The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Wapello Specialty Care
Wapello, IA · Medicare-certified · 49 beds
In good standing
Non-profitChain member
Data as of July 1, 2026
5 of 5 overall
Wapello Specialty Care in Wapello, IA has an overall 5-star rating, with 5 stars for staffing and quality measures but 3 stars for health inspections. It reported 3.41 nurse staffing hours per resident per day, below the federal benchmark of 4.1, and had $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.4139 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4139.
Staffing detail
- Registered nurses
- 1.10
- Licensed practical nurses
- 0.08
- Nurse aides
- 2.23
- Weekend nursing
- 3.03
Hours per resident per day.
Total staff turnover: 37%
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
—8.3%—
Residents with a fall causing major injury
0%5.6%Worsening
Residents with pressure ulcers (bedsores)
12.3%7.7%Improving
Residents with a urinary tract infection
0%2.8%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.5%12%Worsening
Residents whose ability to walk got worse
—17.6%—
Long-stay residents on antianxiety or sleep medication
14.3%7.4%Improving
Short-stay residents newly given an antipsychotic
0%3%Worsening
Residents with a long-term catheter
0%1.7%Worsening
Residents with new or worsening incontinence
18%24.7%Worsening
Residents with depressive symptoms
0%6.2%Worsening
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
—97.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—92.9%—
Short-stay residents given the pneumonia vaccine
100%90%Worsening
What the inspectors found
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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 September 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
Recent history
- 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 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 35 days
Medicare/Medicaid payment denial
Sep 21, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CARE INITIATIVES · 43 homes · 3 stars avg
- Occupancy
- 38.8 residents on an average day (79% of 49 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.