Lyon 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.

33.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 34 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 55.0% 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 20 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 0.08 therapist hours per resident per day in 2026Q1 — more than 4% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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 45 beds and averages 36.2 residents a day — about 80% occupied, or roughly 9 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 2.77 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.49 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 2.52 hrs/resident/day on weekends vs 2.88 on weekdays — 13% thinner on weekends. RN hours go from 0.65 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · E2026-02-02 · tag F0609 — failed to report abuse allegations — pattern
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility record review, staff interviews and facility policy review the facility failed to report an allegation of abuse to the Iowa Department of Inspections & Appeals and Licensing (DIAL) within 2 hours of an allegation of abuse for 1 of 4 residents reviewed for abuse (Resident #1). The facility reported a census of 40 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #1 documented diagnoses of non- Alzheimer's Dementia, anxiety disorder and muscle weakness. The MDS showed the Brief Interview for Mental Status (BIMS) score of 8 indicating moderate cognitive impairment. Review of written statement by Staff A, Licensed Practical Nurse (LPN) dated 12/22/25 revealed it was reported to her by Staff B, Certified Nursing Assistant (CNA) that Staff C, CNA and Staff D, CNA were assisting Resident #1 to his room when Resident #1 was talking and Staff D told Resident #1 to shut up and be quiet. Staff B then reported she saw Staff D pinch Resident…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-02 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews and facility record review, the facility failed to separate vulnerable residents from the staff member of an alleged abuse incident (Residents #1). The facility reported a census of 40 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #1 documented diagnoses of non- Alzheimer's Dementia, anxiety disorder and muscle weakness. The MDS showed the Brief Interview for Mental Status (BIMS) score of 8 indicating severe cognitive impairment. Review of written statement by Staff A, Licensed Practical Nurse (LPN) dated 12/22/25 revealed it was reported to her by Staff B, Certified Nursing Assistant (CNA) that Staff C, CNA and Staff D, CNA were assisting Resident #1 to his room when Resident #1 was talking and Staff D told Resident #1 to shut up and be quiet. Staff B then reported she saw Staff D pinch Resident #1's lip together. This was not witnessed by Staff A. Staff A revealed she only heard what was said to Resident #1 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-02 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews the facility failed to provide and maintain accurate resident records to reflect an incident occurring in the facility for 1 of 4 residents (Residents #1). The facility reported a census of 40 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #1 documented diagnoses of non- Alzheimer's Dementia, anxiety disorder and muscle weakness. The MDS showed the Brief Interview for Mental Status (BIMS) score of 8 indicating severe cognitive impairment. Review of written statement by Staff A, Licensed Practical Nurse (LPN) dated 12/22/25 revealed it was reported to her by Staff B, Certified Nursing Assistant (CNA) that Staff C, CNA and Staff D, CNA were assisting Resident #1 to his room when Resident #1 was talking and Staff D told Resident #1 to shut up and be quiet. Staff B then reported she saw Staff D pinch Resident #1's lip together. This was not witnessed by Staff A. Staff A revealed she only heard what was said to Resident #1 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-07-25 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of the menu, observation, and staff interviews the facility failed to serve the full portions of food and failed to consistently fill and empty scoop utensils when preparing meals for residents (Resident #1 and #30). The facility identified a census of 37 residents. Findings included: The facility's Week 1 menu identified the following items as part of the planned menu for the lunch meal on 7/24/24 for residents on a regular diet: Open faced turkey sandwich Mashed potatoes ½ cup Turkey gravy 2 ounces Mixed vegetables ½ cup Melon 1 cup The facility's Week 1 menu identified the following items as part of the planned menu for the lunch meal on 7/24/24 for residents on a mechanical diet: Open faced ground turkey sandwich Mashed potatoes ½ cup Turkey gravy 2 ounces Mixed vegetables ½ cup Melon 1 cup Observation on 7/24/23 at 12:36 PM, revealed mixed vegetables were substituted for wax beans. Staff C, [NAME] used a size #6 scoop to serve a ½ cup of wax beans to residents. Staff C failed to obtain more beans when needed, and served Resident #30 approximately ¼ scoop 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-25 · tag F0625 — isolated
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  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, the facility failed to completed a bed hold notice with the resident and or the resident's responsible party prior to departing from the facility for a planned therapeutic leave for 1 of 3 residents reviewed (Residents #33). The facility reported a census of 37 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #33 documented diagnosis of pelvic mass, pulmonary nodule and muscle weakness. The MDS lacked a score for the Brief Interview for Mental Status (BIMS). The Clinical Census for Resident #33 showed an interruption of care less than three days occurred 3/28/24. The Progress Notes for Resident #33 showed: a. On 3/28/24 at 12:12 PM- Resident #33 taken by family to Mayo Clinic for testing. b. On 3/30/24 at 1:45 PM- Resident #33 returned to the facility. The Bed-Holds and Returns policy dated March 2017 identified residents may return to and resume residence in the facility after hospitalization or…

