The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
Nursing home report
Stratford Specialty Care
Stratford, IA · Medicare-certified · 53 beds
In good standing
Non-profitChain member
2 of 5 overall
2 of 5 stars overall. Stratford Specialty Care has a 2-star health inspection rating, with no fines in the last 24 months; staffing is rated 4 stars, but reported nurse staffing is 3.53 hours per resident per day, below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.5298 hrs/resident/day
Quality measures
Last inspection: December 4, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5298.
Staffing detail
- Registered nurses
- 0.91
- Licensed practical nurses
- 0.44
- Nurse aides
- 2.19
- Weekend nursing
- 3.04
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
30.6%Worsening
Residents with a fall causing major injury
1.4%Improving
Residents with pressure ulcers (bedsores)
0%Steady
Residents with a urinary tract infection
1.4%Steady
Residents who lost too much weight
3.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.3%Worsening
Residents whose ability to walk got worse
22%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
15.5%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
31.4%Improving
Residents with depressive symptoms
2.7%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
96.6%Steady
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — 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 provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2024 — 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 December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(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 8 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
- 35.3 residents on an average day (67% of 53 beds)
- 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.