Chains › Care Initiatives
Care Initiatives
Nursing home chain, as named in the CMS provider file.
Care Initiatives operates 43 Medicare-certified nursing homes in 1 state, with 2,764 certified beds; the largest presence is in Iowa.
42% of its facilities are rated 1 or 2 stars overall (national: 41%). Citations run at 38.6 per 100 beds against 26.8 nationally, and fines in the period covered total $861K.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026. Chain membership is as recorded by CMS and can lag ownership changes.
| Measure | Care Initiatives | US |
|---|---|---|
| Median overall rating | 3 | 3 |
| Median citations per facility | 20 | 23 |
| Median nurse hours per resident day | 3.3 | 3.7 |
| Median nursing turnover | 41.3% | 44.9% |
| Facilities with the abuse icon | 1 | 1426 |
Rating distribution
States
| State | Facilities |
|---|---|
| Iowa | 43 |
Most-cited tags
| Tag | Requirement | Citations |
|---|---|---|
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 72 |
| F0880 | Provide and implement an infection prevention and control program. | 64 |
| F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | 58 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 56 |
| F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 56 |
| F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | 48 |
| F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 43 |
| F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | 38 |
Penalties by year
Facilities
| Facility | City | State | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|---|
| Atlantic Specialty Care | Atlantic | IA | 90 | 3 | 2 | 3 | 42 | 46.7 | — | 9 Apr 2026 |
| Avoca Specialty Care | Avoca | IA | 46 | 1 | 1 | 3 | 68 | 147.8 | — | 5 Mar 2026 |
| Bedford Specialty Care | Bedford | IA | 39 | 4 | 4 | 4 | 14 | 35.9 | — | 31 Jul 2025 |
| Belle Plaine Specialty Care | Belle Plaine | IA | 46 | 4 | 3 | 3 | 20 | 43.5 | — | 21 Jan 2026 |
| Centerville Specialty Care | Centerville | IA | 46 | 3 | 3 | 4 | 15 | 32.6 | — | 25 Mar 2026 |
| Chariton Specialty Care | Chariton | IA | 60 | 2 | 2 | 4 | 18 | 30.0 | $15K | 14 Jan 2026 |
| Cherokee Specialty Care | Cherokee | IA | 62 | 3 | 3 | 3 | 33 | 53.2 | — | 22 May 2025 |
| Corning Specialty Care | Corning | IA | 40 | 4 | 3 | 4 | 19 | 47.5 | — | 18 Feb 2026 |
| Correctionville Specialty Care | Correctionville | IA | 39 | 1 | 1 | 4 | 42 | 107.7 | $60K | 7 May 2026 |
| Corydon Specialty Care | Corydon | IA | 71 | 4 | 4 | 4 | 14 | 19.7 | — | 29 Jan 2026 |
| Creston Specialty Care | Creston | IA | 74 | 2 | 2 | 3 | 19 | 25.7 | $20K | 1 Jul 2026 |
| Crestview Specialty Care | West Branch | IA | 65 | 1 | 1 | 3 | 28 | 43.1 | $216K | 3 Dec 2025 |
| Dubuque Specialty Care | Dubuque | IA | 84 | 2 | 2 | 3 | 23 | 27.4 | $53K | 30 Jul 2025 |
| Dunlap Specialty Care | Dunlap | IA | 46 | 4 | 2 | 5 | 41 | 89.1 | $10K | 22 May 2025 |
| Eldora Specialty Careabuse icon | Eldora | IA | 46 | 3 | 2 | 4 | 7 | 15.2 | — | 15 Jun 2026 |
| Fonda Specialty Care | Fonda | IA | 46 | 5 | 4 | 5 | 14 | 30.4 | — | 18 Apr 2024 |
