GoodStanding

Nursing home report

Wapello Specialty Care

Wapello, IA · Medicare-certified · 49 beds

In good standing
Non-profitChain member
5 of 5 overall

Wapello Specialty Care in Wapello, IA has a 5 of 5 star overall rating, with 5-star staffing and quality measures but a 3-star health inspection rating. Reported nurse staffing is 3.38 hours per resident per day, below the 4.1 federal benchmark, and it had $0 in fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.3828 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 3.3828.

Staffing detail

Registered nurses
1.11
Licensed practical nurses
0.07
Nurse aides
2.20
Weekend nursing
3.02

Hours per resident per day.

Total staff turnover: 28%
Registered nurse turnover: 10%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

7.3%Steady

Residents with a fall causing major injury

0.8%Worsening

Residents with pressure ulcers (bedsores)

9.4%Steady

Residents with a urinary tract infection

0.8%Worsening

Residents who lost too much weight

3.4%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

11.6%Improving

Residents whose ability to walk got worse

11.6%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

19.1%Worsening

Short-stay residents newly given an antipsychotic

1%Worsening

Residents with a long-term catheter

2%Worsening

Residents with new or worsening incontinence

27.2%Improving

Residents with depressive symptoms

0%Steady

Long-stay residents given the seasonal flu vaccine

97.6%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

92.9%Steady

Short-stay residents given the pneumonia vaccine

90.1%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 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

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

  1. STAFFING

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

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 payment denial.

  • Medicare/Medicaid payment denial

    Sep 21, 2023

    35 days

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
Occupancy
40.7 residents on an average day (83% 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.