GoodStanding

Nursing home report

Titonka Care Center

Titonka, IA · Medicare-certified · 26 beds

In good standing
Non-profit
Data as of July 1, 2026
5 of 5 overall

Titonka Care Center has an overall 5 out of 5 stars, with strong staffing and no fines in the last 24 months. Its reported nurse staffing is 4.15 hours per resident per day, slightly above the federal benchmark of 4.1, and its health inspection and quality measures are both 4 out of 5 stars.

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Facility ratings

Health inspections

Staffing

4.1496 hrs/resident/day

Quality measures

Last inspection: April 30, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1496.

Staffing detail

Registered nurses
1.04
Licensed practical nurses
0.58
Nurse aides
2.53
Weekend nursing
3.23

Hours per resident per day.

Total staff turnover: 25%
Registered nurse turnover: 20%

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

—14.5%—

Residents with a fall causing major injury

—5%—

Residents with pressure ulcers (bedsores)

—6.3%—

Residents with a urinary tract infection

—5%—

Residents who lost too much weight

—5%—

Residents who were physically restrained

—0%—

Residents needing more help with daily activities

—14.5%—

Residents whose ability to walk got worse

—18.6%—

Long-stay residents on antianxiety or sleep medication

—25%—

Residents with a long-term catheter

—0%—

Residents with new or worsening incontinence

—14.8%—

Residents with depressive symptoms

—4.3%—

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

—80%—

Short-stay residents given the pneumonia vaccine

—87.9%—

What the inspectors found

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

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.

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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 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.

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F-Tag 625 — 42 CFR §483.15 — S/S: D

The nursing home failed to provide services that met professional standards of quality. Cited April 2025 — isolated incident, potential for harm.

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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. STAFFING

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

  3. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
20.1 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.

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Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.