The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Hiawatha Care Center
Hiawatha, IA · Medicare-certified · 109 beds
In good standing
For-profit
3 of 5 overall
Hiawatha Care Center in Hiawatha, IA has a 3 out of 5 star overall rating, with 3 stars for health inspections and stronger 4-star staffing and quality measures. Reported nurse staffing is 4.13 hours per resident per day, just above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.1318 hrs/resident/day
Quality measures
Last inspection: October 29, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1318.
Staffing detail
- Registered nurses
- 0.64
- Licensed practical nurses
- 0.62
- Nurse aides
- 2.87
- Weekend nursing
- 3.83
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 22%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
22%Worsening
Residents with a fall causing major injury
1.6%Steady
Residents with pressure ulcers (bedsores)
3.6%Improving
Residents with a urinary tract infection
0.3%Steady
Residents who lost too much weight
5%Improving
Residents who were physically restrained
0.3%Improving
Residents needing more help with daily activities
16.5%Worsening
Residents whose ability to walk got worse
18%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
23.8%Improving
Short-stay residents newly given an antipsychotic
0.8%Improving
Residents with a long-term catheter
8%Steady
Residents with new or worsening incontinence
29.6%Improving
Residents with depressive symptoms
0.4%Steady
Long-stay residents given the seasonal flu vaccine
96.6%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
87%Steady
Short-stay residents given the pneumonia vaccine
98.6%Steady
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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 January 2023 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited January 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- 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
- For profit - Corporation
- Occupancy
- 98.5 residents on an average day (90% of 109 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 22 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.