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Nursing home report

Sunny Hill Care Center

Tama, IA · Medicare-certified · 57 beds

Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall

1 of 5 stars overall, with a lowest-overall-rating flag and a 1 of 5 health inspection rating. Staffing is 3 of 5 stars, but reported nurse staffing is 3.00 hours per resident per day versus the 4.1 federal benchmark; there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

2.9992 hrs/resident/day

Quality measures

Last inspection: March 5, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9992.

Staffing detail

Registered nurses
0.79
Licensed practical nurses
0.10
Nurse aides
2.11
Weekend nursing
2.70

Hours per resident per day.

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

10.8%13%Worsening

Residents with a fall causing major injury

2.2%3.8%Worsening

Residents with pressure ulcers (bedsores)

5.9%5.1%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

2.4%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

39.5%27.1%Improving

Residents whose ability to walk got worse

27.3%8.6%Improving

Long-stay residents on antianxiety or sleep medication

25%53.1%Worsening

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%2.2%Worsening

Residents with new or worsening incontinence

8.8%33.8%Worsening

Residents with depressive symptoms

2.5%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

98%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

92%

Short-stay residents given the pneumonia vaccine

91.3%100%Improving

What the inspectors found

The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited October 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 609 — 42 CFR §483.12 — S/S: K

The home failed to respond appropriately to all reported abuse or neglect concerns. Cited October 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 610 — 42 CFR §483.12 — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 865 — 42 CFR §483.75 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $24,756 in total fines.

  • Federal fine

    Feb 8, 2024

    $13,787
  • Federal fine

    Oct 3, 2023

    $10,969

Operator & ownership

Ownership
For profit - Limited Liability company
Occupancy
52.3 residents on an average day (92% of 57 beds)
Resident voice
Resident council
Medicare history
Certified for 24 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.