Eldora Specialty Care
1510 22nd Street, Eldora, IA 50627 · Hardin County · (641) 939-3491
46 certified beds, about 37 residents a day · Non profit - Corporation · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165316 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 11, 2025, inspectors cited 3 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 7 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $6,030 in the last three years; the largest was $6,030, and the latest is dated June 15, 2026.
Nurses and nurse aides worked 3.56 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
38.5% 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.
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 7 health citations on file.
June 15, 2026Complaint inspection · 3 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on clinical record review, facility investigation review, staff interviews and policy review, the facility failed to protect residents from verbal and physical abuse by a staff member for 3 of 3 residents reviewed for abuse (Residents #1, #5, #6). The facility reported a census of 36 residents.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review, staff interviews and policy review, the facility failed to notify the Physician and family of an allegation of abuse for 2 of 2 resident reviewed (Resident #1 and #5). The facility reported a census of 36 residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interviews, facility investigation review, clinical record review and policy review the facility failed to notify DIAL (Department of inspection, appeals and licensing) and Law Enforcement of an alleged verbal and physical abuse for Resident #1 that occurred on 6/4/26 at approximately 1:30 PM in a timely manner. The CNA (Certified Nursing Assistant) reported she told the DON (Director of Nursing) and Administrator of the allegations of abuse at 3 PM on 6/4/26. The facility reported the incident to DIAL on 6/8/26 at 4:25 PM after DIAL entered the building and reported an allegation of abuse. In addition, the facility failed to report an allegation of physical abuse for Resident #5 that occurred on 5/18/26 at approximately 10:30 AM. The facility reported a census of 36 residents.
December 11, 2025Standard inspection · 3 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review, staff interview and policy review, the facility failed to submit a Level II Preadmission Screening and Resident Review (PASRR) evaluation for 1 of 1 resident reviewed with a new mental health diagnosis (Resident #1). The facility reported a census of 35 residents.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on clinical record review, resident interview, staff interview and policy review, the facility failed to assist 1 of 1 resident (Resident #10) in obtaining routine dental care. The facility reported a census of 35 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interviews and policy review, the facility failed to implement enhanced barrier precautions (EBP) while administering medication via a peg (feeding) tube for 1 of 2 residents reviewed for EBP (Resident #3). The facility reported a census of 35 residents.
December 12, 2024Standard inspection · 1 citation
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to submit a Level II Preadmission Screening and Resident Review (PASRR) evaluation for 1 of 1 residents reviewed with a new mental health diagnosis (Resident #24). The facility reported a census of 35 residents.
January 4, 2024Standard inspection · 0 citations
Fire safety inspections
17 fire safety citations on file: 7 on December 11, 2025, 8 on December 12, 2024, 2 on January 4, 2024.
Every fire safety citation17 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure proper usage of power strips and extension cords.
- D Provide primary/alternate means for communication.
- D Conduct testing and exercise requirements.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Conduct testing and exercise requirements.
- F Have exits that are accessible at all times.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly provide smoke detection systems in areas open to corridors.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure proper usage of power strips and extension cords.
- F Conduct testing and exercise requirements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 15, 2026 | Fine | $6,030 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.56 | 3.82 | 3.86 |
| Registered nurses | 0.64 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.34 | 3.37 | 3.42 |
| Nurse aides | 2.14 | ||
| Licensed practical nurses | 0.78 | ||
| Nursing staff turnover (share who left in a year) | 38.5% | 44.0% | 45.8% |
| Registered nurse turnover | 20.0% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.35 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 3.65 on weekdays and 3.34 on weekends, 8% 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 3.47 in April to June 2025 to 3.56 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 | 3.56 | 0.64 | 3.65 | 3.34 | 0.0% | 0 of 90 | 37 |
| Oct to Dec 2025 | 3.73 | 0.64 | 3.80 | 3.53 | 0.0% | 0 of 92 | 34 |
| Jul to Sep 2025 | 3.49 | 0.61 | 3.65 | 3.08 | 0.0% | 0 of 92 | 38 |
| Apr to Jun 2025 | 3.47 | 0.56 | 3.66 | 3.01 | 0.0% | 0 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.
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 | 12.2 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 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 | 2.1 | 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 | 14.9 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 40.0 | 19.4 | 15.4 |
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% | 11/12/2010 |
| 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 | 06/29/2022 | |
| Rust, Elizabeth | Corporate director | Individual | 01/01/2023 | |
| Sturm, Denise | Corporate director | Individual | 01/01/2021 | |
| Upmeyer, Linda | Corporate director | Individual | 01/01/2022 | |
| 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 | 05/23/2025 | |
| Kuhn, Jeramy | Corporate officer | Individual | 06/25/2008 | |
| McDyer, Jessica | Corporate officer | Individual | 02/22/2023 | |
| Volm, Johanna | Corporate officer | Individual | 01/01/2021 | |
| Mahler, Carla | Operational/managerial control | Individual | 01/01/2024 | |
| Oben, Patrick | Operational/managerial control | Individual | 01/01/2024 | |
| Snyder, Jamie | Operational/managerial control | Individual | 02/01/2025 | |
| Computershare Corporate Trust Company, Na | Adp of the SNF | Organization | 04/12/2025 | |
| Oben, Patrick | Adp of the SNF | Individual | 07/20/2025 | |
| Snyder, Jamie | Adp of the SNF | Individual | 04/13/2025 |
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 2 problems in this area, most recently on June 15, 2026: "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 December 11, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 15, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on December 11, 2025: "Provide or obtain dental services for each resident."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.34 hours per resident per day, below the Iowa average of 3.37.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Hubbard Care Center Hubbard, 9.9 mi · 5 of 5 stars · 3 citations
- The Village of Ackley Ackley, 13.8 mi · 3 of 5 stars · 33 citations
- Scenic Manor Iowa Falls, 14 mi · 5 of 5 stars · 7 citations
- Oakview Nursing Home Conrad, 15.6 mi · 3 of 5 stars · 5 citations
- Zearing Health Care, LLC Zearing, 16.4 mi · 2 of 5 stars · 14 citations
- Grundy Care Center Grundy Center, 17.8 mi · 2 of 5 stars · 35 citations
- Creekside Grundy Center, 18.2 mi · 5 of 5 stars · 2 citations
- Maple Manor Village Aplington, 19.7 mi · 4 of 5 stars · 7 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 Eldora Specialty Care's Medicare star rating?
- CMS rates Eldora Specialty Care 3 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Eldora Specialty Care get at its last inspection?
- 3 health deficiencies at the standard inspection on December 11, 2025. The Iowa average is 6.5.
- Has Eldora Specialty Care been fined?
- Yes. CMS lists 1 fine totaling $6,030 in the last three years.
- Does Eldora 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 Eldora Specialty Care?
- CMS lists 24 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.