Bedford Specialty Care
1005 West Pearl, Bedford, IA 50833 · Taylor County · (712) 523-2161
39 certified beds, about 29 residents a day · Non profit - Corporation · Medicare and Medicaid since 1996
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165292 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 31, 2025, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).
None of its 14 health citations since March 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.72 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.
27.6% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Care Initiatives, an affiliated group of 43 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
503/24
605/24
209/24
107/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
1E
0F
Potential for minimal harm
0A
0B
0C
July 31, 2025Standard inspection · 1 citation
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview and clinical record review the facility failed to destroy discontinued Controlled Substances (high potential for abuse) for 2 of 4 residents reviewed (Residents #2 and #6.) The facility reported a census of 30 residents.
September 19, 2024Standard inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, clinical record review, staff interviews, and policy review, the facility failed to develop and implement a comprehensive person-centered care plan for 1 (Resident #28) of 12 residents reviewed for care plans. The facility reported a census of 29 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interviews the facility failed to provide appropriate infection prevention practices by contaminating clean surfaces with contaminated gloves and not completing hand hygiene in accordance with standards of practice for 2 of 5 residents (Resident #25 and #28) reviewed. The facility reported a census of 29 residents.
May 2, 2024Standard inspection · 6 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, staff interviews, and policy review the facility failed to perform on-going Infection Control surveillance and failed to perform appropriate hand hygiene for 1 of 5 residents (Resident #77) during resident care. The facility reported a census of 26 residents.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review, facility record review, staff interview, and policy review the facility failed to notify the Long-Term Care Ombudsman of discharge/transfer of residents as required for 2 of 3 residents reviewed who were discharged or transferred from the facility (Residents #14, and #22). The facility reported a census of 26 residents.
- D Notify 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.
Inspectors wroteBased on resident interview, clinical record review, facility record review, staff interview, and policy review the facility failed to provide the resident or resident representative with a bed-hold notice at the time of transfer for hospitalization as required for 2 of 3 residents (Residents #14, and #77). The facility reported a census of 26 residents.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on clinical record review, staff interview, and policy review the facility failed to complete a significant change Minimum Data Set (MDS) within 14 days for a resident placed on hospice care for 1 of 2 residents (Resident #18) reviewed. The facility reported a census of 26.
- D Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on facility document review and staff interview the facility failed to provide Registered Nurse (RN) coverage eight consecutive hours a day, seven days a week. The facility reported a census of 26.
- D Ensure 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, regulations, and codes, and with accepted professional standards.
Inspectors wroteBased on clinical record review, facility document review, and staff interview, the facility failed to report a Veterans Affairs (VA) eligible resident to the Iowa Department of Veterans Affairs (IDVA) within 30 days of admission for 1 of 10 residents (#6) reviewed. The facility reported a census of 26 residents.
March 14, 2024Complaint inspection · 5 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview with residents and staff, record review and policy review the facility failed to keep residents safe from sexual exploitation for 1 of 5 residents reviewed. Resident #5 participated in mental health group sessions at the hospital three times a week. The hospital provided transportation to and from the sessions and the driver became intimate with Resident #5. The facility reported a census of 26 residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record and policy review and interviews the facility failed to report potential abuse for 2 of 5 residents reviewed. Resident's #6 and #9 reported to staff that another resident had made sexual advances toward them. Staff failed to report these concerns to the proper state agency. The facility reported a census of 26 residents.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview, record review and policy review the facility failed to investigate injuries consistent with abuse for 1 of 3 residents reviewed (Resident #2). Resident #2 sustained a femur fracture and scattered bruising, the facility failed to investigate these injuries. The facility reported a census of 26 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review the facility failed to adequately monitor and intervene for 3 of 3 residents reviewed (Residents #2, #6 and #9). Resident #2 had fluctuating oxygen saturation, with supplemental oxygen as needed. Staff failed to assess the resident's oxygen status for a period of 4 days. Residents #6 and #9 reported to staff that a male resident made unwanted advances towards them. Staff failed to investigate and assess the residents. The facility reported a census of 26 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review the facility failed to prevent accidents for 1 of 3 residents reviewed (Resident #2). On 2/7/24, staff sent Resident #2 to the emergency room due to abdominal pain, and an X-Ray exam revealed that the resident had a fracture to the right femur. The facility failed to investigate the injury of unknown origin. Staff transferred Resident #2 with the use of a mechanical lift, sit to stand. They kept the resident in the standing position on the lift while they cleaned his gluteal area of bowel movement (BM), and the resident became fatigued and had difficulty standing. The facility reported a census of 26 residents.
Fire safety inspections
19 fire safety citations on file: 3 on July 31, 2025, 7 on September 19, 2024, 9 on May 2, 2024.
