Centerville Specialty Care
1208 East Cross Street, Centerville, IA 52544 · Appanoose County · 46 certified beds · avg 42 residents/day · certified since Jul 1, 1994
Part of chain: CARE INITIATIVES (43 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 self-reported quality measures.
All citations in the current public record (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 25, 2026 | D · Potential for harm, one-off | 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 |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Dec 4, 2025 | D · Potential for harm, one-off | 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. |
| Dec 4, 2025 | D · Potential for harm, one-off | 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. |
| Oct 17, 2024 | E · Potential for harm, repeated | 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. |
| Oct 17, 2024 | D · Potential for harm, one-off | 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. |
| Aug 22, 2024 | D · Potential for harm, one-off | 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 |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 18, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Sep 18, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Sep 18, 2023 | D · Potential for harm, one-off | 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. |
| Sep 18, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 18, 2023 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 4 | 0 | E |
| 2025 | 5 | 0 | D |
| 2026 | 1 | 0 | D |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.67 | 4.37 | 3.95 | bottom 16% in Iowa; bottom 45% in the U.S. |
| Registered Nurse hours | 0.66 | 0.85 | 0.69 | bottom 30% in Iowa; top 41% in the U.S. |
| Weekend total nurse staffing | 3.20 | 3.86 | 3.50 | bottom 16% in Iowa; bottom 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.56 | 0.51 | 0.48 | top 30% in Iowa; top 26% in the U.S. |
| Total nursing staff turnover (%) | 34.1 | 44.0 | 45.8 | top 26% in Iowa; top 22% in the U.S. |
| RN turnover (%) | 20.0 | 42.1 | 42.9 | top 18% in Iowa; top 13% in the U.S. |
Hours are per resident per day, 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 3.24, RN 0.58, weekend 2.82. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Care Initiatives | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/01/1989 |
| Beal, Michael | Individual | Corporate Director | NOT APPLICABLE | 06/01/2020 |
| Beal, Michael | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2020 |
| Boeve, Destiny | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Bowen, Lane | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Carothers, Mary Jane | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Childs, Kevin | Individual | Corporate Director | NOT APPLICABLE | 04/01/2023 |
| Computershare Corporate Trust Company, Na | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 02/01/2025 |
| Computershare Corporate Trust Company, Na | Organization | ADP of the SNF | NOT APPLICABLE | 04/03/2025 |
| Corless, Peter | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Dixon, David | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2016 |
| Drake, Emily | Individual | Corporate Officer | NOT APPLICABLE | 01/04/2023 |
| Garcia, Mikieya | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/15/2025 |
| Garcia, Mikieya | Individual | ADP of the SNF | NOT APPLICABLE | 07/15/2025 |
| Gilyard, Tanya | Individual | Corporate Officer | NOT APPLICABLE | 02/23/2025 |
| Krein, Keith | Individual | Corporate Director | NOT APPLICABLE | 06/29/2022 |
| Kuhn, Jeramy | Individual | Corporate Officer | NOT APPLICABLE | 06/25/2008 |
| McDyer, Jessica | Individual | Corporate Officer | NOT APPLICABLE | 02/22/2023 |
| Rust, Elizabeth | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Sturm, Denise | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you explain health changes and treatment options to residents and their families?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Mercyone Centerville Medical Center | 0.9 mi | Centerville,, IA | ★★☆☆☆ | 2/5 | |
| Golden Age Care Center | 1.8 mi | Centerville, IA | ★★★☆☆ | 3/5 | |
| Oakwood Specialty Care | 19.1 mi | Albia, IA | ★★★★☆ | 3/5 | |
| Putnam County Care Center | 19.3 mi | Unionville, MO | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165225.