Southern Hills 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.

46.6% 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 51 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 42.4% 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 33 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 0.13 therapist hours per resident per day in 2026Q1 — more than 9% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 90 beds and averages 83.9 residents a day — about 93% occupied, or roughly 6 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 3.38 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.60 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 2.97 hrs/resident/day on weekends vs 3.55 on weekdays — 16% thinner on weekends. RN hours go from 0.75 to 0.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

• Potential for harm · F2025-08-21 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of Certification and Survey Provider Enhanced Report (CASPER) from the Centers for Medicare & Medicaid Services (CMS), staff interview, and review of the facility QAPI (Quality Assurance Performance Improvement) plan, the facility failed to ensure an effective process to address previously identified quality deficiencies. This resulted in the facility receiving a Sanitary food serving deficiency for the third consecutive recertification survey. The facility reported a census of 86 residents. Findings Include:The CASPER report, dated 08/13/2025, documented the facility had been cited by the Iowa Department of Inspections, Appeals, and Licensing for failures to serve food in a sanitary manner, resulting in an F0812 deficiency, twice in 2024. At the conclusion of the recertification survey on 08/21/2025, the facility was found to again be in non-compliance for Sanitary Food serving practices.The QAPI policy, last revised in 2020, identified a monitoring process which included multiple sources of data. It did not identify a process to address repeat deficiencies.In an…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-08-21 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on direct observation, staff interview, and facility document review, the facility failed to serve food in a manner that prevents cross contamination and promotes food hygiene. The facility reported a census of 86. Findings include: A direct observation of the lunch meal on 08/19/2025 at 12:39 PM revealed Staff M, Certified Nurse Aide (CNA), take a crescent shaped rocker style knife from the dining cart and cut the food of several residents. During the observation, after cutting the first resident's food, she cut the food of Resident #2 after the resident had begun to touch and cut her own food. The resident was observed licking her finger and touching her food before Staff M, CNA, used the rocker knife to cut her food. After cutting this resident's food, Staff M proceeded to cut the food of 7 more residents. At no point during the observation did Staff M change utensils or sanitize the rocker knife. The rocker knife was carried through the dining hall without a cover and was observed visibly soiled with food. After she was done cutting food for residents, she placed the…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-21 · 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

  Based on clinical record review, facility record review, video evidence, staff interview, and facility policy review, the facility failed to provide a private space free from being recorded without their consent and free from being degraded by staff members for 1 of 3 residents reviewed (Resident #73). The Facility reported a census of 86. Findings Include: The discharge Minimum Data Set (MDS) assessment for Resident #73, dated 08/12/2025, did not document her Brief Interview for Mental Status (BIMS) score. It documented the following relevant diagnosis: unspecified dementia, unspecified severity. The Progress Notes, dated from 08/08/2025 through 08/21/2025, failed to document the incident. In an interview on 08/18/2025 at 10:53 AM with the Facility Administrator, she stated she had been alerted by Staff H, Certified Nurse Aide (CNA), of an incident involving Staff G and Resident #73 on 08/11/2025. The incident related to a recording of Resident #73, sent to Staff H via a social media platform, that showed the resident wandering. It included a message stating Look how crazy this one…