| Heritage Specialty Care | Cedar Rapids | IA | 171 | 1 | 1 | 3 | 50 | 29.2 | $14K | 28 May 2026 |
| Kingsley Specialty Care | Kingsley | IA | 43 | 1 | 1 | 4 | 38 | 88.4 | $27K | 21 May 2026 |
| Lamoni Specialty Care | Lamoni | IA | 43 | 5 | 5 | 4 | 5 | 11.6 | — | 30 Apr 2025 |
| Lantern Park Specialty Care | Coralville | IA | 90 | 2 | 2 | 3 | 47 | 52.2 | $63K | 31 Jul 2025 |
| Laporte City Specialty Care | La Porte City | IA | 46 | 4 | 4 | 4 | 3 | 6.5 | — | 26 Feb 2026 |
| Lyon Specialty Care | Rock Rapids | IA | 45 | 4 | 4 | 3 | 18 | 40.0 | — | 2 Feb 2026 |
| Manly Specialty Care | Manly | IA | 44 | 3 | 2 | 5 | 21 | 47.7 | $14K | 5 Mar 2026 |
| Mechanicsville Specialty Care | Mechanicsville | IA | 39 | 5 | 4 | 4 | 12 | 30.8 | — | 4 Sep 2025 |
| Montezuma Specialty Care | Montezuma | IA | 41 | 3 | 3 | 4 | 13 | 31.7 | — | 23 Apr 2026 |
| New London Specialty Care | New London | IA | 43 | 2 | 2 | 3 | 8 | 18.6 | — | 15 Jun 2026 |
| Northcrest Specialty Care | Waterloo | IA | 94 | 2 | 2 | 4 | 29 | 30.9 | — | 12 Feb 2026 |
| Northern Mahaska Specialty Care | Oskaloosa | IA | 79 | 2 | 2 | 4 | 10 | 12.7 | $39K | 24 Nov 2025 |
| Oakwood Specialty Care | Albia | IA | 54 | 4 | 3 | 3 | 18 | 33.3 | — | 4 Sep 2025 |
| Odebolt Specialty Care | Odebolt | IA | 38 | 3 | 2 | 5 | 20 | 52.6 | $14K | 12 Mar 2026 |
| Panora Specialty Care | Panora | IA | 46 | 3 | 3 | 2 | 12 | 26.1 | — | 5 Jan 2026 |
| Parkridge Specialty Care | Pleasant Hill | IA | 90 | 1 | 1 | 3 | 49 | 54.4 | $34K | 21 May 2026 |
| Pinnacle Specialty Care | Cedar Falls | IA | 100 | 2 | 2 | 3 | 25 | 25.0 | $8K | 9 Jun 2026 |
| Ravenwood Specialty Care | Waterloo | IA | 176 | 1 | 1 | 4 | 37 | 21.0 | — | 18 Jun 2026 |
| Ridgewood Specialty Care | Ottumwa | IA | 60 | 3 | 3 | 4 | 18 | 30.0 | $9K | 22 Dec 2025 |
| Sibley Specialty Care | Sibley | IA | 46 | 5 | 3 | 5 | 11 | 23.9 | — | 3 Jun 2026 |
| Southern Hills Specialty Care | Osceola | IA | 90 | 3 | 3 | 3 | 8 | 8.9 | $37K | 21 Aug 2025 |
| Southridge Specialty Care | Marshalltown | IA | 82 | 2 | 2 | 4 | 25 | 30.5 | $45K | 29 May 2025 |
| State Center Specialty Care | State Center | IA | 39 | 5 | 3 | 5 | 20 | 51.3 | — | 22 Jan 2026 |
| Stratford Specialty Care | Stratford | IA | 53 | 2 | 2 | 4 | 31 | 58.5 | — | 4 Dec 2025 |
| Wapello Specialty Care | Wapello | IA | 49 | 5 | 3 | 5 | 29 | 59.2 | — | 20 Nov 2025 |
| West Ridge Specialty Care | Knoxville | IA | 78 | 3 | 3 | 4 | 13 | 16.7 | — | 23 Apr 2026 |
| Westwood Specialty Care | Sioux City | IA | 85 | 1 | 1 | 3 | 79 | 92.9 | $181K | 29 Apr 2026 |
Questions and answers
How many nursing homes does Care Initiatives operate?
43 Medicare-certified facilities in 1 state, with 2,764 certified beds, according to the chain name in the CMS provider file.
How are Care Initiatives facilities rated?
42% are rated 1–2 stars overall and 6 hold 5 stars; the median overall rating is 3. Nationally 41% are rated 1–2 stars.
Has Care Initiatives been fined?
CMS lists 23 fines totalling $861K and 7 payment denials across its facilities in the period the penalties file covers.