-stay residents who lose too much weight1.3%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 infection0.0%2.4%2.0%better
Long-stay residents with depressive symptoms4.0%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 injury7.8%3.8%3.3%worse
Long-stay residents whose ability to walk worsened13.3%16.6%16.1%better
Long-stay residents on antianxiety or hypnotic medication22.5%20.8%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.3%95.3%typical
Long-stay residents with pressure ulcers0.0%4.2%4.7%check this — see note marked star below the table
Long-stay residents with worsening bladder/bowel control23.0%25.6%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table32.1%19.5%17.1%worse
Short-stay residents who newly got an antipsychotic medication3.8%2.1%1.4%worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

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.

10.7%U.S. median 10.7%
Went back to hospital
0.09U.S. median 0.31
Therapy hours / resident / day
0.07hours / resident / day
Physical therapy
0.02hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.09 therapist hours per resident per day in 2026Q1 — more than 5% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.7%CMS range 6.4–15.810.7%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 SNFs0.981.02Oct 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

0.76
RN hours/ resident / day
0.80
LPN hours/ resident / day
2.18
Aide hours/ resident / day
3.73
Total nurse hours/ resident / day
0.47
RN hoursweekends
31.0%
Total nursing turnover
33.3%
RN turnover

How full it usually is: this home is certified for 38 beds and averages 28.5 residents a day — about 75% occupied, or roughly 10 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.76 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 3.39 hrs/resident/day on weekends vs 3.87 on weekdays — 12% thinner on weekends. RN hours go from 0.88 to 0.47 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% 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

3
deficiencies at the latest standard inspection (2026-03-12)
5
at the previous standard inspection (2025-02-20)

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.

20 citations, most serious first. The 13 most serious are shown; the remaining 7 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2024-07-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, staff, family and hospital staff interview the facility failed to prevent an accident from occurring for 1 of 3 residents (Resident #1) reviewed for wandering with cognitive impairments. The kitchen staff members left the main kitchen door propped open and unsupervised. Resident #1 self-propelled in to the kitchen, through the kitchen, through two more doors, which included the basement door where she fell down 13 concrete stairs in her wheelchair. A kitchen staff member heard someone yelling for help. She found Resident #1 at the bottom of the basement stairs with her wheelchair next to her. She alerted nursing staff. Staff provided first aide to the left side of her head until EMS arrived and transported her to the hospital. The facility reported a census of 29 residents. On July 10, 2024 at 10:25 AM the State Survey Agency informed the facility of the staff's failure to prevent an accident from occurring for a wandering, cognitive impaired resident created an Immediate Jeopardy situation resulting in the resident going through the kitchen and…

    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 · Past Non-Compliance
  • Actual harm · Gcited before2024-01-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interview, and policy review the facility failed to assess or treat a resident's wound as order by the physician to promote healing for 1 of 5 residents reviewed (Resident #10) for wound care. Resident #10 admitted to the facility on [DATE] following a stay in the hospital. On admission, she had a wound to her right lower leg that required treatment of a wound vacuum (vac) to promote healing. Since the time of her admission, the facility only assessed her right lower leg wound on the day of admission and the day of her discharge, 19 days later. The facility then only assessed the left leg wound on day after admission and the date of discharge, 18 days later. In addition, during that period, the facility did not complete Resident #10's dressings due to her being asleep, or the time of day, of the staff did not document the treatment. During an interview with the Wound Center provider, they described her wound as horrible when they saw her at the Wound Center with 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · G2024-01-04 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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, staff, resident, and family interviews, the facility failed to provide adequate oxygen therapy for 1 of 1 resident reviewed (Resident #9). Due to a diagnosis of congestive heart failure and a recent hospital stay that included Resident #9 requiring the use of a ventilator, she required the use of supplemental oxygen. The staff failed to monitor Resident #9 vital signs and the oxygen tank to ensure she received the proper amount of oxygen. When the staff went to help Resident #9 to lunch, they found her unresponsive with an oxygen saturation of 45% and an empty oxygen tank. While at the hospital, the staff found Resident #9 had anoxic brain injury (a type of brain injury caused by the deprivation of oxygen). The initial hospital transferred Resident #9 by life flight to a larger hospital, where she died a few days after admission. Findings include: Resident #9's Minimum Data Set (MDS) dated [DATE], identified a Brief Interview for Mental Status (BIMS) score…