  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 · D2025-08-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and policy review, the facility failed to ensure foot pedals were applied to residents' wheelchairs during transport for 2 of 2 residents (#11, #22) reviewed. The facility reported a census of 86 residents. Findings include: 1) On 8/18/25 at 9:32 AM, observed Staff C, Certified Nurse Aide (CNA) transporting Resident #22 in his wheelchair without his foot pedals from the dining area to the bump-out (area used for residents to watch television).The Minimum Data Set (MDS) assessment for Resident #22 dated 8/07/25 revealed a Brief Interview for Mental Status (BIMS) score of 02 out of 15 which indicated severely impaired cognition. It included diagnoses of end-stage renal disease, Alzheimer's disease, chronic obstructive pulmonary disease (COPD), and reduced mobility. It indicated Resident #22 was independent with toileting, required setup assistance for eating, moderate assistance for oral and personal hygiene, dressing, and footwear, and maximal assistance with bathing. It also indicated he was independent with mobility except supervision with…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-21 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interview, and policy review the facility failed to disinfect a mechanical lift after use between 3 of 3 residents (#3, #16, #45), failed to don appropriate Personal Protective Equipment (PPE) during the transfer for 1 of 1 resident on Enhanced Barrier Precautions (EBP), failed to maintain 1 of 1 resident's indwelling catheter bag below the resident's bladder during transfer, and failed to perform hand hygiene for 1 of 1 resident when moving from dirty to clean equipment. The facility reported a census of 86 residents. Findings include: 1) The Minimum Data Set (MDS) assessment for Resident #3 dated 6/12/25 revealed a Brief Interview for Mental Status (BIMS) score of 12 out of 15 which indicated moderately impaired cognition. It included diagnoses of atrial fibrillation (irregular heartbeat), neurogenic bladder (improperly functioning bladder caused by nerve damage), multiple sclerosis, and seizure disorder. It indicated the resident was dependent with all aspects of Activities of Daily Living (ADLs) and mobility.The Electronic Health Record (EHR)…

  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 · Ecited before2024-09-12 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on direct observation, staff interview, and facility document review, the facility failed to serve meals in a manner that protects residents from cross-contamination. The facility reported a census of 85. Findings include: A direct observation of the lunch meal on 09/09/24 at 12:26 PM revealed Staff A, Restorative Aide (RA), used her ungloved fingers and hand to move ice from a Styrofoam cup into a resident's drink when the resident requested ice in his drink. A direct observation of the lunch meal on 09/09/24 at 01:08 PM in which Staff B, Certified Nurse's Aide (CNA), assisted three separate residents with eating without using hand hygiene in between each resident. During the same meal observation she served three meals with her fingers touching resident's food. A direct observation of the lunch meal on 09/10/24 at 12:38 PM revealed Staff C, CNA, providing feeding assistance for two residents without using hand hygiene between either resident. In an interview on 09/12/24 at 10:38 AM with Staff D, she stated policy dictates nursing staff should never touch a resident's food.…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-12-12 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to identify and assess an injury on 1 of 3 residents reviewed (Resident #6) at the time the bruise occurred. The facility found a large bruise that partially wrapped around Resident #6's upper left arm. The bruise was yellow in color which meant it was in it's final stages of healing. The facility reported a census of 80 residents. Findings include: A Minimum Data Set, dated [DATE], documented that Resident #6's diagnoses included non-Alzheimer's dementia, delusional disorders, and difficulty in walking. A Brief Interview for Mental Status (BIMS) revealed a score of 3 out of 15, which indicated severe cognitive impairment. Resident #6 required supervision of 1 staff for locomotion on the unit. This resident required limited assist of 1 for dressing and total dependence of 1 for bathing. The Progress Notes for Resident #6 documented the following: On 11/6/23 at 6:54 p.m. Nurse notified by staff resident on floor in front of her recliner on…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• No harm found · C2025-04-10 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  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 review of the facility policy and staff interviews, the facility failed to immediately shower residents, bag clothing and linens for laundering, and sanitize resident furniture after the discovery of a bed bug in a resident room. The facility reported a census of 86 residents. Findings include: During an interview on 4/9/25 at 5:27 p.m., Staff E, Certified Medication Aide (CMA) stated on the evening of 2/19/25 while passing medications in room [ROOM NUMBER] she saw something move on the arm of a recliner. Staff E stated she went over to the chair and picked up a bug. She stated she took the bug to the nurse's station and taped it onto a white piece of paper. Staff E stated the Maintenance staff was informed and instructions were given to leave the bug at the nurse's station and maintenance would look at it tomorrow [2/20/25]. She stated she did not bag clothing or shower the residents as she did not know it was a bed bug. During an interview on 4/9/25 at 6:16 p.m., Staff G, CMA stated she worked on…

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

  Environmental 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

$36,865 in federal fines across 1 penalty.

• $36,865 — penalty dated 2024-08-18

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 23 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 72% 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 $676K 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