The home failed to ensure it was properly licensed and following all required laws, rules, and professional standards. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 836 — 42 CFR §483.70(a) — S/S: F
Nursing home report
Titonka Care Center
Titonka, IA · Medicare-certified · 26 beds
In good standing
Non-profit
4 of 5 overall
Titonka Care Center in Titonka, IA has a 4-star overall rating, with strong staffing and quality ratings but a weaker 2-star health inspection rating. It reported 3.92 nurse staffing hours per resident per day, below the 4.1 federal benchmark, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9212 hrs/resident/day
Quality measures
Last inspection: April 17, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9212.
Staffing detail
- Registered nurses
- 1.20
- Licensed practical nurses
- 0.49
- Nurse aides
- 2.23
- Weekend nursing
- 2.96
Hours per resident per day.
Total staff turnover: 36%
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
—11.8%—
Residents with a fall causing major injury
0%5%Worsening
Residents with pressure ulcers (bedsores)
7.3%6.3%Improving
Residents with a urinary tract infection
0%5%Worsening
Residents who lost too much weight
0%5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—15.7%—
Residents whose ability to walk got worse
—17.5%—
Long-stay residents on antianxiety or sleep medication
35%25%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
—14.1%—
Residents with depressive symptoms
—7.5%—
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
—81.8%—
Long-stay residents given the pneumonia vaccine
75%80%Improving
Short-stay residents given the pneumonia vaccine
—84.4%—
What the inspectors found
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 April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited May 2024 — widespread issue, potential for harm.
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F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to ensure its staff were vaccinated for COVID-19. Cited February 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 888 — 42 CFR §483.80 — S/S: E
The home failed to tell residents or their representatives in writing how long their bed would be held after a hospital transfer or therapeutic leave. Cited April 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 625 — 42 CFR §483.15 — 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 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 19.9 residents on an average day (77% of 26 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 25 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.