Holy Spirit Retirement Home
1701 West 25th Street, Sioux City, IA 51103 · Woodbury County · 78 certified beds · avg 61 residents/day · certified since Apr 1, 1996
2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.69
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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 (30)
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 |
|---|---|---|
| Apr 30, 2026 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Apr 30, 2026 | 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. |
| Apr 30, 2026 | E · Potential for harm, repeated | 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. |
| Apr 30, 2026 | 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 |
| Apr 30, 2026 | D · Potential for harm, one-off | 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. |
| Apr 30, 2026 | 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. |
| Apr 30, 2026 | 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. · from a complaint |
| Oct 7, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| May 15, 2025 | E · Potential for harm, repeated | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| May 15, 2025 | E · Potential for harm, repeated | 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. |
| May 15, 2025 | E · Potential for harm, repeated | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| May 15, 2025 | 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. |
| May 15, 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. |
| May 15, 2025 | D · Potential for harm, one-off | 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. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not provide specialized rehabilitation services — like physical, occupational, or speech therapy — by qualified staff when a doctor ordered them for a resident. |
| May 15, 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. |
| May 22, 2024 | F · Potential for harm, facility-wide | 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. |
| May 22, 2024 | E · Potential for harm, repeated | 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. |
| May 22, 2024 | E · Potential for harm, repeated | 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. |
| May 22, 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. |
| May 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. |
| May 22, 2024 | D · Potential for harm, one-off | 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. |
| May 22, 2024 | D · Potential for harm, one-off | 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. |
| May 22, 2024 | D · Potential for harm, one-off | 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. |
| May 22, 2024 | D · Potential for harm, one-off | 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. |
| May 22, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 8, 2024 | E · Potential for harm, repeated | 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 |
| Feb 8, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 8, 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 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 13 | 0 | F |
| 2025 | 10 | 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)
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) | 4.69 | 4.37 | 3.95 | top 31% in Iowa; top 19% in the U.S. |
| Registered Nurse hours | 0.83 | 0.85 | 0.69 | top 45% in Iowa; top 25% in the U.S. |
| Weekend total nurse staffing | 4.20 | 3.86 | 3.50 | top 32% in Iowa; top 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.58 | 0.51 | 0.48 | top 28% in Iowa; top 25% in the U.S. |
| Total nursing staff turnover (%) | 44.4 | 44.0 | 45.8 | bottom 43% in Iowa; top 49% in the U.S. |
| RN turnover (%) | 40.0 | 42.1 | 42.9 | top 47% in Iowa; top 46% 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 4.09, RN 0.72, weekend 3.66. 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: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| The Diocese of Sioux City | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/03/1984 |
| Baker, Alan | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/22/2023 |
| BCG Holdings INC | Organization | ADP of the SNF | NOT APPLICABLE | 12/26/2025 |
| Berger, Patrick | Individual | Corporate Director | NOT APPLICABLE | 12/01/2017 |
| Bloch, Amy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
| Blue Stone Therapy INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Cfo Next INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Citrin Cooperman Advisors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Feste, Krage | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Forge Financial & Management Consulting, INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/31/2015 |
| Hanno, John | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2023 |
| Harrington, Lawrence | Individual | Corporate Director | NOT APPLICABLE | 01/01/2001 |
| Healthcare of Iowa INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Jung, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/30/2022 |
| Jung, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 12/26/2025 |
| Kayl, Christine | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Keehner, John | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2025 |
| Kreber, Jacqueline | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/07/2025 |
| Kreber, Jacqueline | Individual | ADP of the SNF | NOT APPLICABLE | 12/26/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "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?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Casa de Paz Health Care Center | 0.5 mi | Sioux City, IA | ★★☆☆☆ | 2/5 | |
| Westwood Specialty Care | 1.8 mi | Sioux City, IA | ★☆☆☆☆ | 1/5 | |
| St Luke's Regional Medical Center SNF | 2.0 mi | Sioux City, IA | ★★★★★ | 5/5 | |
| Accura Healthcare of Sioux City, LLC | 3.1 mi | Sioux City, IA | ★★★★☆ | 4/5 | |
| Adept Nursing & Rehab of South Sioux City | 4.1 mi | South Sioux City, NE | ★☆☆☆☆ | 2/5 | |
| Continental Falls | 4.1 mi | South Sioux City, NE | ★★☆☆☆ | 2/5 | |
| Sunrise Retirement Community | 5.5 mi | Sioux City, IA | ★★★★★ | 4/5 | |
| Embassy Rehab and Care Center | 9.1 mi | Sergeant Bluff, IA | ★☆☆☆☆ | 2/5 | abuse |
| Pioneer Valley Living and Rehab | 9.1 mi | Sergeant Bluff, IA | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165266.