Lyon Specialty Care in Rock Rapids, IA has an overall rating of 4 out of 5 stars, with 4-star health inspection and quality scores and a 3-star staffing rating. It reported 2.77 nurse hours per resident per day versus the 4.1-hour federal benchmark, had $0 in fines over the last 24 months, and recent inspection issues 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 2.7742.
Staffing detail
Registered nurses
0.57
Licensed practical nurses
0.71
Nurse aides
1.49
Weekend nursing
2.52
Hours per resident per day.
Total staff turnover: 50%
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
33.3%29.2%Improving
Residents with a fall causing major injury
2.7%0%Improving
Residents with pressure ulcers (bedsores)
2.9%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
10.7%7.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.1%11.5%No change
Residents whose ability to walk got worse
—26.7%—
Long-stay residents on antianxiety or sleep medication
23.3%17.9%Improving
Short-stay residents newly given an antipsychotic
—4.9%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
32.9%29.4%Improving
Residents with depressive symptoms
3.1%3.3%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—90.9%—
Short-stay residents given the pneumonia vaccine
—100%—
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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
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.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of CARE INITIATIVES · 43 homes · 3 stars avg
Occupancy
36.2 residents on an average day (80% 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.