What is Centerville Specialty Care's Medicare star rating?

CMS rates Centerville Specialty Care 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Centerville Specialty Care get at its last inspection?

5 health deficiencies at the standard inspection on December 4, 2025. The Iowa average is 6.5.

Has Centerville Specialty Care been fined?

CMS lists no fines in the last three years.

Does Centerville 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 Centerville Specialty Care?

CMS lists 23 owners and managers, and links the home to Care Initiatives. Legal business name: CARE INITIATIVES.

Centerville Specialty Care: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on December 4, 2025, inspectors cited 5 health deficiencies (the Iowa average is 6.5, the national average 9.2).

None of its 15 health citations since September 2023 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 3.24 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.

34.1% 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.

509/23

108/24

210/24

512/25

103/26

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 15 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

13D

Potential for minimal harm

March 25, 2026Complaint inspection · 1 citation

D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 2, 2026

Inspectors wroteBased on observations, clinical record review, review of facility policy, and staff interviews, the facility failed to ensure nursing staff performed hand hygiene between glove changes, and changed gloves between wounds to prevent cross contamination of wounds for 2 of 2 residents observed for wound care treatment (Resident #1 and #3). The facility reported a census of 41 residents.

December 4, 2025Standard inspection · 5 citations

D

Ensure that residents are fully informed and understand their health status, care and treatments.

F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 19, 2025

Inspectors wroteBased on clinical record review, policy review, and staff interview, the facility failed to carry out medication consents for residents to make informed decisions with regard to their care for 2 of 5 residents reviewed for medications(Residents #8 and #29). The facility reported a census of 38 residents.
D

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

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 19, 2025

Inspectors wroteBased on clinical record review, policy review, and staff interviews, the facility failed to carry out assessments and interventions after high blood sugar readings for 1 of 2 residents(Resident #29) reviewed for insulin(an injectable medication used to lower blood sugar). The facility reported a census of 38 residents.
D

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

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 19, 2025

Inspectors wroteBased on observation, clinical record review, policy review, and resident and staff interviews, the facility failed to carry out fall interventions(the use of a gait belt) in order to prevent a fall for 1 of 4 residents reviewed for falls(Resident #5). The facility reported a census of 38 residents.
D

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.

F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 19, 2025

Inspectors wroteBased on observation, policy review, and staff interview, the facility failed to ensure residents on a mechanical soft and pureed diet received the correct portions for 5 of 5 residents and failed to follow the menu for 3 of 3 residents reviewed. The facility reported a census of 38 residents.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 19, 2025

Inspectors wroteBased on observations, staff interviews, and policy review, the facility failed to implement the Infection Prevention and Control Program (IPCP) by staff wearing Personal Protective Equipment (PPE) in the hall after resident care and by allowing the indwelling catheter tubing to contact the floor during resident transport in a wheelchair. The facility reported a census of 38 residents.

October 17, 2024Standard inspection · 2 citations

E

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 31, 2024

Inspectors wroteBased on observation, clinical record review, policy review and staff interview, the facility failed to ensure adequate kitchen sanitation and food handling for 2 of 2 visits to the kitchen. The facility reported a census of 36 residents.
D

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.

F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2024

Inspectors wroteBased on observation, policy review, and staff interview, the facility failed to ensure 1 of 1 residents on a pureed diet received the correct portion and texture. The facility reported a census of 36 residents.

August 22, 2024Complaint inspection · 1 citation

D

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

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on clinical record review, staff interviews, and policy review the facility failed to ensure each resident was treated with respect and dignity while interacting with 1 of 3 residents reviewed. (Resident #1) The facility reported census was 40.

August 1, 2024Complaint inspection · 1 citation

D

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

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 2, 2024

Inspectors wrote483.25 Quality of care Quality of care is a fundamental principle that applies to all treatment and care provided to facility residents. Based on the comprehensive assessment of a resident, the facility must ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. Based on clinical record review and staff interviews, the facility failed to ensure residents are appropriately assessed and provided interventions to maintain their optimal health and well being for 2 of 4 residents reviewed. (Resident #5, #6) The facility reported census was 45.

September 18, 2023Standard inspection · 5 citations

E

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 9, 2023

Inspectors wroteBased on observation, policy review, resident representative interview, and staff interview, the facility failed to ensure the provision of housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 3 of 24 residents reviewed (Residents #9, #12, #39) for the environment. The facility reported a census of 51 residents.
D

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

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 9, 2023

Inspectors wroteBased on observation, staff interviews, resident interviews, record review and policy review the facility failed to follow professional standards of medication administration for 3 of 7 residents reviewed. (Resident #2, #5, #37). The facility reported a census of 51. Findings Include: On 9/12/23 at 8:50 AM, Staff #C Licensed Practical Nures (LPN) prepared two syringes of Levimer insulin. One syringe of 50 units and one syringe of 5 units. Observed Staff C gave two insulin injections to Resident #37, one syringe of 50 units, one syringe of 5 units. On 9/12/23 at 8:50 AM, Staff C reported the facility is out of stock of the large insulin syringe. Staff C state that Resicent#37 gets injected twice as a result of not having stock of the larger insulin syringe required for one injection. [...]
D

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 9, 2023

Inspectors wroteBased on resident interview, staff interview, record review, and policy review, the facility failed to provide bathing needs for 2 of 3 residents reviewed for Activities of Daily Living (#2, #7). The facility reported a census of 51.
D

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

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 9, 2023

Inspectors wroteBased on observation, clinical record review, policy review, resident interview, and staff interview, the facility failed to ensure residents could safely administer medications for 1 of 24 residents (Resident #1). The facility reported a census of 51 residents. Findings Include: 1. The Quarterly Minimum Data Set (MDS) assessment tool, dated 8/24/23, listed diagnoses for Resident #1 which included anxiety, depression, and post traumatic stress disorder. The MDS listed the resident's Brief Interview for Mental Status (BIMS) score as 15 out of 15, which indicated intact cognition. The facility policy, Administering Medications, revised April 2019, stated medications were administered in a safe and timely manner and stated a resident may self-administer their own medications only if the physician determined that they had the decision-making capacity to do so safely. [...]
D

Make sure that a working call system is available in each resident's bathroom and bathing area.