    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 · D2026-03-12 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, Center for Medicare and Medicaid (CMS) Long Term Care (LTC) Facility Resident Assessment Instrument (RAI) User Manual and staff interview the facility failed to complete a Minimum Data Set (MDS) Significant Change in Condition Assessment (SCSA) for 1 of 12 residents reviewed (Resident #3). The facility reported a census of 29 residents. Findings include: Resident #3's Quarterly MDS dated [DATE] revealed Resident #3 required substantial /maximal assistance (helper does more than half the effort. Helper lifts or holds the trunk or limbs and provides more than half the effort) with upper and lower body dressing, partial/moderate assistance (helper does less than half the effort. Helper lifts, holds or supports the trunk or limbs but provides less than half the effort) with bed mobility and with all transfers. The Progress Note dated 9/30/25 documented the Nurse Practitioner (NP) evaluated Resident #3 due to complaints of right heel pain. Resident #3 reported when she was getting up…

    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 before2026-03-12 · 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 clinical record review, staff interviews, and the Center for Medicare and Medicaid (CMS) Long Term Care (LTC) Facility Resident Assessment Instrument (RAI) User Manual the facility failed to represent an accurate picture of the resident's status during the observation period of the Minimum Data Set (MDS) by not accurately recording medication use for 3 of 5 residents reviewed (Resident #2, #3, #1). The facility reported a census of 29 residents. Findings include: 1. Resident #2's MDS dated [DATE] revealed diagnoses of non-alzheimer's dementia and anxiety disorder. The MDS further revealed Resident #2 did not receive antianxiety medication during the 7 day look back period. A Physician Order dated 4/26/24 directed staff to administer Lorazepam (antianxiety medication) 0.25 milligrams (mg) two times a day for generalized anxiety disorder. Review of the December 2025 Medication Administration Record (MAR) revealed Resident #2 received Lorazepam twice a day during the 7 day look back period. On 3/10/26 at…

