The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
Nursing home report
State Center Specialty Care
State Center, IA · Medicare-certified · 39 beds
In good standing
Non-profitChain member
Data as of July 1, 2026
5 of 5 overall
State Center Specialty Care has a 5-star overall rating, with strong staffing and quality measures ratings, but a 3-star health inspection rating. It reported 3.41 nurse hours per resident per day versus the 4.1 federal benchmark, with $0 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.4075 hrs/resident/day
Quality measures
Last inspection: January 22, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4075.
Staffing detail
- Registered nurses
- 0.85
- Licensed practical nurses
- 0.22
- Nurse aides
- 2.34
- Weekend nursing
- 3.18
Hours per resident per day.
Total staff 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
—7.5%—
Residents with a fall causing major injury
7.1%3.3%Improving
Residents with pressure ulcers (bedsores)
0%7.3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.3%4.2%No change
Residents whose ability to walk got worse
—7.2%—
Long-stay residents on antianxiety or sleep medication
33.3%40%Worsening
Short-stay residents newly given an antipsychotic
—7.3%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
32.5%24.7%Improving
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
—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
96.6%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.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — 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 4 health deficiencies.
See what inspectors found
- 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 stars avg
- Occupancy
- 32.7 residents on an average day (84% 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.