Holy Spirit Retirement Home in Sioux City, IA has a 3 out of 5 star overall rating. Its health inspection rating is 2 stars, staffing is 4 stars with reported nurse staffing slightly above the federal benchmark (4.23 vs 4.1 hours per resident per day), quality measures are 5 stars, and it had $0 in fines over the last 24 months.
Last inspection: October 7, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2317.
Staffing detail
Registered nurses
0.75
Licensed practical nurses
0.87
Nurse aides
2.61
Weekend nursing
3.77
Hours per resident per day.
Total staff turnover: 47%
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
12.8%14.3%Worsening
Residents with a fall causing major injury
5.6%4%Improving
Residents with pressure ulcers (bedsores)
2.1%0%Improving
Residents with a urinary tract infection
2%0%Improving
Residents who lost too much weight
8.9%2.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.5%21.4%Worsening
Residents whose ability to walk got worse
4.5%9.5%Worsening
Long-stay residents on antianxiety or sleep medication
10.4%11.9%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
14.6%14.1%No change
Residents with new or worsening incontinence
34%35.7%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).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96.4%—
Long-stay residents given the pneumonia vaccine
83.3%80%Worsening
Short-stay residents given the seasonal flu vaccine
—67.2%—
Short-stay residents given the pneumonia vaccine
67.9%56.1%Worsening
What the inspectors found
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 May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited October 2025 — limited pattern, potential for harm.
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F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to ensure residents kept their ability to do everyday activities unless there was a medical reason. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 676 — 42 CFR §483.24 — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — 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 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
59.8 residents on an average day (77% of 78 beds)
Resident voice
Resident council
Medicare history
Certified for 30 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.