Nursing HomeInspections

Bedford Specialty Care

Nursing home in Bedford, IA

Medicare & Medicaid certified4★ overall (CMS)

Call (712) 523-2161Send a messageMap ↗

Public-record details

Address
1005 West Pearl, Bedford, IA 50833
Phone
(712) 523-2161
Listed under
Nonprofit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
165292
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
39
Average residents per day
29
Ownership
Nonprofit, corporation
Legal business name
Care Initiatives
Chain
Care Initiatives (43 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 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 165292. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 31, 2025. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 14, 2024 to Jul 31, 2025): 5 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 31, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 19, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 19, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
May 2, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights		D
Potential for more than minimal harm, isolated
May 2, 2024Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights		D
Potential for more than minimal harm, isolated
May 2, 2024Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 2, 2024Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
May 2, 2024Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws,…
Administration		D
Potential for more than minimal harm, isolated
May 2, 2024Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Mar 14, 2024Protect 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 14, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 14, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 14. 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 Aug 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 Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.72 hours
Registered nurse (RN) time per resident per day
0.41 hours
Nurse aide time per resident per day
2.34 hours
Total nurse staffing on weekends
3.55 hours
Nursing staff turnover (yearly)
28%
Administrators who left in the past year
0

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.