Every fire safety citation19 citations
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E 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.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install emergency lighting that can last at least 1 1/2 hours.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.72 | 3.82 | 3.86 |
| Registered nurses | 0.41 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.55 | 3.37 | 3.42 |
| Nurse aides | 2.34 | ||
| Licensed practical nurses | 0.96 | ||
| Nursing staff turnover (share who left in a year) | 27.6% | 44.0% | 45.8% |
| Registered nurse turnover | not reported | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.28 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.79 on weekdays and 3.55 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.39 in April to June 2025 to 3.72 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.72 | 0.41 | 3.79 | 3.55 | 0.0% | 0 of 90 | 29 |
| Oct to Dec 2025 | 3.73 | 0.39 | 3.75 | 3.68 | 0.0% | 0 of 92 | 27 |
| Jul to Sep 2025 | 3.71 | 0.53 | 3.85 | 3.36 | 0.0% | 0 of 92 | 31 |
| Apr to Jun 2025 | 3.39 | 0.45 | 3.48 | 3.16 | 0.0% | 0 of 91 | 32 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.1 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.9 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 11.4 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.6 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.4 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.9 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.8 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 2.1 | 1.8 |
Owners and operators
Legal business name: CARE INITIATIVES. CMS links this home to Care Initiatives, a group of 43 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Care Initiatives | 5% or greater direct ownership interest | Organization | 100% | 10/01/2009 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | Organization | 02/01/2025 | |
| Beal, Michael | Corporate director | Individual | 06/01/2020 | |
| Bowen, Lane | Corporate director | Individual | 01/01/2021 | |
| Carothers, Mary Jane | Corporate director | Individual | 01/01/2023 | |
| Childs, Kevin | Corporate director | Individual | 04/01/2023 | |
| Corless, Peter | Corporate director | Individual | 01/01/2025 | |
| Krein, Keith | Corporate director | Individual | 01/01/2023 | |
| Rust, Elizabeth | Corporate director | Individual | 01/01/2023 | |
| Sturm, Denise | Corporate director | Individual | 01/01/2021 | |
| Upmeyer, Linda | Corporate director | Individual | 01/01/2023 | |
| Beal, Michael | Corporate officer | Individual | 06/01/2020 | |
| Dixon, David | Corporate officer | Individual | 06/01/2016 | |
| Drake, Emily | Corporate officer | Individual | 01/04/2023 | |
| Gilyard, Tanya | Corporate officer | Individual | 02/23/2025 | |
| Kuhn, Jeramy | Corporate officer | Individual | 06/25/2008 | |
| McDyer, Jessica | Corporate officer | Individual | 02/22/2023 | |
| Boeve, Destiny | Operational/managerial control | Individual | 01/01/2024 | |
| Gijima, Desire | Operational/managerial control | Individual | 01/01/2024 | |
| Rinner, Megan | Operational/managerial control | Individual | 05/15/2025 | |
| Computershare Corporate Trust Company, Na | Adp of the SNF | Organization | 03/28/2025 | |
| Gijima, Desire | Adp of the SNF | Individual | 01/01/2024 | |
| Rinner, Megan | Adp of the SNF | Individual | 04/02/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on March 14, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on September 19, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on September 19, 2024: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 2, 2024: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
Other nursing homes nearby
- Lenox Care Center Lenox, 17.2 mi · 3 of 5 stars · 28 citations
- Azria Health Clarinda Clarinda, 17.3 mi · 2 of 5 stars · 13 citations
- Worth County Convalescent Center Grant City, 20.9 mi · 3 of 5 stars · 17 citations
- Good Samaritan - Villisca Villisca, 22.6 mi · 3 of 5 stars · 18 citations
- Corning Specialty Care Corning, 22.6 mi · 4 of 5 stars · 19 citations
- Maryville Rehabilitation & Health Care Center Maryville, 23.3 mi · 1 of 5 stars · 47 citations
- Village Care Center Inc Maryville, 23.9 mi · 3 of 5 stars · 29 citations
- Parkdale Manor Health & Rehabilitation Maryville, 24.7 mi · 2 of 5 stars · 52 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Bedford Specialty Care's Medicare star rating?
- CMS rates Bedford Specialty Care 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bedford Specialty Care get at its last inspection?
- 1 health deficiency at the standard inspection on July 31, 2025. The Iowa average is 6.5.
- Has Bedford Specialty Care been fined?
- CMS lists no fines in the last three years.
- Does Bedford Specialty Care accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Bedford Specialty Care?
- CMS lists 23 owners and managers, and links the home to Care Initiatives. Legal business name: CARE INITIATIVES.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.