Stratford Specialty Care

Name: Stratford Specialty Care
Address: 1200 Highway 175 East, Stratford, IA, 50249, US
Telephone: 5156121542

1200 Highway 175 East, Stratford, IA 50249 · Hamilton County · 53 certified beds · avg 38 residents/day · certified since May 1, 1996

Part of chain: CARE INITIATIVES (43 facilities, chain avg rating 2.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.11

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 (31)

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
Dec 4, 2025	D · Potential for harm, one-off	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
Dec 4, 2025	D · Potential for harm, one-off	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
Dec 4, 2025	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint
Dec 4, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Dec 4, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
May 21, 2025	F · Potential for harm, facility-wide	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint
May 21, 2025	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
May 21, 2025	D · Potential for harm, one-off	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.
May 21, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
May 21, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 21, 2025	D · Potential for harm, one-off	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.
May 21, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 21, 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.
Jan 6, 2025	D · Potential for harm, one-off	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
Jul 25, 2024	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
Jul 25, 2024	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.
Jul 25, 2024	D · Potential for harm, one-off	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.
Jul 25, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 17, 2024	D · Potential for harm, one-off	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
Mar 21, 2024	D · Potential for harm, one-off	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. · from a complaint
Mar 21, 2024	D · Potential for harm, one-off	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
Jan 4, 2024	E · Potential for harm, repeated	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. · from a complaint
Nov 6, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Nov 6, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Nov 6, 2023	D · Potential for harm, one-off	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. · from a complaint
May 24, 2023	D · Potential for harm, one-off	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.
May 24, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
May 24, 2023	D · Potential for harm, one-off	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.
May 24, 2023	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
May 24, 2023	D · Potential for harm, one-off	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.
May 24, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 8).

Year	Citations	Worst severity that year
2023	9	D
2024	8	E
2025	14	F

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)	4.11	4.37	3.95	bottom 43% in Iowa; top 35% in the U.S.
Registered Nurse hours	0.97	0.85	0.69	top 30% in Iowa; top 17% in the U.S.
Weekend total nurse staffing	3.70	3.86	3.50	bottom 47% in Iowa; top 33% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.79	0.51	0.48	top 10% in Iowa; top 12% in the U.S.
Total nursing staff turnover (%)	55.0	44.0	45.8	bottom 20% in Iowa; bottom 25% in the U.S.
RN turnover (%)	70.0	42.1	42.9	bottom 15% in Iowa; bottom 12% 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 3.32, RN 0.79, weekend 3.00. Staffing rating: 4/5.

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: 4/5 · long-stay residents: 4/5 · 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
Boeve, Destiny	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Bowen, Lane	Individual	Corporate Director	NOT APPLICABLE	01/01/2021
Carothers, Mary Jane	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Castro, Amy	Individual	Operational/Managerial Control	NOT APPLICABLE	10/31/2019
Castro, Amy	Individual	ADP of the SNF	NOT APPLICABLE	08/06/2025
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	08/06/2025
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
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
McDyer, Jessica	Individual	Corporate Officer	NOT APPLICABLE	02/22/2023
Oben, Patrick	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Oben, Patrick	Individual	ADP of the SNF	NOT APPLICABLE	08/06/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"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
Grandview Healthcare Center	5.4 mi	Dayton, IA	★★☆☆☆	3/5
Eastern Star Masonic Home	14.6 mi	Boone, IA	★★★☆☆	3/5
Westhaven Community	14.6 mi	Boone, IA	★★★☆☆	3/5
Crestview Nursing and Rehabilitation	14.7 mi	Webster City, IA	★★☆☆☆	2/5
Southfield Wellness Community	14.8 mi	Webster City, IA	★☆☆☆☆	1/5
Accura Healthcare of Ogden, LLC	16.1 mi	Ogden, IA	★★★★☆	3/5
Friendship Haven, INC	18.4 mi	Fort Dodge, IA	★★★★☆	3/5
Bethany Life	19.7 mi	Story City, IA	★★☆☆☆	1/5
Marian Home	20.0 mi	Fort Dodge, IA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Stratford →

Facility data as of CMS processing date 2026-08-01. CCN 165270.

The Care File

Visit checklist — Stratford Specialty Care

1200 Highway 175 East, Stratford, IA 50249 · 5156121542

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "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?"

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 165270 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)