Nursing HomeInspections

Stratford Specialty Care

Nursing home in Stratford, IA

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
1200 Highway 175 East, Stratford, IA 50249
Phone
(515) 612-1542
Listed under
Nonprofit, No fines or payment denials in 3 years
Medicare CCN
165270
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
53
Average residents per day
38
Ownership
Nonprofit, corporation
Legal business name
Care Initiatives
Chain
Care Initiatives (43 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 1996
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165270. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 9, 2026. CMS lists 36 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 6, 2023 to Jul 9, 2026): 21 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 9, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jul 9, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jul 9, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jul 9, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 9, 2026Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jul 9, 2026Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jul 9, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 9, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 9, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
Jul 9, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 9, 2026Have a plan that describes the process for conducting QAPI and QAA activities.
Administration		E
Potential for more than minimal harm, pattern
Dec 4, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 36. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.66 hours
Registered nurse (RN) time per resident per day
0.91 hours
Nurse aide time per resident per day
2.31 hours
Total nurse staffing on weekends
3.12 hours
Nursing staff turnover (yearly)
51%
RN turnover (yearly)
67%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error