Dunlap Specialty Care

1403 Harrison Road · Dunlap, IA · 51529 · 7126432121

46 certified beds Non profit - Corporation Chain: Care Initiatives

  • Inspection results have improved across recent cycles.

Red flags

4 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 51
Serious harm & abuse 20% 54
Staffing 20% 77
Federal penalties 15% 58
Trend 10% 88
Context 5% 100

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

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.613.48 min · 4.1 strong
RN hours / resident-day0.930.55–0.75
Weekend hours / resident-day3.33≈ weekday level
Nursing turnover / year37%median 45%
Fines (3-yr window)1 · $10,062

Inspection citations (41 in the current record)

  • Potential for harm · E May 22, 2025

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

    Corrected June 12, 2025 · Nutrition and Dietary

  • Potential for harm · E May 22, 2025 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected June 12, 2025 · Resident Rights

  • Potential for harm · D May 22, 2025 · found via complaint

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

    Corrected June 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 22, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected June 12, 2025 · Quality of Life and Care

  • Potential for harm · D May 22, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected June 12, 2025 · Pharmacy Service

  • Potential for harm · D May 22, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected June 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 22, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected June 12, 2025 · Infection Control

  • Potential for harm · D February 12, 2025 · found via complaint

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

    Corrected February 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 3, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected July 19, 2024 · Quality of Life and Care

  • Potential for harm · E July 3, 2024

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

    Corrected July 19, 2024 · Nutrition and Dietary

  • Potential for harm · D July 3, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected July 19, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E July 3, 2024 · found via complaint

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

    Corrected July 19, 2024 · Resident Rights

  • Potential for harm · D July 3, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected July 19, 2024 · Infection Control

  • No harm found · B July 3, 2024

    Honor the resident's right to manage his or her financial affairs.

    Corrected July 19, 2024 · Resident Rights

  • Actual harm · G January 16, 2024 · found via complaint

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

    Corrected January 30, 2024 · Quality of Life and Care

  • Potential for harm · D January 16, 2024 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected January 30, 2024 · Resident Rights

  • Potential for harm · D January 16, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 16, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected January 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 16, 2024 · found via complaint

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

    Corrected January 30, 2024 · Quality of Life and Care

  • Immediate jeopardy · J November 9, 2023 · found via complaint

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected December 1, 2023 · Administration

  • Potential for harm · D November 9, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 1, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 9, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected December 1, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 9, 2023 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected December 1, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 9, 2023 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected January 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 9, 2023 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 1, 2023 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 9, 2023Fine$10,062
November 9, 2023Payment Denial55 days

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 165193 · certified since December 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.