    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 before2026-03-12 · 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, clinical record review, staff interviews, and policy review, the facility failed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections for 2 of 2 residents reviewed for (Resident #19 and Resident #28). The facility reported a census of 29 residents.Findings include: 1.Resident #28's Minimum Data Set (MDS) dated [DATE] assessment identified a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition. The MDS identified Resident #28 was partial/moderate assistance with bed mobility, and transfers. Resident #28's MDS included diagnoses of depression, diabetes mellitus, and neurogenic bladder. A Physician Order dated 2/25/26 directed staff to apply Calmoseptine to buttocks topically twice a day. On 3/11/26 at 9:00 am observed Staff A, Licensed Practical Nurse (LPN) provided treatments to Resident #28's buttocks and abdomen area. When entering Resident #28's room, observed Staff A had a gown…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-20 · 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 clinical record review, staff interview, and policy review the facility failed to represent an accurate picture of the resident's status during the observation period of the Minimum Data Set (MDS) by not accurately recording medication use for 3 of 3 residents reviewed, (Resident #24,#26, and #27). The facility reported a census of 33 residents. Findings include: 1. Review of Resident #2's MDS dated [DATE] revealed diagnoses of anxiety disorder, and non-Alzheimers dementia. The MDS further revealed Resident #26 received hypnotic medications for 7 of the 7 days during the look back period. Review of Resident #26's Electronic Healthcare Record (EHR) page titled, Physician's Orders revealed no order for hypnotic medication. 2. Review of Resident #27's MDS dated [DATE] revealed diagnoses of non-traumatic subarachnoid hemorrhage, stroke, and moderate intellectual disabilities. The MDS further revealed Resident #27 received anticoagulant medications for 7 of the 7 days during the look back period. Review 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-20 · tag F0656 — failed to write and follow a full care plan — isolated
    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 clinical document review, staff interview, and policy review the facility failed to provide a comprehensive care plan related to high risk medications for 2 of 5 residents reviewed (Residents #26, and #27) . The facility reported a census of 33 residents. Findings include: 1. Review of Resident #26's Minimum Data Set (MDS) dated [DATE] revealed Resident #26 had diagnoses of anxiety disorder, and non-Alzheimers dementia. The MDS further revealed Resident #26 received antidepressant medications for 7 of the 7 days during the look back period. Review of the Electronic Healthcare Record (EHR) page titled, Physicians Order revealed an order for Trazadone (antidepressant) 50mg tablet to be given 1 time daily. The page further revealed an order for Escitalopram (antidepressant) 10mg tablet to be given 1 time daily. Review of Resident #26's Care Plan with a revision date of 1/6/25 revealed no focus, goals, or interventions for antidepressant medications. 2. Review of Resident #27's 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-20 · 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, staff interviews, and policy review the facility failed to provide assessment and interventions necessary for the care and services, to maintain the residents' highest practical physical well- being for 1 of 14 residents reviewed (Resident #7). The facility failed to complete and document vital signs and nursing assessments after Resident #7 returned from the emergency room (ER) for chest pain. The facility reported a census of 33 residents. Findings include: Resident #7's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15, which indicated intact cognition. The MDS included diagnoses of schizoaffective disorder, anxiety disorder, shortness of breath and chronic lung disease. A Progress Note dated 12/5/24 at 10:40 PM documented Resident #7 complained of chest pain and right arm pain. The note documented Resident #7's blood pressure was 85/55, pulse was 64 beats per minute and oxygen saturation (oxygen in the blood) was…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, staff interviews and policy review, the facility failed to provide adequate nursing supervision to prevent accident and injuries for 1 of 1 resident reviewed (Resident #5). The facility reported a census of 33 residents. Findings include: Resident #5's Minimum Data Set assessment (MDS) dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 04, indicating severe cognitive impairment. The MDS identified Resident #5 required partial/moderate assistance with bathing, bed mobility, transfers, and ambulation. Resident #5's MDS included diagnoses of atrial fibrillation (irregular heart beat), heart failure (heart does not pump blood well), hypertension (high blood pressure), diabetes mellitus, non-alzheimer's dementia, and difficulty walking. The Care Plan with a target date of 5/12/25 revealed Resident #5 was at risk for falls and had a history of falls. The Care Plan directed the following interventions: - Encourage Resident #5 to use the call light for…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-20 · 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, clinical record review, staff interviews, and policy review, the facility failed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections for 1 of 2 residents reviewed for catheter care (Resident #9). The facility reported a census of 33 residents. Findings include: Resident #9's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 12, indicating moderately impaired cognition. The MDS identified Resident #9 required substantial/maximal assistance with bed mobility, transfers and toileting. The MDS revealed Resident #9 had an indwelling catheter and was occasionally incontinent of urine. Resident #9's MDS included diagnoses of neurogenic bladder (urinary bladder problems due to disease or injury to the central nervous system), pneumonia, diabetes mellitus, and hemiplegia (paralysis) affecting the right side. The Care Plan with a target date of 3/31/25 revealed…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-03-14 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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 facility policy reviews the facility failed to store and prepare food sanitary conditions. The facility identified a census of 30 residents. Findings included: The initial kitchen walkthrough on 3/11/24 at 9:40 AM revealed the following: 1. The bottom of the single door refrigerator, double door refrigerator, and double door refrigerator contained an accumulation of food debris and dried liquid. 2. The floor in the kitchen and dishwashing area contained a variety of scattered food debris and dried liquid. Areas of the kitchen floor found to be slippery or sticky. 3. Open shelving beneath the hot food and preparation table contained food debris and dried liquid. 4. Crusty, flaky lime like substance found in the following places: a. Around the handwashing sink b. On the paper towel dispenser c. On the ground by the handwashing sink and dishwashing area d. On the door and top of the dishwasher The Cleaning Schedule dated 3/11/24 identified staff signatures indicating they completed the cleaning tasks. The Sanitation policy revised October…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-14 · 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 clinical record review, staff interview, and policy review the facility failed to represent an accurate picture of the resident's status during the observation period of the Minimum Data Set (MDS) by not completing a discharge assessment for 1 of 3 residents reviewed (Resident #31). Findings include: The Discharge summary dated [DATE] at 1:40 PM reflected Resident #31 discharged home with a family member. Resident #31's clinical record lacked a complete discharge MDS assessment. On 3/13/24 at 2:23 PM Staff A, MDS Coordinator, verified Resident #31 didn't have a discharge MDS completed after she discharged on 12/3/23. Staff A expected a completed MDS assessment when Resident #31 discharged . On 3/13/24 at 2:27 PM the Director of Nursing (DON) reported she expected the MDS assessments be completed and turned in at the appropriate times. The MDS Completion and Submission Timelines policy revised July 2017 directed the Assessment Coordinator or designee is responsible for ensuring that resident assessments…

