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State Center Specialty Care
702 Third Street NW, State Center, IA 50247 (opens Google Maps) · Marshall County · (641) 384-5407· 39 certified beds · avg 33 residents/day · certified since Apr 1, 1998 · 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 →
Part of chain: CARE INITIATIVES (43 facilities, chain avg rating 2.9★)
3/5
Health inspection rating (on-site)
inspected Jan 22, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.54
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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: ★★★☆☆3/5 · CMS overall rating: 5/5 · 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 20 inspection findings. Open the full record below to read every finding.
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. F-0803
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. F-0657
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
View all 20 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 |
|---|---|---|
| Jan 22, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0803 |
| Jan 22, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Jan 22, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jan 22, 2026 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
| Nov 19, 2025 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Nov 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Nov 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
| Nov 21, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Nov 21, 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 |
| Nov 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Nov 21, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Nov 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921 |
| Oct 17, 2024 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550 |
| Dec 20, 2023 | E · Potential for more than minimal harm, pattern | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726 |
| Dec 20, 2023 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550 |
| Aug 30, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Aug 30, 2023 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint · F-0641 |
| Aug 30, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Aug 30, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Aug 30, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 4).
All citationsSerious citations (G–L)
2023
All citations: 7
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 0
2026
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | E |
| 2024 | 8 | 0 | D |
| 2025 | 1 | 0 | D |
| 2026 | 4 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.54
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 1.13
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.24
Iowa average: 3.86
U.S. average: 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) | 4.54 | 4.37 | 3.95 | top 38% in Iowa; top 22% in the U.S. |
| Registered Nurse hours | 1.13 | 0.85 | 0.69 | top 15% in Iowa; top 11% in the U.S. |
| Weekend total nurse staffing | 4.24 | 3.86 | 3.50 | top 27% in Iowa; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.74 | 0.51 | 0.48 | top 13% in Iowa; top 14% in the U.S. |
| Total nursing staff turnover (%) | 40.0 | 44.0 | 45.8 | top 43% in Iowa; top 36% 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 3.41, RN 0.85, weekend 3.18.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.41 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for State Center Specialty Care. 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 |
|---|---|---|---|---|
| Care Initiatives | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2000 |
| 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 | 08/11/2025 |
| 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 |
| Gijima, Desire | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Gijima, Desire | Individual | ADP of the SNF | NOT APPLICABLE | 08/11/2025 |
| 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 |
| Oehlertz, Chase | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/07/2019 |
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.
- 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
- Avoca Specialty Care — Avoca, IA · overall 1/5
- Bedford Specialty Care — Bedford, IA · overall 4/5
- Belle Plaine Specialty Care — Belle Plaine, IA · overall 4/5
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.
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 reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 40% 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?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Zearing Health Care, LLC | 11.7 mi | Zearing, IA | ★★☆☆☆ | 1/5 | |
| Iowa Veterans Home | 12.4 mi | Marshalltown, IA | ★★★★★ | 5/5 | |
| Southridge Specialty Care | 13.1 mi | Marshalltown, IA | ★★☆☆☆ | 2/5 | |
| Accura Healthcare of Marshalltown | 13.1 mi | Marshalltown, IA | ★☆☆☆☆ | 1/5 | abuse |
| Story Medical Senior Care | 13.5 mi | Nevada, IA | ★★★★★ | 4/5 | |
| Harmony Marshalltown | 14.1 mi | Marshalltown, IA | ★☆☆☆☆ | 1/5 | |
| Rolling Green Village Care Center | 14.4 mi | Nevada, IA | ★★★☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 165390.