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 3.40, RN 0.92, weekend 2.84.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.40 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

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.

• Southern Hills Specialty Care — Osceola, IA · overall 3/5
• Southridge Specialty Care — Marshalltown, IA · overall 2/5
• State Center Specialty Care — State Center, IA · overall 5/5
• Stratford Specialty Care — Stratford, IA · overall 2/5
• Wapello Specialty Care — Wapello, IA · overall 5/5
• West Ridge Specialty Care — Knoxville, IA · overall 3/5
• Westwood Specialty Care — Sioux City, IA · overall 1/5
• Atlantic Specialty Care — Atlantic, IA · overall 3/5

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.

• "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
• "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
• "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?"
• "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
• "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
• "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"

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 27% 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 Sibley →