Lyon Specialty Care in Rock Rapids, IA has an overall rating of 4 out of 5 stars, with 4-star health inspection and staffing scores and a 3-star quality rating. It reported 2.83 nurse staffing hours per resident per day versus the federal benchmark of 4.1, had $0 in fines over the last 24 months, and recent inspection citations included abuse/neglect reporting, response to alleged violations, and menu/nutrition requirements.
Last inspection: February 2, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8313.
Staffing detail
Registered nurses
0.53
Licensed practical nurses
0.64
Nurse aides
1.67
Weekend nursing
2.65
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 20%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
29.5%Improving
Residents with a fall causing major injury
1.4%Steady
Residents with pressure ulcers (bedsores)
2.2%Improving
Residents with a urinary tract infection
1.4%Worsening
Residents who lost too much weight
4.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.4%Improving
Residents whose ability to walk got worse
13.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
22.1%Improving
Short-stay residents newly given an antipsychotic
4.5%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
28.8%Improving
Residents with depressive symptoms
2.5%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
90.9%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: E
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited February 2026 — limited pattern, potential for harm.
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F-Tag 610 — 42 CFR §483.12 — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited July 2024 — limited pattern, potential for harm.
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F-Tag 803 — 42 CFR §483.60 — S/S: E
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 2023 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
Occupancy
39.3 residents on an average day (87% of 45 beds)
Resident voice
Resident council
Medicare history
Certified for 32 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.