State Center Specialty Care
702 Third Street Nw · State Center, IA · 50247 · 6414832812
39 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.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
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: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.38 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.89 | 0.55–0.75 |
| Weekend hours / resident-day | 3.22 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (20 in the current record)
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Potential for harm · D January 22, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 22, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 3, 2026 · Quality of Life and Care
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Potential for harm · D January 22, 2026
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected February 3, 2026 · Quality of Life and Care
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Potential for harm · E January 22, 2026
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 February 3, 2026 · Nutrition and Dietary
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Potential for harm · D November 19, 2025 · 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 November 20, 2025 · Resident Rights
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Potential for harm · D November 21, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected December 6, 2024 · Resident Rights
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Potential for harm · D November 21, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 6, 2024 · Resident Rights
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Potential for harm · D November 21, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · D November 21, 2024
Provide and implement an infection prevention and control program.
Corrected December 6, 2024 · Infection Control
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Potential for harm · D November 21, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 6, 2024 · Environmental
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Potential for harm · D October 17, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 18, 2024 · Resident Rights
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Potential for harm · D December 20, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 21, 2023 · Resident Rights
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Potential for harm · E December 20, 2023 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected December 21, 2023 · Nursing and Physician Services
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Potential for harm · D August 30, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 25, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 30, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 25, 2023 · Quality of Life and Care
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Potential for harm · D August 30, 2023
Provide and implement an infection prevention and control program.
Corrected September 25, 2023 · Infection Control
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Potential for harm · E August 30, 2023 · 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 September 25, 2023 · Resident Rights
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Potential for harm · D August 30, 2023 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected September 25, 2023 · Resident Assessment and Care Planning
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 165390 · certified since April 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.