Ruthven Community Care Center

2701 Mitchell Street Box 0, Ruthven, IA 51358 (opens Google Maps) · Palo Alto County · (712) 837-5411· 46 certified beds · avg 41 residents/day · certified since Apr 1, 2003 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

4/5

Health inspection rating (on-site)

inspected Oct 2, 2025

Serious findings on record

Fines, last 3 years

4.03

Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 6 inspection findings. Open the full record below to read every finding.

Oct 2, 2025D · Potential for more than minimal harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
Oct 2, 2025D · Potential for more than minimal harm, isolated
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. F-0760
Sep 19, 2024D · Potential for more than minimal harm, isolated
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658

View all 6 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Oct 2, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Oct 2, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Sep 19, 2024	D · Potential for more than minimal harm, isolated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Sep 19, 2024	D · Potential for more than minimal harm, isolated	The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · F-0943
Jun 22, 2023	E · Potential for more than minimal harm, pattern	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. · F-0812
Jun 22, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Worst severity that year
2023	2	E
2024	2	D
2025	2	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)

How to file a complaint about care →

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

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityIowa averageU.S. average

Total nurse staffing (hours per resident per day)

4.03

4.37

3.95

Registered Nurse hours

0.57

0.85

0.69

Weekend total nurse staffing

3.62

3.86

3.50

All bars start at zero. Exact values and supporting details remain below.

Measure	This facility	Iowa avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.03	4.37	3.95	bottom 39% in Iowa; top 38% in the U.S.
Registered Nurse hours	0.57	0.85	0.69	bottom 19% in Iowa; bottom 48% in the U.S.
Weekend total nurse staffing	3.62	3.86	3.50	bottom 44% in Iowa; top 37% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.48	0.51	0.48	top 46% in Iowa; top 36% in the U.S.
Total nursing staff turnover (%)	35.0	44.0	45.8	top 29% in Iowa; top 24% in the U.S.
RN turnover (%)	—	42.1	42.9	—

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 3.33, RN 0.47, weekend 2.99.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.33 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Ruthven Community Care Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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

Owner / manager	Type	Role	Stake	Since
Ruthven Community Care Center INC	Organization	5% or Greater Direct Ownership Interest	100%	11/01/1984
Feldmann, Bruce	Individual	Corporate Director	NOT APPLICABLE	01/01/2020
Feldmann, Bruce	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2020
Feldmann, Bruce	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2020
Hamm, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2020
Hamm, Michael	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2020
Hart, Christa	Individual	Corporate Director	NOT APPLICABLE	01/23/2023
Hart, Christa	Individual	Operational/Managerial Control	NOT APPLICABLE	01/23/2023
Hart, Christa	Individual	ADP of the SNF	NOT APPLICABLE	01/23/2023
King, Dennis	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
King, Dennis	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Langner, Maricia	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
Langner, Maricia	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
LTC Accounting Services, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2020
LTC Accounting Services, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/01/2020
Markley, Lisa	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
Markley, Lisa	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Neighbors, James	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
Neighbors, James	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Nelson, Julie	Individual	Corporate Director	NOT APPLICABLE	07/01/2009

Showing 20 of 45 parties CMS has on file for this facility; 25 are not displayed. The full list is in the CMS Ownership dataset.

Questions to ask on your visit

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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What training do all staff get on dementia care and on spotting and reporting abuse?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"

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 35% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 45 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Palo Alto County Hospital	10.6 mi	Emmetsburg, IA	★★★★☆	4/5
Lakeside Lutheran Home	11.0 mi	Emmetsburg, IA	★★★☆☆	3/5
Emmetsburg Care Center	11.2 mi	Emmetsburg, IA	★☆☆☆☆	1/5
St Luke Lutheran Nursing Home	11.5 mi	Spencer, IA	★★☆☆☆	1/5
Spencer Post Acute Rehabilitation Center	13.0 mi	Spencer, IA	★☆☆☆☆	1/5
Accura Healthcare of Milford	18.9 mi	Milford, IA	★★★★☆	5/5
Estherville Community Care Center	19.2 mi	Estherville, IA	★★☆☆☆	2/5
Good Samaritan - Estherville	19.4 mi	Estherville, IA	★★☆☆☆	2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Palo Alto, IA — 5 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

West Bend Health and Rehabilitation — West Bend, IA · overall 4/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Ruthven →

Facility data as of CMS processing date 2026-08-01. CCN 165486.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Ruthven Community Care Center

2701 Mitchell Street Box 0, Ruthven, IA 51358 · (712) 837-5411

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

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What training do all staff get on dementia care and on spotting and reporting abuse?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "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 35% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 45 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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 165486 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)