Southern Hills Specialty Care

444 North West View Drive · Osceola, IA · 50213 · 6413426061

90 certified beds Non profit - Corporation Chain: Care Initiatives

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.

Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 66
Serious harm & abuse 20% 100
Staffing 20% 68
Federal penalties 15% 68
Trend 10% 25
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: 3 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.403.48 min · 4.1 strong
RN hours / resident-day0.660.55–0.75
Weekend hours / resident-day3.01≈ weekday level
Nursing turnover / year40%median 45%
Fines (3-yr window)1 · $36,865

Inspection citations (8 in the current record)

  • Potential for harm · D August 21, 2025

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

    Corrected August 25, 2025 · Quality of Life and Care

  • Potential for harm · E August 21, 2025

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

    Corrected August 25, 2025 · Nutrition and Dietary

  • Potential for harm · F August 21, 2025

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected August 25, 2025 · Administration

  • Potential for harm · D August 21, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 25, 2025 · Infection Control

  • Potential for harm · D August 21, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 25, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • No harm found · C April 10, 2025 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected April 11, 2025 · Environmental

  • Potential for harm · E September 12, 2024

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

    Corrected September 27, 2024 · Nutrition and Dietary

  • Potential for harm · D December 12, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected December 30, 2023 · Freedom from Abuse, Neglect, and Exploitation

Federal penalties

DateTypeAmount / length
August 18, 2024Fine$36,865

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

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165293 · certified since August 9, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.