Sibley Specialty Care
700 Ninth Avenue North, Sibley, IA 51249 · Osceola County · (712) 754-3629
46 certified beds, about 41 residents a day · Non profit - Corporation · Medicare and Medicaid since 1999
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165401 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 1, 2026, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 11 health citations since April 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 3.40 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.92 of those hours.
27.0% 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.
304/24
106/24
305/25
110/25
106/26
207/26
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
4E
0F
Potential for minimal harm
0A
0B
0C
July 1, 2026Standard inspection · 2 citations
- 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, staff interviews, and policy review, the facility failed to maintain the kitchen in a sanitary condition. The facility reported a census of 39 residents.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, resident and staff interviews, and a review of facility policy, the facility failed to ensure room trays were served at an appetizing temperature for 2 of 12 residents reviewed (Residents #1 and #6). The facility reported a census of 39 residents.
June 3, 2026Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, facility record review, staff interviews and facility policy review the facility failed to report an allegation of abuse to the Iowa Department of Inspections & Appeals and Licensing (DIAL) within 2 hours of an allegation of abuse for 1 of 3 residents reviewed for abuse. The facility reported a census of 35 residents. The facility provided education to all staff on the types of abuse and process and protocol of reporting suspected abuse on 5/27/26 prior to DIAL entering the building on 6/3/26 so the deficiency is past non-compliance and no plan of correction is required.
October 22, 2025Complaint inspection · 1 citation
- 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, staff interviews, facility record review and facility policy review the facility failed to provide adequate nursing supervision to prevent a resident from exiting the building for 1 of 3 residents reviewed (Residents #1). The facility reported a total census of 40 residents.
May 8, 2025Standard inspection · 3 citations
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on review of the menu, observation, and staff interviews the facility failed to serve the full portions of food when preparing meals for residents (Residents #7, #16, #19, #22 and #28). The facility identified a census of 39 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 observations, staff interviews, and facility policy review the facility failed to ensure proper sanitary conditions in the kitchen area where staff prepared food, and failed to keep utensils on a sanitary surface during meal service. The facility identified a census of 39 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, infection control policy and staff interview, the facility failed to provide proper hand hygiene with wound care with 1 of 2 residents observed (Resident #18). The facility reported a total census of 39 residents.
June 28, 2024Complaint inspection · 1 citation
- D 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 record review, staff interviews and facility policy the facility failed to appropriately implement interventions to protect 1 out of 3 residents (Resident #1) reviewed from physical abuse. The facility reported a census of 43 residents.
April 18, 2024Standard inspection · 3 citations
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on personnel file reviews, staff interviews, and facility policy review, the facility failed to ensure all employees had an Iowa Criminal Background check and dependent adult/child abuse registry check completed prior to working in the facility for 1 out of 5 employees reviewed (Staff A). The facility reported a census of 40 residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to obtain the resident or resident representative signature for consent on notification of the Notice of Medicare Non-Coverage (NOMNC) Centers of Medicare & Medicaid (CMS)-10055 and CMS form CMS-10123 for 2 of 3 sampled residents (Resident #15 and #36). The facility reported a census of 40 residents. Findings Include: 1. Record review for Resident #15 revealed form CMS 10055 with a services end date of 12/6/23. Resident #15 ' s representative gave verbal consent for signature on 12/1/23 however the form lacked a signature of resident or resident representative and date. Review of form CMS 10123-NOMNC with a services end date of 12/6/23 showed Resident #15 ' s representative gave verbal consent for signature on 12/1/23 however the form lacked a signature of patient or patient representative and date. [...]
- 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 and staff interview the facility failed to notify the Long Term Care (LTC) Ombudsman for 2 of 2 residents reviewed who transferred to the hospital (Resident #24 and #27). The facility reported a census of 40 residents.
Fire safety inspections
3 fire safety citations on file: 2 on July 1, 2026, 1 on May 8, 2025.
Every fire safety citation3 citations
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Provide properly protected cooking facilities.
- F Provide properly protected cooking facilities.
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) | 3.40 | 3.82 | 3.86 |
| Registered nurses | 0.92 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.84 | 3.37 | 3.42 |
| Nurse aides | 2.13 | ||
| Licensed practical nurses | 0.34 | ||
| Nursing staff turnover (share who left in a year) | 27.0% | 44.0% | 45.8% |
| Registered nurse turnover | 0.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.20 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 3.63 on weekdays and 2.84 on weekends, 22% 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 3.60 in April to June 2025 to 3.40 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 | 3.40 | 0.92 | 3.63 | 2.84 | 0.0% | 0 of 90 | 41 |
| Oct to Dec 2025 | 3.37 | 0.88 | 3.56 | 2.88 | 0.0% | 0 of 92 | 39 |
| Jul to Sep 2025 | 3.33 | 0.90 | 3.52 | 2.86 | 0.0% | 0 of 92 | 40 |
| Apr to Jun 2025 | 3.60 | 0.97 | 3.82 | 3.03 | 0.0% | 0 of 91 | 37 |
| 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 | 14.4 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.5 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.2 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.2 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.1 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.3 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.3 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.5 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 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% | 11/12/2010 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | Organization | 01/01/2025 | |
| 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 | 01/01/2022 | |
| 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 | |
| Boeve, Destiny | Operational/managerial control | Individual | 01/01/2024 | |
| Bronner, David | Operational/managerial control | Individual | 06/10/2021 | |
| Whyms, Brian | Operational/managerial control | Individual | 01/01/2024 | |
| Beal, Michael | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 08/19/2025 | |
| Computershare Corporate Trust Company, Na | Adp of the SNF | Organization | 08/10/2025 | |
| Bronner, David | Adp of the SNF | Individual | 08/10/2025 | |
| Whyms, Brian | Adp of the SNF | Individual | 08/10/2025 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on July 1, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 June 3, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- 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 April 18, 2024: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- 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 October 22, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Osceola Senior Living Sibley, 1.2 mi · 5 of 5 stars · 6 citations
- Good Samaritan - George George, 12.4 mi · 5 of 5 stars · 21 citations
- Parkview Manor Nursing Home Ellsworth, 15.3 mi · 1 of 5 stars · 21 citations
- Sanford Senior Care Sheldon Sheldon, 15.3 mi · 1 of 5 stars · 21 citations
- Prairie View Home Sanborn, 15.9 mi · 5 of 5 stars · 5 citations
- The Shores of Worthington Worthington, 16.4 mi · 1 of 5 stars · 61 citations
- Community Memorial Health Center Hartley, 20.4 mi · 3 of 5 stars · 18 citations
- Lyon Specialty Care Rock Rapids, 20.8 mi · 4 of 5 stars · 18 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 Sibley Specialty Care's Medicare star rating?
- CMS rates Sibley Specialty Care 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Sibley Specialty Care get at its last inspection?
- 2 health deficiencies at the standard inspection on July 1, 2026. The Iowa average is 6.5.
- Has Sibley Specialty Care been fined?
- CMS lists no fines in the last three years.
- Does Sibley 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 Sibley Specialty Care?
- CMS lists 25 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.