Titonka Care Center
312 First Avenue NW, Titonka, IA 50480 · Kossuth County · 26 certified beds · avg 20 residents/day · certified since Dec 12, 2000
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 (9)
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 |
|---|---|---|
| Apr 17, 2025 | F · Potential for harm, facility-wide | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. |
| Apr 17, 2025 | F · Potential for harm, facility-wide | 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. |
| Apr 17, 2025 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Apr 17, 2025 | 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. |
| Apr 17, 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. |
| Apr 17, 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. |
| Apr 17, 2025 | 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. |
| May 2, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| May 2, 2024 | F · Potential for harm, facility-wide | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | F |
| 2025 | 7 | 0 | 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) | 5.43 | 4.37 | 3.95 | top 8% in Iowa; top 8% in the U.S. |
| Registered Nurse hours | 1.37 | 0.85 | 0.69 | top 7% in Iowa; top 6% in the U.S. |
| Weekend total nurse staffing | 4.22 | 3.86 | 3.50 | top 29% in Iowa; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.78 | 0.51 | 0.48 | top 11% in Iowa; top 12% in the U.S. |
| Total nursing staff turnover (%) | 25.0 | 44.0 | 45.8 | top 5% in Iowa; top 7% in the U.S. |
| RN turnover (%) | 20.0 | 42.1 | 42.9 | top 18% in Iowa; top 13% 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 4.15, RN 1.04, weekend 3.23. Staffing rating: 5/5.
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 |
|---|---|---|---|---|
| Anderson Post, Sherri | Individual | Corporate Director | NOT APPLICABLE | 06/04/2018 |
| Anderson Post, Sherri | Individual | Corporate Officer | NOT APPLICABLE | 06/04/2018 |
| Buffington-Missman, Tammy | Individual | Corporate Officer | NOT APPLICABLE | 06/04/2018 |
| Christensen, Wendell | Individual | Corporate Officer | NOT APPLICABLE | 06/04/2018 |
| Continuum Health Care Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2006 |
| Gerzema, Dean | Individual | Corporate Director | NOT APPLICABLE | 06/04/2018 |
| Heyer, Steven | Individual | Corporate Officer | NOT APPLICABLE | 06/04/2018 |
| Larsen, Paul | Individual | Corporate Officer | NOT APPLICABLE | 06/04/2018 |
| Phelps, Laura | Individual | Corporate Officer | NOT APPLICABLE | 06/04/2018 |
| Rasch, Corey | Individual | Contracted Managing Employee | NOT APPLICABLE | 10/04/2021 |
| Rasch, Corey | Individual | Corporate Director | NOT APPLICABLE | 10/04/2021 |
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 tell me about this citation and confirm your license and compliance status today?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "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 Bancroft | 9.1 mi | Bancroft, IA | ★★★★★ | 4/5 | |
| Timely Mission Nursing Home | 11.5 mi | Buffalo Center, IA | ★★★★★ | 5/5 | |
| Algona Manor Care Center | 14.3 mi | Algona, IA | ★★★★★ | 4/5 | |
| Westview Care Center | 15.4 mi | Britt, IA | ★★★★★ | 5/5 | |
| Good Samaritan - Algona | 15.4 mi | Algona, IA | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165431.