    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
Show the remaining 7 citations
  • Potential for harm · Dcited before2024-03-14 · 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, staff interviews, and facility policy review, the facility failed to accurately complete skin assessments to prevent delay in treatment and to prevent a decline in condition of a diabetic ulcer for 1 out of 3 residents reviewed (Resident #21). Findings included: Resident #21's Minimum Data Set (MDS) assessment dated [DATE] included diagnoses of heart failure, Diabetes Mellitus, difficulty walking, need for assistance with personal care, and dementia. The MDS indicated Resident #6 had a risk for developing pressure ulcers and injuries. The MDS identified Resident #6 had a pressure ulcer at the time of the assessment. The Care Plan Focus revised 2/2/24 indicated Resident #21 had a pressure ulcer. The Care Plan included the following interventions: a. 11/20/23: Daily observation of skin with routine care. b. 11/20/23: Complete a full skin evaluation weekly with a bath or shower. Resident #21's Response History from 2/13/24 through 3/13/24 included a task to check the resident's skin…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-14 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, staff interview, and policy review the facility failed to provide appropriate infection prevention practices related to catheter drainage bags for 1 of 4 residents reviewed (Resident #8). Findings include: During an observation on 3/11/24 at 3:06 PM observed Resident #8's catheter drainage bag hanging on the trashcan in their room. During an interview on 3/13/24 at 11:01 AM the Director of Nursing (DON) explained she expected staff to not hang catheter drainage bags on the trash cans as this is an infection control issue. The Catheter Care, Urinary policy revised September 2014 directed the staff to use standard precautions when handling or manipulating the drainage system.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-04 · tag F0710 — pattern
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview record review and policy review, the facility failed to include signed physician's orders in residents clinical record for 5 of 5 residents reviewed (Residents #2, #9, #10, #14 and #15). Findings include: A review of the files for Residents #2, #9, #10, #14 and #15 revealed their clinical records lacked signed Physician Order Sheets (POS). On 1/2/24 at 8:30 AM the Director of Nursing (DON) said she would look for the POS documents for the 5 residents. On 1/3/24 at 7:00 AM the Administrator didn ' t know about the documents and said she would look into it. On 1/3/24 at 10:50 AM Staff K, Regional Director, said they were still trying to find the POS for the 5 residents. On 1/4/24 at 9:25 AM the Administrator acknowledged that they did not have signed POS for the 5 residents. The Medication and Treatment Orders policy dated July 2016 instructed drug and biological orders must be recorded on the Physicians' Order Sheet. All drug and biological orders must be written, dated, and signed by the person lawfully authorized to give such an order.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-04 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, staff, and resident interviews, the facility failed to treat all residents with dignity and respect for 2 of 15 residents reviewed (Residents #14 and #15). Resident's #14 and #15 reported the staff treated them disrespectfully because they preferred to stay in their room for a meal. Findings include: 1. Resident #15's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognitive ability. The MDS listed her as independent with walking, transferring, and toilet use. Resident #15 required set up assistance for meals and did not have swallowing issues. The MDS included diagnoses of diabetes mellitus, traumatic brain injury, anxiety disorder, depression, and bipolar disorder. The Care Plan included the following Focuses: a. 9/25/23: Resident #14 had diagnosis of bipolar disorder (an imbalance of chemicals in the brain that affects the person's mood). The Interventions dated12/1/23 described that Resident #14 had a…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-04 · tag F0622 — isolated
