1708 Harding Street, Tama, IA 52339 (opens Google Maps) · Tama County · (641) 484-4061· 57 certified beds · avg 52 residents/day · certified since Jun 1, 2002 · 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 →
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · 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.
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 19, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 19, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Sep 8, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 23, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
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. F-0725
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
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 F-0689
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 |
|---|---|---|
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0725 |
| Mar 5, 2026 | 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 |
| Aug 21, 2025 | ▲ G · Actual harm, isolated | 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 · F-0689 |
| Feb 6, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0865 |
| Feb 6, 2025 | 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 |
| Feb 6, 2025 | B · Potential for minimal harm, pattern | 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. · F-0623 |
| Nov 26, 2024 | 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. · from a complaint · F-0689 |
| Feb 8, 2024 | ▲ G · Actual 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. · from a complaint · F-0684 |
| Feb 8, 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. · from a complaint · F-0658 |
| Feb 8, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0690 |
| Feb 8, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0758 |
| Oct 3, 2023 | ▲ K · Immediate jeopardy, pattern | 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 · F-0609 |
| Oct 3, 2023 | ▲ K · Immediate jeopardy, pattern | 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 · F-0610 |
| Oct 3, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
2 fines totaling $24,756.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Feb 8, 2024 | Fine | $13,787 |
| Oct 3, 2023 | Fine | $10,969 |
What these staffing numbers mean →
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) | 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 (%) | — | 44.0 | 45.8 | — |
| 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 3.00, RN 0.79, weekend 2.70.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.00 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Sunny Hill Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 →
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 |
All 18 owning or managing parties CMS has on file are shown — none excluded.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 165462.
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