CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1653902026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

State Center Specialty Care

702 Third Street Nw · State Center, IA 50247 · Marshall County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds39CMS provider file
Recent citation rows42current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-01-2252026-01-226
Cycle 22024-11-2182024-11-215
Cycle 32023-08-3072023-08-3011
02 / CITATION DETAIL

42 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-01-22 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2026-02-03
2026-01-22 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2026-02-03
2026-01-22 · HEALTHF0693Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure 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.

Correction field: Deficient, Provider has date of correction · 2026-02-03
2026-01-22 · HEALTHF0803Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure 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.

Correction field: Deficient, Provider has date of correction · 2026-02-03
2026-01-22 · FIREK0222Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Correction field: Deficient, Provider has date of correction · 2026-04-13
2026-01-22 · FIREK0223Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Correction field: Deficient, Provider has date of correction · 2026-02-04
2026-01-22 · FIREK0324Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has plan of correction
2026-01-22 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2026-04-13
2026-01-22 · FIREK0353Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2026-04-13
2026-01-22 · FIREK0920Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2026-02-04
2025-11-19 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction field: Deficient, Provider has date of correction · 2025-11-20 · complaint
2024-11-21 · FIREE0032Severity E · pattern; potential for more than minimal harm

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

Correction field: Deficient, Provider has date of correction · 2024-11-27
2024-11-21 · FIREE0039Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2024-11-27
2024-11-21 · HEALTHF0558Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Correction field: Deficient, Provider has date of correction · 2024-12-06
2024-11-21 · HEALTHF0582Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Correction field: Deficient, Provider has date of correction · 2024-12-06
2024-11-21 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2024-12-06
2024-11-21 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2024-12-06
2024-11-21 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2024-12-06
2024-11-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2024-12-06
2024-11-21 · HEALTHF0921Severity D · isolated; potential for more than minimal harm

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Correction field: Deficient, Provider has date of correction · 2024-12-06 · complaint
2024-11-21 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2024-11-27
2024-11-21 · FIREK0353Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2024-11-29
2024-11-21 · FIREK0923Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2024-11-27
2024-10-17 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2024-10-18 · complaint
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • CARE INITIATIVESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 07/01/2000
  • COMPUTERSHARE CORPORATE TRUST COMPANY, NAOrganization · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 01/01/2025
  • BEAL, MICHAELIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 06/01/2020
  • BOWEN, LANEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2021
  • CAROTHERS, MARY JANEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2023
  • CHILDS, KEVINIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 04/01/2023
  • CORLESS, PETERIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2025
  • KREIN, KEITHIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 06/29/2022
  • RUST, ELIZABETHIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2023
  • STURM, DENISEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2021
  • UPMEYER, LINDAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2021
  • BEAL, MICHAELIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/01/2020
  • DIXON, DAVIDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/01/2016
  • DRAKE, EMILYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/04/2023
  • GILYARD, TANYAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 05/23/2025
  • KUHN, JERAMYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/25/2008
  • MCDYER, JESSICAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 02/22/2023
  • VOLM, JOHANNAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2021

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.41per resident day
RN hours0.85per resident day
Weekend nurse hours3.18per resident day
Staff turnover40.0%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Iowa ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.