Wapello Specialty Care
601 Highway 61 South · Wapello, IA · 52653 · 3195232001
49 certified beds Non profit - Corporation Chain: Care Initiatives
Why this verdict
- 3 citations involved actual harm to residents.
- 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
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.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.38 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.11 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | 28% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (29 in the current record)
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Potential for harm · D November 20, 2025
Provide and implement an infection prevention and control program.
Corrected December 2, 2025 · Infection Control
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Potential for harm · D October 3, 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 October 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 3, 2024
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 October 17, 2024 · Quality of Life and Care
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Potential for harm · D October 3, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 3, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 17, 2024 · Quality of Life and Care
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Potential for harm · E October 3, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 17, 2024 · Nutrition and Dietary
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Potential for harm · D April 11, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 11, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 24, 2024 · Quality of Life and Care
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Actual harm · G September 21, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 20, 2023 · Quality of Life and Care
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Actual harm · G September 21, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 29, 2023 · Quality of Life and Care
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Actual harm · G September 21, 2023 · 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 October 20, 2023 · Quality of Life and Care
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Potential for harm · D September 21, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 20, 2023 · Resident Rights
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Potential for harm · D September 21, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected October 20, 2023 · Resident Rights
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Potential for harm · D September 21, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 20, 2023 · Resident Rights
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Potential for harm · D September 21, 2023
Assess the resident when there is a significant change in condition
Corrected November 29, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 21, 2023
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected November 29, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 21, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected October 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 21, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 29, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 21, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · E September 21, 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 October 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 21, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 21, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 20, 2023 · Quality of Life and Care
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Potential for harm · D September 21, 2023
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected October 20, 2023 · Quality of Life and Care
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Potential for harm · D September 21, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 29, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 21, 2023 | Payment Denial | 35 days |
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165452 · certified since April 3, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.