Happy Siesta Health Care Center in Remsen, IA has an overall rating of 3 out of 5 stars. It has a 3-star health inspection rating, 4-star staffing and quality ratings, no fines in the last 24 months, and reported nurse staffing of 3.30 hours per resident per day versus the federal benchmark of 4.1.
Last inspection: June 12, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3006.
Staffing detail
Registered nurses
0.78
Licensed practical nurses
0.31
Nurse aides
2.22
Weekend nursing
3.05
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 40%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
20.5%34.9%Worsening
Residents with a fall causing major injury
2.1%6%Worsening
Residents with pressure ulcers (bedsores)
0%2.2%Worsening
Residents with a urinary tract infection
0%6%Worsening
Residents who lost too much weight
4.3%4.2%No change
Residents who were physically restrained
12.5%20%Worsening
Residents needing more help with daily activities
14%26.7%Worsening
Residents whose ability to walk got worse
15.6%26%Worsening
Long-stay residents on antianxiety or sleep medication
29.8%31.2%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
2.3%0%Improving
Residents with new or worsening incontinence
27.2%25.5%Improving
Residents with depressive symptoms
0%2.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97.9%98%No change
Short-stay residents given the seasonal flu vaccine
—87%—
Short-stay residents given the pneumonia vaccine
91.7%89.7%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — 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 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
56.3 residents on an average day (91% of 62 beds)
Medicare history
Certified for 27 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.