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Care Initiatives nursing homes
43 nursing homes with 2,764 beds in Iowa (43).
CMS affiliated entity 106 · data as of September 1, 2026
The group's record in brief
CMS links 43 certified nursing homes in 1 state to Care Initiatives: 3 for profit, 40 nonprofit. 43 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 1,041 health citations; 59 citations were rated actual harm or immediate jeopardy, 17 of them immediate jeopardy. At their latest standard inspections the homes averaged 4.2 health deficiencies (national average 9.2).
18 homes in the group were fined in the last three years, $829,316 in all across 24 fines. Average nursing staff turnover across its homes was 41.7% (national 45.8%).
Staffing across the group
Daily payroll records from 43 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 14% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.34 | 3.75 |
| Registered nurses | 0.66 | 0.62 |
| Weekdays | 3.48 | 3.92 |
| Weekends | 2.98 | 3.33 |
| Share of nursing hours by contract staff | 0.0% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
How the group's homes are rated
43 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 2.9 overall, 2.6 health inspections, 3.7 staffing, 3.7 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 6 | |
| 4 of 5 | 9 | |
| 3 of 5 | 11 | |
| 2 of 5 | 10 | |
| 1 of 5 | 7 |
Across the group: 59 citations rated actual harm or immediate jeopardy, and an average of 3.35 nursing staff hours per resident per day (national 3.86).
Every home in the group
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.
Companies the CMS ownership file lists as owners of most of these homes: Care Initiatives.