Nursing HomeInspections

State Center Specialty Care

Nursing home in State Center, IA

Medicare & Medicaid certified5★ overall (CMS)

Call (641) 384-5407Send a messageMap ↗

Public-record details

Address
702 Third Street NW, State Center, IA 50247
Phone
(641) 384-5407
Listed under
Nonprofit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
165390
Overall star rating
5 of 5 ★★★★★
Health inspection rating
3 of 5
Staffing rating
5 of 5
Quality measures rating
5 of 5
Certified beds
39
Average residents per day
33
Ownership
Nonprofit, corporation
Legal business name
Care Initiatives
Chain
Care Initiatives (43 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1998
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 165390. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 22, 2026. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 30, 2023 to Jan 22, 2026): 7 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jan 22, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 22, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 22, 2026Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 22, 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		E
Potential for more than minimal harm, pattern
Nov 19, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 21, 2024Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Nov 21, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Nov 21, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 21, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 21, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 21, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Nov 21, 2024Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 20. 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
3.41 hours
Registered nurse (RN) time per resident per day
0.85 hours
Nurse aide time per resident per day
2.34 hours
Total nurse staffing on weekends
3.18 hours
Nursing staff turnover (yearly)
40%
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.