F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 9, 2023

Inspectors wroteBased on observation, clinical record review, policy review, resident interview, and staff interview, the facility failed to ensure call light devices were accessible for 3 of 24 residents observed for call systems (Residents #3, #27, and #37). The facility reported a census of 51 residents. Findings Include: 1. The Quarterly Minimum Data Set(MDS) assessment tool, dated 8/31/23, listed diagnoses for Resident #3 which included heart failure, diabetes, and abnormalities of gait and mobility. The MDS stated the resident required extensive assistance of 1 staff for bed mobility, extensive assistance of 2 staff for transfers, walking, and toilet use, completely depended on 1 staff for dressing and personal hygiene, and completely depended on 2 staff for bathing. [...]

Fire safety inspections

38 fire safety citations on file: 9 on October 17, 2024, 13 on September 18, 2023, 16 on July 9, 2022.

Every fire safety citation38 citations

F
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · October 17, 2024 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · October 17, 2024 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · October 17, 2024 · Corrected (the home has a date of correction)
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · October 17, 2024 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · October 17, 2024 · Corrected (the home has a date of correction)
D
Use approved construction type or materials.

K 161 · October 17, 2024 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · October 17, 2024 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · October 17, 2024 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · October 17, 2024 · Corrected (the home has a date of correction)
F
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · September 18, 2023 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · September 18, 2023 · Corrected (the home has a date of correction)
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · September 18, 2023 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · September 18, 2023 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · September 18, 2023 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · September 18, 2023 · Corrected (the home has a date of correction)
D
Use approved construction type or materials.

K 161 · September 18, 2023 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · September 18, 2023 · Corrected (the home has a date of correction)
D
Install an approved automatic sprinkler system.

K 351 · September 18, 2023 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · September 18, 2023 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · September 18, 2023 · Corrected (the home has a date of correction)
D
Meet requirements for the use and maintenance of medical gas equipment.

K 922 · September 18, 2023 · Corrected (the home has a date of correction)
D
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

K 929 · September 18, 2023 · Corrected (the home has a date of correction)
F
List the names and contact information of those in the facility.

E 30 · July 9, 2022 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · July 9, 2022 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · July 9, 2022 · Corrected (the home has a date of correction)
F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.

K 346 · July 9, 2022 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · July 9, 2022 · Corrected (the home has a date of correction)
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · July 9, 2022 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · July 9, 2022 · Corrected (the home has a date of correction)
E
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · July 9, 2022 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · July 9, 2022 · Corrected (the home has a date of correction)
E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

K 362 · July 9, 2022 · Corrected (the home has a date of correction)
D
Use approved construction type or materials.

K 161 · July 9, 2022 · Corrected (the home has a date of correction)
D
Have properly located and lighted "Exit" signs.

K 293 · July 9, 2022 · Corrected (the home has a date of correction)
D
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · July 9, 2022 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · July 9, 2022 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · July 9, 2022 · Corrected (the home has a date of correction)
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · July 9, 2022 · Corrected (the home has a date of correction)

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)	3.24	3.82	3.86
Registered nurses	0.58	0.74	0.69
All nursing staff on weekends	2.82	3.37	3.42
Nurse aides	1.80
Licensed practical nurses	0.86
Nursing staff turnover (share who left in a year)	34.1%	44.0%	45.8%
Registered nurse turnover	20.0%	42.1%	42.9%
Administrators who left	1

CMS expects 3.38 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 3.41 on weekdays and 2.82 on weekends, 17% 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 3.46 in April to June 2025 to 3.24 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	3.24	0.58	3.41	2.82	0.0%	0 of 90	42
Oct to Dec 2025	3.29	0.53	3.51	2.75	0.0%	0 of 92	39
Jul to Sep 2025	3.58	0.47	3.78	3.09	0.0%	2 of 92	35
Apr to Jun 2025	3.46	0.44	3.67	2.94	0.0%	3 of 91	39
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Iowa

Job	Median	Middle half	Employed
Iowa, all employers
CNAs (nursing assistants)	$18.92	$17.96 to $21.95	22,670
LPNs and LVNs	$30.11	$27.12 to $34.06	5,510
Registered nurses	$37.80	$32.83 to $41.32	34,420
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

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	10.1	17.1	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.6	1.5	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	2.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	7.8	3.8	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.7	2.1	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	16.7	16.6	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.2	4.2	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	8.5	19.4	15.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Centerville Specialty Care's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (59.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

59.3% this home

No different from the national rate

US median of homes 51.5% · Iowa: 28 better, 21 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 27 eligible stays.

Potentially preventable readmissions

11.9% this home

No different from the national rate

US median of homes 10.7% · Iowa: 1 better, 1 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 39 eligible stays.