The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
Nursing home report
Southern Hills Specialty Care
Osceola, IA · Medicare-certified · 90 beds
Needs attention
Non-profitChain member
Data as of July 1, 2026
3 of 5 overall
Southern Hills Specialty Care in Osceola, IA is rated 3 out of 5 stars overall, with 3-star scores for health inspections, staffing, and quality measures. It has a recent federal penalty and $36,865 in fines in the last 24 months, and reported nurse staffing is 3.38 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.3839 hrs/resident/day
Quality measures
Last inspection: August 21, 2025Penalties, last 24 months: $36,865recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3839.
Staffing detail
- Registered nurses
- 0.60
- Licensed practical nurses
- 0.61
- Nurse aides
- 2.18
- Weekend nursing
- 2.97
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 56%
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
27.1%25%Improving
Residents with a fall causing major injury
3.8%2.6%Improving
Residents with pressure ulcers (bedsores)
3.8%2.5%Improving
Residents with a urinary tract infection
3.8%0%Improving
Residents who lost too much weight
3.2%3.3%No change
Residents who were physically restrained
1.3%0%Improving
Residents needing more help with daily activities
6.6%19%Worsening
Residents whose ability to walk got worse
6%13.5%Worsening
Long-stay residents on antianxiety or sleep medication
19%21.3%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.2%42.2%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
—81.5%—
Short-stay residents given the pneumonia vaccine
84.6%96.6%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: D
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
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 August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $36,865 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $36,865 in total fines.
- $36,865
Federal fine
Aug 18, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CARE INITIATIVES · 43 homes · 3 stars avg
- Occupancy
- 83.9 residents on an average day (93% of 90 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.