Sunny Hill Care Center
1708 Harding Street · Tama, IA · 52339 · 6414844061
57 certified beds For profit - Limited Liability company
- Inspection results have improved across recent cycles.
Red flags
2 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.
Total nurse staffing below 3.0 hours per resident-day
2.92 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.75 | 0.55–0.75 |
| Weekend hours / resident-day | 2.59 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $24,756 |
Inspection citations (14 in the current record)
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Potential for harm · D March 5, 2026
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 20, 2026 · Nursing and Physician Services
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Potential for harm · D March 5, 2026
Ensure that residents are free from significant medication errors.
Corrected March 20, 2026 · Pharmacy Service
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Actual harm · G August 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 8, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025
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 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 6, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected February 17, 2025 · Administration
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No harm found · B February 6, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected February 17, 2025 · Resident Rights
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Potential for harm · D November 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 6, 2024 · Quality of Life and Care
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Actual harm · G February 8, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 23, 2024 · Quality of Life and Care
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Potential for harm · D February 8, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 8, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 23, 2024 · Quality of Life and Care
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Potential for harm · D February 8, 2024 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected February 23, 2024 · Pharmacy Service
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Immediate jeopardy · K October 3, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 19, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K October 3, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 19, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 3, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 19, 2023 · Freedom from Abuse, Neglect, and Exploitation
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 8, 2024 | Fine | $13,787 |
| October 3, 2023 | Fine | $10,969 |
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 165462 · certified since June 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.