How to file a complaint about care →

No fines or payment denials in the published 3-year window.

What these staffing numbers mean →

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 3.30, RN 0.83, weekend 3.08.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.30 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

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 →

Non profit - Corporation

Showing 20 of 25 parties CMS has on file for this facility; 5 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 Care Initiatives — 43 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.

• New London Specialty Care — New London, IA · overall 2/5
• Northcrest Specialty Care — Waterloo, IA · overall 2/5
• Northern Mahaska Specialty Care — Oskaloosa, IA · overall 2/5
• Oakwood Specialty Care — Albia, IA · overall 4/5
• Odebolt Specialty Care — Odebolt, IA · overall 3/5
• Panora Specialty Care — Panora, IA · overall 3/5
• Parkridge Specialty Care — Pleasant Hill, IA · overall 1/5
• Pinnacle Specialty Care — Cedar Falls, IA · overall 2/5

Listed by state, then facility name — not a ranking. Showing 8 of the 42 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

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 is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
• "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
• "What systems do you use to prevent medication errors, and what happens when one occurs?"
• "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
• "What were the findings behind this administration citation, and what has leadership changed since?"
• "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
• "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 52% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 25 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

All facilities in Montezuma →