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Casa de Paz Health Care Center
2121 West 19th Street, Sioux City, IA 51103 (opens Google Maps) · Woodbury County · (712) 233-3127· 71 certified beds · avg 68 residents/day · certified since Oct 28, 1992 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: CAMPBELL STREET SERVICES (22 facilities, chain avg rating 2.1★)
2/5
Health inspection rating (on-site)
inspected Apr 9, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.23
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 36 inspection findings. Open the full record below to read every finding.
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint F-0812
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. F-0607
View all 36 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 9, 2026 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812 |
| Apr 9, 2026 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Apr 9, 2026 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607 |
| Apr 9, 2026 | D · Potential for more than minimal harm, isolated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Apr 9, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677 |
| Apr 9, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Apr 9, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Oct 30, 2025 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658 |
| Oct 30, 2025 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint · F-0693 |
| Aug 21, 2025 | E · Potential for more than minimal harm, pattern | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550 |
| Aug 21, 2025 | E · Potential for more than minimal harm, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658 |
| Apr 3, 2025 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Apr 3, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Apr 3, 2025 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Apr 3, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Apr 3, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Apr 3, 2025 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Apr 3, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jan 10, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755 |
| Jan 10, 2025 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761 |
| Jul 15, 2024 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804 |
| Jul 15, 2024 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812 |
| Jul 15, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
| Apr 11, 2024 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607 |
| Apr 11, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Apr 11, 2024 | E · Potential for more than minimal harm, pattern | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · F-0805 |
| Apr 11, 2024 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Apr 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Apr 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · F-0640 |
| Apr 11, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Apr 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Apr 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Apr 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
| Apr 11, 2024 | D · Potential for more than minimal harm, isolated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803 |
| Apr 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location. · F-0848 |
| Jan 18, 2024 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 7).
All citationsSerious citations (G–L)
2024
All citations: 16
Serious citations (G–L): 0
2025
All citations: 13
Serious citations (G–L): 0
2026
All citations: 7
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 16 | 0 | E |
| 2025 | 13 | 0 | E |
| 2026 | 7 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.23
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.82
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.41
Iowa average: 3.86
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.23 | 4.37 | 3.95 | bottom 2% in Iowa; bottom 23% in the U.S. |
| Registered Nurse hours | 0.82 | 0.85 | 0.69 | top 46% in Iowa; top 26% in the U.S. |
| Weekend total nurse staffing | 2.41 | 3.86 | 3.50 | bottom 1% in Iowa; bottom 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.51 | 0.48 | bottom 46% in Iowa; top 42% in the U.S. |
| Total nursing staff turnover (%) | 60.3 | 44.0 | 45.8 | bottom 13% in Iowa; bottom 16% in the U.S. |
| RN turnover (%) | 64.3 | 42.1 | 42.9 | bottom 18% in Iowa; bottom 16% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.79, RN 0.71, weekend 2.08.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.79 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Casa de Paz Health Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Acd Consolidated LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Bear Creek Sraf GP Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Bear Creek Strategic Real Assets Fund LP | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Birchwood Healthcare Partners LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Ia 10 LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Ia 10 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Defranco Investment Co LTD | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Dole, Isaac | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Dole, Isaac | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Dudley, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Dudley, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Emanuel, Cambria | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Emanuel, Cambria | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Holdco, Ia, 10, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Iaga SNF Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Iaga SNF Portfolio LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/27/2025 |
| Iaga SNF Sioux City, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Nap Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
Showing 20 of 22 parties CMS has on file for this facility; 2 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Campbell Street Services — 22 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Cedar Falls Health Care Center — Cedar Falls, IA · overall 2/5
- Denison Care Center — Denison, IA · overall 4/5
- Garden View Care Center — Shenandoah, IA · overall —/5abuseSFF
- Granger Nursing & Rehabilitation Center — Granger, IA · overall 3/5
- Grundy Care Center — Grundy Center, IA · overall 1/5
- Iowa City Rehab & Health Care — Iowa City, IA · overall 1/5
- Norwalk Nursing and Rehabilitation Center — Norwalk, IA · overall 3/5
- Osage Rehab and Health Care Center — Osage, IA · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 21 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 60% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 22 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Holy Spirit Retirement Home | 0.5 mi | Sioux City, IA | ★★★☆☆ | 2/5 | |
| Westwood Specialty Care | 1.4 mi | Sioux City, IA | ★☆☆☆☆ | 1/5 | |
| St Luke's Regional Medical Center SNF | 2.1 mi | Sioux City, IA | ★★★★★ | 5/5 | |
| Accura Healthcare of Sioux City, LLC | 3.6 mi | Sioux City, IA | ★★★★☆ | 4/5 | |
| Adept Nursing & Rehab of South Sioux City | 3.8 mi | South Sioux City, NE | ★☆☆☆☆ | 2/5 | |
| Continental Falls | 3.9 mi | South Sioux City, NE | ★★☆☆☆ | 2/5 | |
| Sunrise Retirement Community | 5.6 mi | Sioux City, IA | ★★★★★ | 4/5 | |
| Embassy Rehab and Care Center | 8.8 mi | Sergeant Bluff, IA | ★☆☆☆☆ | 2/5 | abuse |
| Pioneer Valley Living and Rehab | 8.9 mi | Sergeant Bluff, IA | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Woodbury, IA — 9 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Correctionville Specialty Care — Correctionville, IA · overall 1/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 165174.