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
Data as of July 1, 2026
3 of 5 overall
Hiawatha Care Center in Hiawatha, IA has an overall 3-star rating, with 3 stars for health inspections and 4 stars for staffing and quality measures. It reported 3.98 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had no fines in the last 24 months, and recent inspection citations included accident hazards, care planning, and food temperature issues.
Facility ratings
Health inspections
Staffing
3.9764 hrs/resident/day
Quality measures
Last inspection: April 2, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9764.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.60
- Nurse aides
- 2.74
- Weekend nursing
- 3.70
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 26%
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
18%22%Worsening
Residents with a fall causing major injury
1.3%2.5%Worsening
Residents with pressure ulcers (bedsores)
3.4%1.1%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.7%4.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.9%17.2%Worsening
Residents whose ability to walk got worse
12%28.9%Worsening
Long-stay residents on antianxiety or sleep medication
25.3%20%Improving
Short-stay residents newly given an antipsychotic
1.9%0%Improving
Residents with a long-term catheter
7.9%5.9%Improving
Residents with new or worsening incontinence
30.7%36.9%Worsening
Residents with depressive symptoms
0%0%No change
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
—96.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—87%—
Short-stay residents given the pneumonia vaccine
98.1%100%Improving
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
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.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 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 make sure residents got food that met their allergies, intolerances, and preferences. Cited April 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 806 — 42 CFR §483.60 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- 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
- 101.4 residents on an average day (93% 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.