CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1654522026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Wapello Specialty Care

601 Highway 61 South · Wapello, IA 52653 · Louisa County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds49CMS provider file
Recent citation rows34current CMS citation release
Penalty rows1current 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 12025-11-2012025-11-201
Cycle 22024-10-0352024-10-032
Cycle 32023-09-21232023-09-212
02 / CITATION DETAIL

34 rows in the current release

3 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-11-20 · 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 · 2025-12-02
2025-11-20 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2025-12-19
2024-10-03 · 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 · 2024-10-17
2024-10-03 · 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 · 2024-10-17 · complaint
2024-10-03 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2024-10-17 · complaint
2024-10-03 · HEALTHF0690Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction field: Deficient, Provider has date of correction · 2024-10-17
2024-10-03 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2024-10-17 · complaint
2024-10-03 · 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 · 2024-10-09
2024-10-03 · FIREK0511Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2024-10-15
2024-04-11 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2024-04-24 · complaint
2024-04-11 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2024-04-24 · complaint
2024-04-11 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2024-04-24 · complaint
2023-09-21 · 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 · 2023-10-20
2023-09-21 · HEALTHF0554Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

Correction field: Deficient, Provider has date of correction · 2023-10-20
2023-09-21 · HEALTHF0578Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Correction field: Deficient, Provider has date of correction · 2023-11-29 · complaint
2023-09-21 · 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 · 2023-10-20
2023-09-21 · HEALTHF0622Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Correction field: Deficient, Provider has date of correction · 2023-10-20 · complaint
2023-09-21 · HEALTHF0637Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

Correction field: Deficient, Provider has date of correction · 2023-11-29
2023-09-21 · HEALTHF0638Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

Correction field: Deficient, Provider has date of correction · 2023-11-29
2023-09-21 · HEALTHF0640Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Correction field: Deficient, Provider has date of correction · 2023-10-20
2023-09-21 · HEALTHF0644Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Correction field: Deficient, Provider has date of correction · 2023-11-29
2023-09-21 · HEALTHF0645Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Correction field: Deficient, Provider has date of correction · 2023-10-20
2023-09-21 · HEALTHF0657Severity E · pattern; 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 · 2023-10-20
2023-09-21 · 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 · 2023-10-20
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
2023-09-21Payment Denial$035
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • CARE INITIATIVESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 11/12/2010
  • 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 06/29/2022
  • 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 hours1.10per resident day
Weekend nurse hours3.03per resident day
Staff turnover37.2%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.