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    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, family interview, staff interviews, and facility protocol the facility failed to notify the physician about a resident's discharge for 1 of 3 residents reviewed (Resident #2). In addition, the facility failed to document the reason they could no longer meet the needs for 1 of 3 residents reviewed (Resident #2). Findings include: Resident #2's Minimum Data Set (MDS) assessment dated [DATE] listed an admission date of 5/24/23 from the community. The Admission/readmission Evaluation dated 5/24/23 at 1:10 PM reflected that Resident #2 couldn't orient to the facility due to having advanced dementia. The Progress Notes dated 5/25/23 at 1:17 PM labeled Late Entry indicated Resident #2 eloped from the facility by climbing out of his bedroom window. The note reflected 5:40 PM as the last time someone saw Resident #2, when the staff assisted Resident #2 from the dining room to his bedroom. At 6:03 PM the charge nurse received notice about Resident #2 not in his room. The staff began a…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-04 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical document review, family interview, staff interview, and policy review the facility failed to provide sufficient notice of discharge for 1 of 3 residents (Resident #2) reviewed. The facility reported a census of 30 residents. Findings include: Resident #2's Minimum Data Set (MDS) assessment dated [DATE] listed an admission date of 5/24/23 from the community. The Admission/readmission Evaluation dated 5/24/23 at 1:10 PM reflected that Resident #2 couldn't orient to the facility due to having advanced dementia. The Progress Notes dated 5/25/23 at 1:17 PM labeled Late Entry indicated Resident #2 eloped from the facility by climbing out of his bedroom window. The note reflected 5:40 PM as the last time someone saw Resident #2, when the staff assisted Resident #2 from the dining room to his bedroom. At 6:03 PM the charge nurse received notice about Resident #2 not in his room. The staff began a search of the facility inside and outside the grounds. At 6:23 PM the facility notified the police, 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical document review, family interview, staff interview, and policy review the facility failed to provide adequate nursing supervision for 1 of 3 residents (Resident #2) reviewed. Findings include: Resident #2's Minimum Data Set (MDS) assessment dated [DATE] listed an admission date of 5/24/23 from the community. The Admission/readmission Evaluation dated 5/24/23 at 1:10 PM reflected that Resident #2 couldn't orient to the facility due to having advanced dementia. The Progress Notes dated 5/25/23 at 1:17 PM labeled Late Entry indicated Resident #2 eloped from the facility by climbing out of his bedroom window. The note reflected 5:40 PM as the last time someone saw Resident #2, when the staff assisted Resident #2 from the dining room to his bedroom. At 6:03 PM the charge nurse received notice about Resident #2 not in his room. The staff began a search of the facility inside and outside the grounds. At 6:23 PM the facility notified the police, the Administrator, the Director of Nursing, the MDS…

    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

$14,433 in federal fines across 1 penalty.

  • $14,433 — penalty dated 2024-07-11

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 3 of 52.9+0.1 vs chain
Health inspection 2 of 52.5-0.5 vs chain
Staffing 5 of 53.7+1.3 vs chain
Quality measures 3 of 53.7-0.7 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 5Chariton Specialty CareChariton, 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 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
BOEVE, DESTINYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2024
LEISINGER, MADISONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/25/2023
WEI, SHIPENGIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024

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.

$3.2M
Net patient revenuemost recent cost report
+0.5%
Operating marginrevenue minus expenses
$307K
Related-party expense10% of expenses
Who pays — share of resident-days
Medicaid 61%Medicare 8%Other / private 31%

This home reported $307K 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

$278per resident / day
operating cost
$8,461per month
≈ monthly operating cost
$280per 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 165180. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-12, 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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