Sunny Hill Care Center
1708 Harding Street, Tama, IA 52339 · Tama County · 57 certified beds · avg 52 residents/day · certified since Jun 1, 2002
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Oct 3, 2023 · F-0609 · triggered by a complaint
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.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Oct 19, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Oct 3, 2023 · F-0610 · triggered by a complaint
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.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Oct 19, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 21, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 8, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 8, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 23, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (14)
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 |
|---|---|---|
| Mar 5, 2026 | 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. |
| Mar 5, 2026 | 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. |
| Aug 21, 2025 | ▲ G · Actual 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 |
| Feb 6, 2025 | E · Potential for harm, repeated | 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. |
| Feb 6, 2025 | 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. |
| Feb 6, 2025 | B · Minimal risk, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Nov 26, 2024 | 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 |
| Feb 8, 2024 | ▲ G · Actual 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 |
| Feb 8, 2024 | 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. · from a complaint |
| Feb 8, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Feb 8, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint |
| Oct 3, 2023 | ▲ K · Immediate jeopardy, repeated | 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 |
| Oct 3, 2023 | ▲ K · Immediate jeopardy, repeated | 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 |
| Oct 3, 2023 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 2 | K ▲ |
| 2024 | 5 | 1 | G ▲ |
| 2025 | 4 | 1 | G ▲ |
| 2026 | 2 | 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)
2 fines totaling $24,756.
| Date | Type | Amount / length |
|---|---|---|
| Feb 8, 2024 | Fine | $13,787 |
| Oct 3, 2023 | Fine | $10,969 |
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) | 3.84 | 4.37 | 3.95 | bottom 28% in Iowa; top 47% in the U.S. |
| Registered Nurse hours | 1.01 | 0.85 | 0.69 | top 27% in Iowa; top 15% in the U.S. |
| Weekend total nurse staffing | 3.46 | 3.86 | 3.50 | bottom 33% in Iowa; top 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.50 | 0.51 | 0.48 | top 41% in Iowa; top 33% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 44.0 | 45.8 | — |
| RN turnover (%) | 0.0 | 42.1 | 42.9 | — |
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 3.00, RN 0.79, weekend 2.70. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kilian, Mark | Individual | Direct Ownership Interest | NOT APPLICABLE | 08/01/2001 |
| Osthus, David | Individual | Direct Ownership Interest | NOT APPLICABLE | 08/01/2001 |
| Walton, Caleb | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2016 |
| Hineman, Polly | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Hineman, Polly | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Kilian, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2001 |
| LTC Accounting Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2021 |
| LTC Accounting Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/26/2025 |
| Osthus, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2001 |
| Osthus, David | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2001 |
| Potter and Brant PLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2001 |
| Potter and Brant PLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Premier Senior Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2005 |
| Premier Senior Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Thiessen, Megan | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/19/2012 |
| Thiessen, Megan | Individual | ADP of the SNF | NOT APPLICABLE | 03/19/2012 |
| Walton, Caleb | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
| Walton, Caleb | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
Questions to ask on your visit
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?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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 |
|---|---|---|---|---|---|
| Accura Healthcare of Toledo | 0.8 mi | Toledo, IA | ★★★☆☆ | 4/5 | |
| Westbrook Acres | 16.0 mi | Gladbrook, IA | ★★☆☆☆ | 3/5 | |
| Sunrise Hill Care Center | 16.0 mi | Traer, IA | ★★★★☆ | 4/5 | |
| Harmony Marshalltown | 16.6 mi | Marshalltown, IA | ★☆☆☆☆ | 1/5 | |
| Belle Plaine Specialty Care | 17.1 mi | Belle Plaine, IA | ★★★★☆ | 3/5 | |
| St Francis Manor | 17.3 mi | Grinnell, IA | ★★★★★ | 5/5 | |
| Southridge Specialty Care | 17.4 mi | Marshalltown, IA | ★★☆☆☆ | 2/5 | |
| Accura Healthcare of Marshalltown | 17.4 mi | Marshalltown, IA | ★☆☆☆☆ | 1/5 | abuse |
| Brooklyn Community Estates | 17.9 mi | Brooklyn, IA | ★★★★★ | 5/5 | |
| Mayflower Home | 17.9 mi | Grinnell, IA | ★★★★★ | 4/5 | |
| Iowa Veterans Home | 18.9 mi | Marshalltown, IA | ★★★★★ | 5/5 | |
| Keystone Nursing Care Center INC | 19.8 mi | Keystone, IA | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165462.