Lyon Specialty Care

Name: Lyon Specialty Care
Address: 1010 South Union, Rock Rapids, IA, 51246, US
Telephone: 7124723748

1010 South Union, Rock Rapids, IA 51246 · Lyon County · 45 certified beds · avg 36 residents/day · certified since Apr 18, 1994

Part of chain: CARE INITIATIVES (43 facilities, chain avg rating 2.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.70

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 (18)

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
Feb 2, 2026	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 2, 2026	E · Potential for harm, repeated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Feb 2, 2026	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. · from a complaint
Jul 25, 2024	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.
Jul 25, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Jul 25, 2024	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.
Jul 25, 2024	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.
Mar 5, 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
May 24, 2023	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
May 24, 2023	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 24, 2023	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.
May 24, 2023	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
May 24, 2023	D · Potential for harm, one-off	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.
May 24, 2023	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 24, 2023	D · Potential for harm, one-off	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.
May 24, 2023	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 24, 2023	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 24, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Year	Citations	Worst severity that year
2023	10	E
2024	5	E
2026	3	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)	3.70	4.37	3.95	bottom 18% in Iowa; bottom 47% in the U.S.
Registered Nurse hours	0.76	0.85	0.69	bottom 46% in Iowa; top 31% in the U.S.
Weekend total nurse staffing	3.35	3.86	3.50	bottom 26% in Iowa; top 50% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.38	0.51	0.48	bottom 33% in Iowa; bottom 49% in the U.S.
Total nursing staff turnover (%)	50.0	44.0	45.8	bottom 32% in Iowa; bottom 38% 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 2.77, RN 0.57, weekend 2.52. Staffing rating: 3/5.

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: 5/5 · short-stay residents: 1/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Care Initiatives	Organization	5% or Greater Direct Ownership Interest	100%	11/12/2010
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	01/01/2024
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	04/14/2025
Corless, Peter	Individual	Corporate Director	NOT APPLICABLE	01/01/2025
Dixon, David	Individual	Corporate Officer	NOT APPLICABLE	06/01/2016
Donelan, Keegan	Individual	Operational/Managerial Control	NOT APPLICABLE	02/13/2022
Donelan, Keegan	Individual	ADP of the SNF	NOT APPLICABLE	04/14/2025
Drake, Emily	Individual	Corporate Officer	NOT APPLICABLE	01/04/2023
Gilyard, Tanya	Individual	Corporate Officer	NOT APPLICABLE	05/23/2025
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.

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"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
Good Samaritan - George	10.3 mi	George, IA	★★★★★	3/5
Parkview Manor Nursing Home	10.6 mi	Ellsworth, MN	★☆☆☆☆	2/5
Tuff Memorial Home	11.4 mi	Hills, MN	★★★★☆	5/5
Fellowship Village	15.0 mi	Inwood, IA	★★★★☆	4/5
Hegg Memorial Health Center	16.0 mi	Rock Valley, IA	★★★★★	4/5
Good Samaritan Society - Mary Jane Brown	16.3 mi	Luverne, MN	★☆☆☆☆	2/5
Pleasant Acres Care Center	16.3 mi	Hull, IA	★★★☆☆	3/5
MN Veterans Home-Luverne	17.1 mi	Luverne, MN	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Rock Rapids →

Facility data as of CMS processing date 2026-08-01. CCN 165215.

The Care File

Visit checklist — Lyon Specialty Care

1010 South Union, Rock Rapids, IA 51246 · 7124723748

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165215 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)