  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 · D2024-07-25 · 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 observations, record review and interviews the facility failed to properly use a mechanical lift in a manner that prevented accidents and hazards for 1 of 2 residents reviewed (Resident #23). The facility reported a census of 37 residents. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] for Resident #23 failed to document a Brief Interview for Mental Status (BIMS) score. The MDS showed Resident #23 dependent on staff for care and transfers. The MDS diagnoses included dementia, traumatic brain dysfunction, and an altered mental status. The Care Plan on 10/12/23 for Resident #33 showed the facility initiated use of a mechanical lift for transfers. Observation on 7/24/24 at 11:18 AM revealed Staff A, Certified Nurse's Aide (CNA), and Staff B, CNA used a mechanical lift to transfer Resident #6 from the bed to the wheelchair. Staff failed to lock the wheelchair brakes before lowering the resident down into the wheelchair from the mechanical lift. The Lift- Mechanical policy last…

  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 before2024-07-25 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, infection control policy, clinical record review and staff interview, the facility failed to provide proper hand hygiene with incontinence care with 1 of 2 residents observed (Resident #38). The facility reported a total census of 37 residents. Findings include: On 7/24/24 at 10:51 a.m., observation of Staff A, Certified Nursing Assistant (CNA) and Staff B, CNA performing perineal care on Resident #35 revealed Staff A was performing perineal care and with their left gloved hand took the trash can from Staff B and sat the trash can on the floor. Staff A did not change their gloves or perform hand hygiene after touching the garbage can. Staff A took a clean wipe into her left gloved hand from Staff B and continued to perform perineal care on Resident #35 with soiled gloves. Staff A touched the soiled catheter tubing and leg strap on Resident #38's leg and did not change gloves or perform hand hygiene and continued perineal care with soiled gloves. Staff A completed perineal care. Staff A with the same soiled gloves cleansed the catheter tubing. When completed…

  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 · D2024-03-05 · 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 observation, clinical record review, facility policy, Centers for Disease Control (CDC), resident, family, and staff interviews, the facility failed to provide assessment and interventions for the necessary care and services when the facility failed to provide COVID testing for a resident that was symptomatic for 1 of 3 residents reviewed (Resident #4). The facility reported a census of 38 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] for Resident #4 revealed a Brief Interview of Mental Status (BIMS) score of 15 which indicated that the resident had intact cognition. The MDS revealed the resident had diagnoses of obstructive sleep apnea (episodes of partial or complete collapse of the airway) and asthma (chronic obstructive airway disease, COPD) or chronic lung disease (condition involving constriction of the airways and difficulty or discomfort in breathing). The Skilled Evaluation on 1/12/24 at 4:26 PM revealed, in pertinent part, the resident had shortness of breath while lying…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-05-24 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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 facility records, facility policy, resident interview, and staff interview, the facility failed to provide adequate staffing to care for residents. The facility reported a census of 39 residents. Findings include: In an interview on 5/24/23 at 12:57 PM, Resident #17 reported that it can take 30 minutes for her call light to be answered, therapy staff answers her call light since her room is next to the therapy room, and that sometimes there is only 2 Certified Nurse Assistants (CNAs) working during daytime hours. In the same interview, the resident reported that her husband does not get toileted frequently due to lack of staffing and as a result has incontinent episodes at least twice daily and has sat in soiled disposable briefs. In an interview on 5/21/23 at 1:37 PM, Resident #4 reported that there was not as much staff on the weekends and it took longer to get call lights answered. In an interview on 5/21/23 at 4:00 PM, Staff A, Registered Nurse (RN) reported that management is pushing admissions 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-05-24 · 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 — the official record, unedited, may be distressing

  Based on observations, staff interviews and facility policy the facility failed to ensure dietary staff wore beard nets to cover facial hair in the kitchen. The facility identified a census of 39 residents. Findings include: Observation on 5/23/23 at 5:45 p.m., Dietary Manager(DM) was in the kitchen serving meal trays and was noted to have facial hair and lacked a beard net. Observation on 5/24/23 at 7:55 a.m., of Staff D, [NAME] was in the kitchen serving food and was noted to have facial hair and lacked a beard net. Observation on 5/24/23 at 8:16 a.m., of Staff E, Dietary Staff was in the kitchen running the dishwasher was noted to have facial hair and lacked a beard net. Review of facility provided policy titled Food Preparation and Service with a revision date of April 2019 revealed food and nutrition services staff wear hair restraints (hair net, hat, beard restraint, etc.) so that hair does not contact food. Interview on 5/24/23 at 8:43 a.m., with the Administrator revealed the kitchen staff should be wearing a beard net.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CARE INITIATIVES — 43 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 24 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $309K 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