Oakwood Specialty Care
200 16th Avenue East, Albia, IA 52531 · Monroe County · 54 certified beds · avg 47 residents/day · certified since Feb 12, 1997
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: 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 |
|---|---|---|
| Sep 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. |
| Sep 5, 2024 | F · Potential for harm, facility-wide | 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. |
| Sep 5, 2024 | F · Potential for harm, facility-wide | 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. |
| Sep 5, 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. |
| Sep 5, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Sep 5, 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. |
| Sep 5, 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. |
| May 29, 2024 | E · Potential for harm, repeated | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. · from a complaint |
| Oct 23, 2023 | 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 |
| Oct 23, 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. · from a complaint |
| Jun 15, 2023 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jun 15, 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. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jun 15, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 0 | E |
| 2024 | 7 | 0 | F |
| 2025 | 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) | 3.58 | 4.37 | 3.95 | bottom 13% in Iowa; bottom 41% in the U.S. |
| Registered Nurse hours | 0.59 | 0.85 | 0.69 | bottom 21% in Iowa; top 50% in the U.S. |
| Weekend total nurse staffing | 3.12 | 3.86 | 3.50 | bottom 12% in Iowa; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.51 | 0.48 | bottom 29% in Iowa; bottom 45% in the U.S. |
| Total nursing staff turnover (%) | 31.7 | 44.0 | 45.8 | top 21% in Iowa; top 17% in the U.S. |
| RN turnover (%) | 28.6 | 42.1 | 42.9 | top 32% in Iowa; top 26% 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 3.26, RN 0.54, weekend 2.84. 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: 5/5 · long-stay residents: 5/5 · 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% | 11/12/2010 |
| Beal, Michael | Individual | Corporate Director | NOT APPLICABLE | 06/01/2020 |
| Beal, Michael | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2020 |
| Beal, Michael | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| 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 | 01/01/2025 |
| Computershare Corporate Trust Company, Na | Organization | ADP of the SNF | NOT APPLICABLE | 04/15/2025 |
| 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 |
| Dufur, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/15/2025 |
| Dufur, David | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| 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 |
| Mahler, Carla | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| McDyer, Jessica | Individual | Corporate Officer | NOT APPLICABLE | 02/22/2023 |
| Rust, Elizabeth | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
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?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "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 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 |
|---|---|---|---|---|---|
| Good Samaritan - Ottumwa | 18.1 mi | Ottumwa, IA | ★★☆☆☆ | 2/5 | |
| Ridgewood Specialty Care | 18.1 mi | Ottumwa, IA | ★★★☆☆ | 3/5 | |
| Centerville Specialty Care | 19.1 mi | Centerville, IA | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165313.