State Center 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.

Therapy staffing: this home’s payroll records show 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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 39 beds and averages 32.7 residents a day — about 84% occupied, or roughly 6 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 3.41 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.85 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.34 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 3.18 hrs/resident/day on weekends vs 3.50 on weekdays — 9% thinner on weekends. RN hours go from 0.89 to 0.74 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 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.

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

• Potential for harm · E2026-01-22 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, menus and policy review, the facility failed to follow the menu approved by the facility Dietician for the pureed meal. The staff failed to provide bread as listed on the menu. In addition, the staff didn't post the menu correctly after substitution changes. The facility reported a census of 36 residents. Findings include: A facility document titled, Diet Type Report, dated 1/20/26 revealed 3 residents required pureed diets. A facility document titled, Diet Spreadsheet, signed by the Dietitian on 10/13/25 outlined the cycling pureed menu for the lunch meal included, an eight-ounce servicing of king ranch chicken, a half cup serving of pinto beans, a half cup serving of corn, and a wheat roll. Those on regular diet included an ice cream sundae. A document titled, Fall/Winter 2025/26 dated 10/15/25 documented the lunch menu for regular/no added salt (NAS) posted in the main dining room for the residents to view, listed the noon meal as king ranch chicken, pinto beans, buttered corn, wheat roll, and an ice cream sundae. A document hung in 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 · Dcited before2026-01-22 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, staff interview, and policy review the facility failed to revise a resident's Care Plan to indicate current transfer status for 1 of 12 residents reviewed (Resident #11). The facility reported a census of 36 residents. Findings include: On 1/20/25 at 10:57 AM, observed Resident #11 get transferred to restroom with the use of a standing mechanical lift and 2 staff. On 1/20/25 at 11:07 AM, watched a staff member transfer Resident #11 with a standing mechanical lift from the toilet to the wheelchair. Resident #11's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. Resident #11 required substantial/maximal assistance with ambulating and transfers. The used a walker or wheelchair for mobility. The MDS included diagnoses of kidney failure, history of femur fracture, schizophrenia, muscle weakness, unsteadiness on feet, and lymphedema (a build-up of fluid in the tissue of the body usually in…

  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 before2026-01-22 · 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, policy review, resident, and staff interviews, the facility failed to assess and follow-up on a rash for 1 of 1 resident reviewed for skin concerns (Resident #16). The facility reported a census of 36 residents.Findings:Resident #16's Minimum Data Set (MDS) assessment dated [DATE], identified a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. Resident #16 required substantial to maximal assistance with toileting hygiene. The MDS included diagnoses of Parkinson's disease(a disorder which affected movement and caused tremors and stiffness), seizure disorder, and anxiety disorder.The facility policy Skin Tears-Abrasions and Minor Breaks, Care of, revised 2013, directed staff to assess the wound and surrounding skin for swelling, redness, drainage, and tissue healing progress. The SPN-Admit-Re-Admit note dated 1/5/26 at 3:33 PM indicated Resident #16 had a rash to the groin. The note lacked additional information related to the rash including 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
• Potential for harm · D2026-01-22 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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, observation, staff interview and policy review the facility failed to maintain head of bed elevated to avoid complications during tube feeding for 1 of 1 resident reviewed with a gastrostomy tube (G-tube), Resident #40. The facility reported a census of 36 residents. Findings include: Resident #40's Minimum Data Set (MDS) assessment dated [DATE] listed an entry date of 1/15/26. The Physician Order dated 1/16/26 directed to elevate the head of bed 30 degrees during feedings every shift.Resident #40's January 2026 Medication Administration Record (MAR) included an order with a start date 1/15/26 of give enteral feed with a formula flow rate at 65 milliliters per hour.The Care Plan Focus initiated 1/16/26 indicated Resident #40 had a tube feeding. The Goal documented she would remain free of side effects or complications related to the tube feeding. The Interventions directed to have the head of bed elevated thirty degrees during and thirty minutes after a tube feeding. On 1/21/26…

