Elder Care Record

Iowa › Taylor County › Bedford

Bedford Specialty Care

1005 West Pearl, Bedford, IA 50833

CCN 165292 · Non-profit, corporation · 39 certified beds · chain Care Initiatives

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Bedford Specialty Care, in Bedford, Iowa, is certified for 39 beds under non-profit, corporation ownership and belongs to the Care Initiatives chain.

CMS gives it 4 of 5 stars overall, above the Iowa median of 3; the health inspection rating is 4, staffing 4 and quality measures 3.

Inspectors recorded 14 health deficiencies across the three most recent survey cycles (1, 2, 11 by cycle, most recent first), none at the actual-harm level. That is 35.9 per 100 beds, more than the state median of 27.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.7 hours per resident per day (0.4 RN), close to the Iowa median of 3.7; nursing staff turnover is 27.6%.

14health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.7nurse hours per resident per daystate median 3.7
75%occupancy (residents ÷ beds)29 residents a day

Compared with county, state and nation

MeasureThis facilityTaylor Co. medianIowa medianUS average
Overall star rating4433.0
Health citations, 3 cycles14281628.7
Citations per 100 beds35.977.827.526.8
Total nurse hours per resident day3.74.63.73.9
RN hours per resident day0.41.30.70.7
Nursing staff turnover27.6%31.6%41.9%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (2 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)1
Cycle 22
Cycle 311

Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Jul 2025, 19 Sep 2024.

Severity mix: D ×13 E ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
31 Jul 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey15 Aug 2025
19 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey2 Oct 2024
19 Sep 2024F0880Provide and implement an infection prevention and control program.DStandard survey2 Oct 2024
2 May 2024F0880Provide and implement an infection prevention and control program.EStandard survey17 May 2024
2 May 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey17 May 2024
2 May 2024F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard survey17 May 2024
2 May 2024F0637Assess the resident when there is a significant change in conditionDStandard survey17 May 2024
2 May 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.DStandard survey17 May 2024
2 May 2024F0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DStandard survey17 May 2024
14 Mar 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation2 Apr 2024
14 Mar 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation2 Apr 2024
14 Mar 2024F0610Respond appropriately to all alleged violations.DComplaint investigation2 Apr 2024
14 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation2 Apr 2024
14 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation2 Apr 2024

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.72 h
Nurse aides2.34 h
LPN0.96 h
RN0.41 h
Weekend total3.55 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 27.6%, RNs —; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIowa medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay7.1%16.8%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.7%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay7.9%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay11.4%3.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay13.6%15.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.4%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay27.4%18.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Care Initiatives. Chain: Care Initiatives (43 facilities).

OrganisationRole in the CMS recordInterestSince
Care Initiatives5% or greater direct ownership interest100%10/01/2009
Computershare Corporate Trust Company, Na5% or greater mortgage interestNOT APPLICABLE02/01/2025
Computershare Corporate Trust Company, NaAdp of the snfNOT APPLICABLE03/28/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Taylor County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Lenox Care CenterLenox363252877.8—24 Mar 2026

All 2 facilities in Taylor County

Questions and answers

How many deficiencies has Bedford Specialty Care been cited for?

14 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.

Has Bedford Specialty Care been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Bedford Specialty Care compare?

Reported total nurse staffing is 3.7 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.

Who operates Bedford Specialty Care?

It is part of the Care Initiatives chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Care Initiatives. Individual owners and managers are not listed on this site.

When was Bedford Specialty Care last inspected?

The most recent survey or investigation in the CMS record is dated 31 Jul 2025; the most recent standard health survey was 31 Jul 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.