The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: D
Nursing home report
Eldora Specialty Care
Eldora, IA · Medicare-certified · 46 beds
In good standing
Non-profitChain member
5 of 5 overall
5 of 5 stars overall. Eldora Specialty Care has strong staffing and quality ratings, a 4-star health inspection rating, no fines in the last 24 months, and reported nurse staffing of 3.73 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.7264 hrs/resident/day
Quality measures
Last inspection: December 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7264.
Staffing detail
- Registered nurses
- 0.64
- Licensed practical nurses
- 0.85
- Nurse aides
- 2.24
- Weekend nursing
- 3.53
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 20%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
43.5%31.8%Improving
Residents with a fall causing major injury
2.9%0%Improving
Residents with pressure ulcers (bedsores)
7%3.3%Improving
Residents with a urinary tract infection
2.9%0%Improving
Residents who lost too much weight
7.1%4.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.4%17.4%Worsening
Residents whose ability to walk got worse
30.9%18.2%Improving
Long-stay residents on antianxiety or sleep medication
35.7%26.1%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
33.3%32.1%Improving
Residents with depressive symptoms
12.5%6.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to ensure each resident got needed dental services. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 791 — 42 CFR §483.55 — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
- Occupancy
- 34.4 residents on an average day (75% of 46 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.