Panora Specialty Care
805 East Main, Panora, IA 50216 · Guthrie County · (641) 219-4335
46 certified beds, about 41 residents a day · Non profit - Corporation · Medicare and Medicaid since 1995
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165253 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 5, 2026, inspectors cited 3 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 12 health citations since February 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 2.90 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
50.0% 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.
102/24
304/24
301/25
205/25
301/26
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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
4E
0F
Potential for minimal harm
0A
0B
0C
January 5, 2026Standard inspection · 3 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, staff interview, policy review, and Resident Assessment Instrument (RAI) Manual, the facility failed to ensure proper Minimum Data Set (MDS) coding for three of fifteen residents reviewed for MDS assessments by not coding resident's diagnoses when indicated, and improperly coded medication and tobacco use (Resident #1, #3, and #4). 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.
Inspectors wroteBased on observations, electronic health record (EHR) review, staff interview, and policy review, the facility failed to complete an admission smoking evaluation for 1 of 2 residents reviewed for smoking (Resident #1). The facility reported a census of 38.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, electronic record review, staff interviews, and policy review, the facility failed to follow infection control practices to prevent cross contamination by not completing hand hygiene and glove change during resident cares (Resident #15). The facility reported a census of 38.
May 14, 2025Complaint inspection · 2 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record reviews, staff interviews, and policy review the facility failed to review and revise the Care Plan for 3 of 4 residents reviewed (Resident #1, Resident #3, Resident #4). The facility failed to revise the Care Plan to include recommendations from the PASRR Level II (Resident #1, Resident #3, Resident #4). The facility reported a census of 35 residents.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on clinical record reviews, staff interviews, and policy review the facility failed to identify and document target behaviors and/or side effects of medications prescribed to promote or maintain a resident's highest practical mental and psychosocial well-being for 4 of 4 residents reviewed (Resident #1, Resident #2, Resident #3, Resident #4). The facility failed to identify the target behaviors and/or the side effects of medications on either the Electronic Medical Administration Record (EMAR) or the Care Plan. The facility reported a census of 35 residents. 1. According to the Minimum Data Set (MDS) assessment dated [DATE] Resident #1 had an unscorable Brief Interview for Mental Status (BIMS) assessment indicating severe cognitive impairment. [...]
January 15, 2025Standard inspection, Complaint inspection · 3 citations
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, resident and staff interviews, staff schedules, and facility assessment review, the facility staff failed to ensure sufficient nursing staff present during scheduled shifts and to ensure call lights were consistently answered within a reasonable amount of time, within 15 minutes, for 5 of 5 nursing halls. The facility reported a census of 40 residents.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, observations, staff interview, and policy review, the facility failed to provide peri-care in a manner to prevent cross-contamination and infection for one of three residents observed for peri-care. The facility also failed to ensure staff changed gloves and sanitized hands in accordance with proper infection control techniques when contaminated to protect against cross contamination and potential infection for four of twelve residents observed in the sample. The staff failed to utilize a barrier when emptied one of two catheters observed for catheter care, and failed to remove personal protective equipment prior to exit from an enhanced barrier precautions room for one of five halls observed. The facility reported a census of 40 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, observation, staff interview and policy review the facility failed to ensure staff transferred a resident safely and utilized a gait belt for one of three residents reviewed for transfers (Resident #39). The facility reported a census of 40 residents.
April 11, 2024Standard inspection, Complaint inspection · 3 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.
Inspectors wroteBased on observation, clinical record review, resident interviews, staff interviews and policy review, the facility failed to keep all areas clean in the facility and in good repair. The facility reported a census of 36 residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, policy review, and staff interview, staff failed to prepare and serve food under sanitary conditions, in order to reduce the risk of contamination and foodborne illness. The facility reported a census of 36 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interviews and policy review, the facility failed to perform appropriate infection prevention and control practices during medication administration, including hand hygiene. The facility reported a census of 36 residents.
February 6, 2024Complaint inspection · 1 citation
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, staff interview, and facility policy review the facility failed to revise and update the Care Plan to include adequate interventions for a resident that was at high risk for elopement for 1 of 3 residents reviewed (Resident #6). The facility reported a census of 37 residents.
Fire safety inspections
19 fire safety citations on file: 4 on January 5, 2026, 5 on January 15, 2025, 10 on April 11, 2024.
Every fire safety citation19 citations
- F Have simulated fire drills held at unexpected times.
- 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.
- E Provide properly protected cooking facilities.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Use approved construction type or materials.
- E Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- 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.
- D Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Have an externally vented heating system.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Have proper medical gas storage and administration areas.
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) | 2.90 | 3.82 | 3.86 |
| Registered nurses | 0.53 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.63 | 3.37 | 3.42 |
| Nurse aides | 1.61 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 50.0% | 44.0% | 45.8% |
| Registered nurse turnover | 50.0% | 42.1% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.24 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 3.01 on weekdays and 2.63 on weekends, 13% 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 3.31 in April to June 2025 to 2.90 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 | 2.90 | 0.53 | 3.01 | 2.63 | 0.0% | 0 of 90 | 41 |
| Oct to Dec 2025 | 3.17 | 0.54 | 3.35 | 2.72 | 0.0% | 0 of 92 | 37 |
| Jul to Sep 2025 | 3.44 | 0.71 | 3.67 | 2.86 | 0.0% | 0 of 92 | 36 |
| Apr to Jun 2025 | 3.31 | 0.75 | 3.51 | 2.82 | 0.0% | 0 of 91 | 36 |
| 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 | 8.3 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.5 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.6 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.6 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 30.2 | 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% | 09/01/2009 |
| 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 | 01/01/2023 | |
| 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 | |
| Boeve, Destiny | Operational/managerial control | Individual | 01/01/2024 | |
| Jasek, Jacquelyne | Operational/managerial control | Individual | 10/18/2023 | |
| Computershare Corporate Trust Company, Na | Adp of the SNF | Organization | 04/10/2025 | |
| Jasek, Jacquelyne | Adp of the SNF | Individual | 04/10/2025 | |
| Strehle, Joshua | Adp of the SNF | Individual | 01/01/2024 |
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 January 5, 2026: "Ensure each resident receives an accurate assessment."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on January 5, 2026: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 5, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on May 14, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.63 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
- The New Homestead Care Center Guthrie Center, 6.8 mi · 3 of 5 stars · 21 citations
- Community Care Center Stuart, 13.6 mi · 5 of 5 stars · 12 citations
- Perry Lutheran Home Perry, 16.9 mi · 1 of 5 stars · 22 citations
- Adel Acres Adel, 17.4 mi · 1 of 5 stars · 44 citations
- Perry Lutheran Homes Eden Acres Campus Perry, 17.6 mi · 2 of 5 stars · 6 citations
- Spurgeon Manor Dallas Center, 20.4 mi · 5 of 5 stars · 8 citations
- Thomas Rest Haven Coon Rapids, 20.7 mi · 2 of 5 stars · 18 citations
- Regency Park Nursing & Rehab Center of Jefferson Jefferson, 21.5 mi · 4 of 5 stars · 24 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 Panora Specialty Care's Medicare star rating?
- CMS rates Panora Specialty Care 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Panora Specialty Care get at its last inspection?
- 3 health deficiencies at the standard inspection on January 5, 2026. The Iowa average is 6.5.
- Has Panora Specialty Care been fined?
- CMS lists no fines in the last three years.
- Does Panora 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 Panora Specialty Care?
- CMS lists 22 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.