Nursing HomeInspections

Southern Hills Specialty Care

Nursing home in Osceola, IA

Medicare & Medicaid certified3★ overall (CMS)

Call (641) 342-6061Send a messageMap ↗

Public-record details

Address
444 North West View Drive, Osceola, IA 50213
Phone
(641) 342-6061
Listed under
Nonprofit
Medicare CCN
165293
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
90
Average residents per day
84
Ownership
Nonprofit, corporation
Legal business name
Care Initiatives
Chain
Care Initiatives (43 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 9, 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 165293. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 21, 2025. CMS lists 8 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 12, 2023 to Aug 21, 2025): 3 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 21, 2025Protect 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
Aug 21, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 21, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Aug 21, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Aug 21, 2025Have a plan that describes the process for conducting QAPI and QAA activities.
Administration		F
Potential for more than minimal harm, widespread
Apr 10, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection		C
Potential for minimal harm, widespread
Sep 12, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Dec 12, 2023Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated

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 1 fine totalling $36,865 in the last three years.

Aug 18, 2024Fine: $36,865

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
3.38 hours
Registered nurse (RN) time per resident per day
0.60 hours
Nurse aide time per resident per day
2.18 hours
Total nurse staffing on weekends
2.97 hours
Nursing staff turnover (yearly)
40%
RN turnover (yearly)
56%
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.