The home failed to plan the resident’s discharge to meet the resident’s goals and needs. Cited January 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 660 — 42 CFR §483.21 — S/S: J
Nursing home report
Manly Specialty Care
Manly, IA · Medicare-certified · 43 beds
In good standing
Non-profitChain member
3 of 5 overall
Overall rated 3 out of 5 stars. Health inspections are lower at 2 stars, staffing is 5 stars, and reported nurse staffing is 3.54 hours per resident per day versus the 4.1-hour federal benchmark; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5363 hrs/resident/day
Quality measures
Last inspection: February 27, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5363.
Staffing detail
- Registered nurses
- 0.93
- Licensed practical nurses
- 0.28
- Nurse aides
- 2.32
- Weekend nursing
- 3.21
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 25%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
30%Improving
Residents with a fall causing major injury
2.8%Worsening
Residents with pressure ulcers (bedsores)
3.5%Improving
Residents with a urinary tract infection
7.8%Worsening
Residents who lost too much weight
8.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14%Improving
Residents whose ability to walk got worse
21.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
31.6%Steady
Short-stay residents newly given an antipsychotic
5.2%Worsening
Residents with a long-term catheter
3.2%Improving
Residents with new or worsening incontinence
19%Worsening
Residents with depressive symptoms
6.7%Worsening
Long-stay residents given the seasonal flu vaccine
94.7%Steady
Long-stay residents given the pneumonia vaccine
99.3%Worsening
Short-stay residents given the seasonal flu vaccine
70.4%Steady
Short-stay residents given the pneumonia vaccine
93.7%Improving
What the inspectors found
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The nursing home failed to ensure residents were free from significant medication errors. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — 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 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $13,627 in total fines.
- $13,627
Federal fine
Jan 17, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
- Occupancy
- 39.2 residents on an average day (91% of 43 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.