The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
State Center Specialty Care
State Center, IA · Medicare-certified · 39 beds
In good standing
Non-profitChain member
4 of 5 overall
State Center Specialty Care has an overall rating of 4 out of 5 stars, with strong quality measures (5/5) and staffing (4/5), but a middling health inspection rating (3/5). Reported nurse staffing is 3.38 hours per resident day versus the 4.1-hour federal benchmark, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3755 hrs/resident/day
Quality measures
Last inspection: November 19, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3755.
Staffing detail
- Registered nurses
- 0.89
- Licensed practical nurses
- 0.16
- Nurse aides
- 2.33
- Weekend nursing
- 3.22
Hours per resident per day.
Total staff turnover: 45%
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).
Long-stay residents on antipsychotic medication
—7.8%—
Residents with a fall causing major injury
3.4%3.4%No change
Residents with pressure ulcers (bedsores)
0%3.5%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
15.4%4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8%16.7%Worsening
Residents whose ability to walk got worse
—9.8%—
Long-stay residents on antianxiety or sleep medication
42.3%16%Improving
Short-stay residents newly given an antipsychotic
—5.1%—
Residents with a long-term catheter
2.9%0%Improving
Residents with new or worsening incontinence
22.8%14%Improving
Residents with depressive symptoms
3.4%0%Improving
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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—50%—
Short-stay residents given the pneumonia vaccine
100%93.9%Worsening
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited August 2023 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — 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 July 2022 — 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 ensure residents were treated with dignity and could make their own choices and communicate freely. Cited July 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
- Occupancy
- 33.2 residents on an average day (85% of 39 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 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.