  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 · D2025-11-19 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  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, resident interview, staff interview and policy review, the facility failed to contact a resident's representative after she had voiced, she had suicidal thoughts and a plan in place for 1 of 3 residents reviewed (Resident #1). The facility reported a census of 33 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] for Resident #1 documented a Brief Interview for Mental Status score of 15 indicating intact cognition. The MDS further revealed the resident had diagnoses including anxiety disorder and encephalopathy (viral infection of the brain).The Care Plan initiated 3/20/25 revealed Resident #1 had a history of making comments about being dead with a goal to resolve thoughts of being better off dead or harming herself. Review of the Progress Notes dated 3/20/25 at 4:01 PM revealed Resident #1 had voiced comments of having suicidal thoughts and a plan. The resident stated she would put Visine on her food because she had seen that if ingested a person would have 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 · D2024-11-21 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  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 interview, resident interview and policy review the facility failed to ensure resident call light within in reach for 2 of 16 residents reviewed (Resident #13, #28). The facility reported the census is 35. Findings include: The Minimum Data Set (MDS) dated [DATE] for Resident #28 documented a Brief Interview of Mental Status (BIMS) of 15 indicated intact cognitive impairment. The MDS documented diagnoses included cerebral infarction, cancer, diabetes, pain and anxiety disorder. The Care Plan initiated 12/16/23 documented Resident was at risk for falls, interventions included encourage to use call light for assistance. An observation on 11/18/24 at 11:46 AM, Resident #28 in room recliner in residents private room. A call light hung on the wall behind resident's television in front of the recliner, not reachable, television in front of the call light. In an interview on 11/18/24 at 11:47 AM, Resident #28 in room recliner did not have a call light within reach,…

  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 · D2024-11-21 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility document review, staff interview and policy review, the facility failed to comply with all applicable Federal Regulations regarding Medicare requirements governing billing practices by failing to serve a Skilled Nursing Facility (SNF) Advanced Beneficiary Notice (ABN) form 48 hours before the resident ended skilled services for 1 of 3 residents reviewed for liability and appeal notices (Resident #90). The facility identified a census of 35 residents. Findings include: Review of facility documentation for Resident #90 revealed the resident received Medicare benefits for skilled services 6/6/24 through 6/26/24. The facility failed to provide the required SNF ABN (Centers for Medicare and Medicaid Services (CMS) form 10055), to inform the resident of the potential liability if skilled serves continued, 48 hours prior to skilled services ending. In an interview on 11/20/24 at 9:47 AM, the Administrator stated it was the expectation the ABN's be completed timely and accurately. He reported there had been a change in staff and 1 of the 3 residents reviewed was not…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-21 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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, resident interview, staff interview and policy, the facility failed to ensure quarterly interdisciplinary team meeting with inclusion of the resident to discuss resident changing goals and revisions to the care plan for 1 of 2 residents reviewed, (#28). The facility reported a census of 35 residents. Findings included: The Minimum Data Set (MDS) dated [DATE] for Resident #28 documented a Brief Interview of Mental Status (BIMS) of 15 indicated intact cognitive impairment. The MDS documented diagnoses included cerebral infarction, cancer, diabetes, pain and anxiety disorder. The Care Plan included initiated 12/15/23 documented intervention to review resident choices quarterly and as needed. In an interview on 11/18/24 at 11:48 AM, Resident #28 relayed recalled going to only one care conference meeting. Stated, wanted to attend and inquired about how to know when the meetings occurred. On 11/20/24 at 10:15 AM, Social Services, Staff D relayed she is now responsible for ensuring care…

  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 · D2024-11-21 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident interview, staff interview, record review and policy the facility failed to follow professional standards of medication administration leaving medication at bedside for 1 of 1 resident's (Resident #6). The facility reported a census of 35. Findings include: 1. A Minimum Data Set (MDS) dated [DATE], documented the diagnoses for Resident #6 included diabetes, seizure disorder or epilepsy, psychotic disorder, schizophrenia, pain, respiratory disease, and depression. The resident's Brief Interview for Mental Status (BIMS) score was 14, indicated is cognitively intact. A Care Plan initiated 5/28/21 for Resident #6 documented resident had a mood problem related to schizophrenia, delusional disorders, and major depressive disorder requires medications included antidepressants, anticoagulant a term for blood thinners, antianxiety, antipsychotic, hypoglycemic and antihypertension medications. Staff to administer the medications as ordered observe for adverse side effects, document and report to the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-21 · 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 observations, clinical record review, staff interview and resident interview. The facility failed to ensure resident treatment per the physician order for 1 of 3 residents reviewed (Resident #28,). The facility reported the census is 35. Findings include: The Minimum Data Set (MDS) dated [DATE] for Resident #28 documented a Brief Interview of Mental Status (BIMS) of 15 indicated intact cognitive impairment. The MDS documented diagnoses included cerebral infarction, cancer, diabetes, pain and anxiety disorder. The Care Plan included initiated 12/16/23 documented focus had potential for impairment to my skin related to fragile skin and at risk for potential skin and soft tissue infection, interventions included to assess for signs and symptoms of infection. The Medication Administration Records (MAR) documented an order to start on 10/24/24 for salicylic acid external liquid, apply to toes topically one time a day for wart, soak wart in warm water for 5 min, dry area and apply one drop, let dry. 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

“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 25 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 $306K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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