Happy Siesta Health Care Center in Remsen, IA has an overall 3 out of 5 stars. Its staffing is 3 out of 5 stars with reported nurse staffing at 3.48 hours per resident per day, below the federal benchmark of 4.1, and it had no fines in the last 24 months; recent inspection citations included accident hazards/supervision, food handling, and notification of changes in resident condition.
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 3.4816.
Staffing detail
Registered nurses
0.80
Licensed practical nurses
0.31
Nurse aides
2.36
Weekend nursing
3.11
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
28.8%Improving
Residents with a fall causing major injury
2.6%Worsening
Residents with pressure ulcers (bedsores)
1.2%Worsening
Residents with a urinary tract infection
2.1%Steady
Residents who lost too much weight
6.5%Improving
Residents who were physically restrained
14.1%Worsening
Residents needing more help with daily activities
13.9%Improving
Residents whose ability to walk got worse
11.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
28.5%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.5%Improving
Residents with new or worsening incontinence
26.5%Improving
Residents with depressive symptoms
0.5%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.5%Steady
Short-stay residents given the seasonal flu vaccine
87%Steady
Short-stay residents given the pneumonia vaccine
90.4%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.
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Penalties & enforcement
On record with Medicare: 1 fine · $9,835 in total fines.
Federal fine
Jul 13, 2023
$9,835
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
53.6 residents on an average day (86% 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.