Lamoni Specialty Care
215 South Oak Street Box C, Lamoni, IA 50140 · Decatur County · (641) 784-3388
43 certified beds, about 32 residents a day · Non profit - Corporation · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165314 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 19, 2026, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 5 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 3.63 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
32.3% 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 5 health citations on file.
February 19, 2026Standard inspection · 0 citations
April 30, 2025Complaint inspection · 3 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, Individual Narcotic Records, Controlled Drugs-Count Records and staff interviews, the facility failed to report 4 milliliters of morphine missing from a resident's supply. (Resident #5) The facility reported census was 31.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on clinical record review, Individual Narcotic Records, Controlled Drugs-Count Records and staff interviews, the facility failed to ensure an accurate reconciliation of all controlled medications. (Resident #5) The facility reported census was 31.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review, Individual Narcotic Records, Controlled Drugs-Count Records and staff interviews, the facility failed to ensure medical records were accurately documented. The facility reported census was 31.
February 12, 2025Standard inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, resident interview, staff interview and facility policy review, the facility failed to accurately transcribe a physician order, resulting in the order not being fully completed in a timely manner, for 1 of 1 residents (Res #14) reviewed. The facility reported a census of 35.
March 20, 2024Standard inspection, Complaint inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, facility document review, hospital record review, staff, pharmacy and physician interviews, the facility failed to accurately transcribe and implement physicians orders for 1 of 1 residents reviewed (Resident #4). The facility reported a census of 29 residents.
Fire safety inspections
13 fire safety citations on file: 3 on February 19, 2026, 4 on February 12, 2025, 6 on March 20, 2024.
Every fire safety citation13 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Have proper medical gas storage and administration areas.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have proper medical gas storage and administration areas.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
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) | 3.63 | 3.82 | 3.86 |
| Registered nurses | 0.71 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.08 | 3.37 | 3.42 |
| Nurse aides | 2.25 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 32.3% | 44.0% | 45.8% |
| Registered nurse turnover | 33.3% | 42.1% | 42.9% |
| Administrators who left | 2 |
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 3.85 on weekdays and 3.08 on weekends, 20% 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 3.30 in April to June 2025 to 3.63 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 | 3.63 | 0.71 | 3.85 | 3.08 | 0.0% | 0 of 90 | 32 |
| Oct to Dec 2025 | 3.51 | 0.63 | 3.66 | 3.11 | 0.0% | 0 of 92 | 31 |
| Jul to Sep 2025 | 3.62 | 0.50 | 3.82 | 3.10 | 0.0% | 0 of 92 | 31 |
| Apr to Jun 2025 | 3.30 | 0.46 | 3.45 | 2.91 | 0.0% | 1 of 91 | 33 |
| 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 | 9.7 | 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 | 2.5 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 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 | 10.9 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.5 | 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 | 06/29/2022 | |
| 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 | |
| Carr, Sarah | Operational/managerial control | Individual | 04/21/2025 | |
| Mahler, Carla | Operational/managerial control | Individual | 01/01/2024 | |
| Oben, Patrick | Operational/managerial control | Individual | 01/01/2024 | |
| Potter, Courtney | Operational/managerial control | Individual | 01/10/2025 | |
| Computershare Corporate Trust Company, Na | Adp of the SNF | Organization | 04/14/2025 | |
| Carr, Sarah | Adp of the SNF | Individual | 08/25/2025 | |
| Oben, Patrick | Adp of the SNF | Individual | 07/31/2025 | |
| Potter, Courtney | Adp of the SNF | Individual | 04/14/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 30, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on April 30, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on April 30, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.08 hours per resident per day, below the Iowa average of 3.37.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Westview Acres Care Center Leon, 13.1 mi · 4 of 5 stars · 11 citations
- Mount Ayr Health Care Center Mount Ayr, 16.6 mi · 4 of 5 stars · 11 citations
- Clearview Home Mount Ayr, 17.4 mi · 4 of 5 stars · 3 citations
- Pearl's II Eden for Elders Princeton, 23.8 mi · 4 of 5 stars · 38 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 Lamoni Specialty Care's Medicare star rating?
- CMS rates Lamoni Specialty Care 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lamoni Specialty Care get at its last inspection?
- 0 health deficiencies at the standard inspection on February 19, 2026. The Iowa average is 6.5.
- Has Lamoni Specialty Care been fined?
- CMS lists no fines in the last three years.
- Does Lamoni 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 Lamoni Specialty Care?
- CMS lists 26 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.