Belle Plaine Specialty Care

1505 Sunset Drive · Belle Plaine, IA · 52208 · 3194442500

46 certified beds Non profit - Corporation Chain: Care Initiatives

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

Red flags

71% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 61
Serious harm & abuse 20% 100
Staffing 20% 60
Federal penalties 15% 100
Trend 10% 89
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.203.48 min · 4.1 strong
RN hours / resident-day0.770.55–0.75
Weekend hours / resident-day2.91≈ weekday level
Nursing turnover / year71%median 45%
Fines (3-yr window)none

Inspection citations (20 in the current record)

  • Potential for harm · D January 21, 2026 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 3, 2026 · Resident Assessment and Care Planning

  • Potential for harm · F August 28, 2025

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected September 22, 2025 · Administration

  • Potential for harm · D April 14, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 5, 2025 · Resident Rights

  • Potential for harm · D April 14, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 5, 2025 · Quality of Life and Care

  • Potential for harm · D April 14, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 5, 2025 · Quality of Life and Care

  • Potential for harm · D October 30, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 8, 2024 · Quality of Life and Care

  • Potential for harm · D October 17, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected November 1, 2024 · Resident Rights

  • Potential for harm · D October 17, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected November 1, 2024 · Pharmacy Service

  • Potential for harm · D October 17, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected November 1, 2024 · Nutrition and Dietary

  • Potential for harm · E October 17, 2024

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected November 1, 2024 · Nutrition and Dietary

  • Potential for harm · D October 17, 2024

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected November 1, 2024 · Nutrition and Dietary

  • Potential for harm · D October 17, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 1, 2024 · Nutrition and Dietary

  • Potential for harm · F February 23, 2024 · found via complaint

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected March 14, 2024 · Nursing and Physician Services

  • Potential for harm · F February 23, 2024 · found via complaint

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected March 14, 2024 · Nutrition and Dietary

  • Potential for harm · E February 23, 2024 · found via complaint

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected March 14, 2024 · Nutrition and Dietary

  • Potential for harm · F February 23, 2024 · found via complaint

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    Corrected March 14, 2024 · Administration

  • Potential for harm · D July 20, 2023

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected August 11, 2023 · Resident Rights

  • Potential for harm · D July 20, 2023

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected August 11, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 20, 2023

    Provide enough food/fluids to maintain a resident's health.

    Corrected August 11, 2023 · Quality of Life and Care

  • Potential for harm · E July 20, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 11, 2023 · Nutrition and Dietary

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165349 · certified since July 22, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.