How to file a complaint about care →

No fines or payment denials in the published 3-year window.

What these staffing numbers mean →

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 3.10, RN 0.86, weekend 2.58.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.10 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

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

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.

• 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
• Centerville Specialty Care — Centerville, IA · overall 3/5
• Chariton Specialty Care — Chariton, IA · overall 2/5
• Cherokee Specialty Care — Cherokee, IA · overall 3/5

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.

Full visit checklist →

Print visit checklist

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

• "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
• "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
• "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
• "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
• "If my family member falls or their condition changes, exactly when and how will I be notified?"
• "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
• "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
• "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 53% 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?"

Compare this facility with the 3 closest →

All facilities in Knoxville →