Nursing HomeInspections

Titonka Care Center

Nursing home in Titonka, IA

Medicare & Medicaid certified5★ overall (CMS)

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Public-record details

Address
312 First Avenue NW, Titonka, IA 50480
Phone
(515) 928-2600
Listed under
Nonprofit, 4–5 star overall rating, No fines or payment denials in 3 years
Medicare CCN
165431
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
5 of 5
Quality measures rating
3 of 5
Certified beds
26
Average residents per day
20
Ownership
Nonprofit, corporation
Legal business name
Titonka Community Rest Home, INC.
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 12, 2000
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 165431. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Apr 30, 2026. CMS lists 9 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 2, 2024 to Apr 17, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 17, 2025Notify 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
Apr 17, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 17, 2025Provide 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
Apr 17, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 17, 2025Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 17, 2025Ensure 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		F
Potential for more than minimal harm, widespread
Apr 17, 2025Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread
May 2, 2024Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration		F
Potential for more than minimal harm, widespread
May 2, 2024Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread

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
4.22 hours
Registered nurse (RN) time per resident per day
1.06 hours
Nurse aide time per resident per day
2.55 hours
Total nurse staffing on weekends
3.35 hours
Nursing staff turnover (yearly)
33%
RN turnover (yearly)
50%

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