444 North West View Drive, Osceola, IA 50213 · Clarke County · (641) 342-6061
90 certified beds, about 84 residents a day · Non profit - Corporation · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165293 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 21, 2025, inspectors cited 5 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 8 health citations since December 2023 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $36,865 in the last three years; the largest was $36,865, and the latest is dated August 18, 2024.
Nurses and nurse aides worked 3.38 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
40.4% 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.
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.
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 8 health citations on file.
Inspectors wroteBased on review of Certification and Survey Provider Enhanced Report (CASPER) from the Centers for Medicare & Medicaid Services (CMS), staff interview, and review of the facility QAPI (Quality Assurance Performance Improvement) plan, the facility failed to ensure an effective process to address previously identified quality deficiencies. This resulted in the facility receiving a Sanitary food serving deficiency for the third consecutive recertification survey. The facility reported a census of 86 residents. Findings Include:The CASPER report, dated 08/13/2025, documented the facility had been cited by the Iowa Department of Inspections, Appeals, and Licensing for failures to serve food in a sanitary manner, resulting in an F0812 deficiency, twice in 2024. [...]
Inspectors wroteBased on direct observation, staff interview, and facility document review, the facility failed to serve food in a manner that prevents cross contamination and promotes food hygiene. The facility reported a census of 86.
Inspectors wroteBased on clinical record review, facility record review, video evidence, staff interview, and facility policy review, the facility failed to provide a private space free from being recorded without their consent and free from being degraded by staff members for 1 of 3 residents reviewed (Resident #73). The Facility reported a census of 86. Findings Include: The discharge Minimum Data Set (MDS) assessment for Resident #73, dated 08/12/2025, did not document her Brief Interview for Mental Status (BIMS) score. It documented the following relevant diagnosis: unspecified dementia, unspecified severity. The Progress Notes, dated from 08/08/2025 through 08/21/2025, failed to document the incident. [...]
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to ensure foot pedals were applied to residents' wheelchairs during transport for 2 of 2 residents (#11, #22) reviewed. The facility reported a census of 86 residents.
Inspectors wroteBased on observations, staff interview, and policy review the facility failed to disinfect a mechanical lift after use between 3 of 3 residents (#3, #16, #45), failed to don appropriate Personal Protective Equipment (PPE) during the transfer for 1 of 1 resident on Enhanced Barrier Precautions (EBP), failed to maintain 1 of 1 resident's indwelling catheter bag below the resident's bladder during transfer, and failed to perform hand hygiene for 1 of 1 resident when moving from dirty to clean equipment. The facility reported a census of 86 residents.
Inspectors wroteBased on review of the facility policy and staff interviews, the facility failed to immediately shower residents, bag clothing and linens for laundering, and sanitize resident furniture after the discovery of a bed bug in a resident room. The facility reported a census of 86 residents.
Inspectors wroteBased on direct observation, staff interview, and facility document review, the facility failed to serve meals in a manner that protects residents from cross-contamination. The facility reported a census of 85.
Inspectors wroteBased on observations, interviews, and record review the facility failed to identify and assess an injury on 1 of 3 residents reviewed (Resident #6) at the time the bruise occurred. The facility found a large bruise that partially wrapped around Resident #6's upper left arm. The bruise was yellow in color which meant it was in it's final stages of healing. The facility reported a census of 80 residents.
10 fire safety citations on file: 1 on August 21, 2025, 3 on September 12, 2024, 6 on May 2, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| August 18, 2024 | Fine | $36,865 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.38 | 3.82 | 3.86 |
| Registered nurses | 0.60 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.97 | 3.37 | 3.42 |
| Nurse aides | 2.18 | ||
| Licensed practical nurses | 0.61 | ||
| Nursing staff turnover (share who left in a year) | 40.4% | 44.0% | 45.8% |
| Registered nurse turnover | 55.6% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.37 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.55 on weekdays and 2.97 on weekends, 16% 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 3.38 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 | 3.38 | 0.60 | 3.55 | 2.97 | 0.0% | 0 of 90 | 84 |
| Oct to Dec 2025 | 3.40 | 0.66 | 3.55 | 3.01 | 0.0% | 0 of 92 | 84 |
| Jul to Sep 2025 | 3.42 | 0.66 | 3.62 | 2.92 | 0.0% | 0 of 92 | 86 |
| Apr to Jun 2025 | 3.30 | 0.66 | 3.53 | 2.73 | 0.0% | 0 of 91 | 86 |
| 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
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.
| 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.
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 | 13.3 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.9 | 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 | 2.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.0 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.0 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.8 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Southern Hills Specialty Care's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
46.6% 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. 51 eligible stays.
12.6% 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. 72 eligible stays.
6.4% this home
No different from the national rate
US median of homes 7.1% · Iowa: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 41 eligible stays.
42.4% this home
Median of homes: Iowa56.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 33 residents counted.
0.0% this home
Median of homes: Iowa0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 46 residents counted.
2.1% this home
Median of homes: Iowa1.8% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 46 residents counted.
95.2% this home
Median of homes: Iowa100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 21 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
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% | 08/01/1989 |
| 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 | 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 | |
| Bushong, Tammy | Operational/managerial control | Individual | 01/10/2025 | |
| Mahler, Carla | Operational/managerial control | Individual | 01/01/2024 | |
| Wei, Shipeng | Operational/managerial control | Individual | 01/01/2024 | |
| Bushong, Tammy | Adp of the SNF | Individual | 08/04/2025 | |
| Wei, Shipeng | Adp of the SNF | Individual | 08/04/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.