Iowa › Lucas County › Chariton
Chariton Specialty Care
1214 North Seventh Street, Chariton, IA 50049
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.
Certified for 60 beds, Chariton Specialty Care serves Chariton in Lucas County, Iowa and has taken Medicare and Medicaid residents since 1996.
CMS gives it 2 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 2, staffing 4 and quality measures 4.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (3, 7, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 30.0 per 100 beds, about the same as the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $15K.
Reported nurse staffing is 3.8 hours per resident per day (1.0 RN), close to the Iowa median of 3.7; nursing staff turnover is 58.1%.
Compared with county, state and nation
| Measure | This facility | Lucas Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 18 | 16 | 28.7 |
| Citations per 100 beds | 30.0 | 30.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.8 | 3.7 | 3.9 |
| RN hours per resident day | 1.0 | 1.0 | 0.7 | 0.7 |
| Nursing staff turnover | 58.1% | 58.1% | 41.9% | 45.8% |
| Fines listed | $15,134 | $15,134 | $0 | — |
County and state figures are medians across facilities (1 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Jan 2026, 30 Jan 2025.
Severity mix: J ×1 D ×12 E ×5
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 30 Jan 2026 |
| 14 Jan 2026 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 30 Jan 2026 |
| 18 Sep 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 30 Sep 2025 |
| 30 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 11 Feb 2025 |
| 30 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 Feb 2025 |
| 30 Jan 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 11 Feb 2025 |
| 30 Jan 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 11 Feb 2025 |
| 30 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 11 Feb 2025 |
| 30 Jan 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 11 Feb 2025 |
| 30 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Feb 2025 |
| 7 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 19 Mar 2024 |
| 7 Mar 2024 | F0584 | 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. | D | Standard survey | 19 Mar 2024 |
| 7 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Mar 2024 |
| 7 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 19 Mar 2024 |
| 7 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 19 Mar 2024 |
| 14 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 15 Sep 2023 |
| 14 Sep 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint investigation | 15 Sep 2023 |
| 14 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 15 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Sep 2023 | Fine | $15,134 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 58.1%, RNs 50.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.6% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.5% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.6% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.0% | 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: for-profit, corporation. Legal business name: Care Initiatives. Chain: Care Initiatives (43 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Care Initiatives | 5% or greater direct ownership interest | 100% | 11/12/2010 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2024 |
| Computershare Corporate Trust Company, Na | Adp of the snf | NOT APPLICABLE | 04/07/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Chariton Specialty Care been cited for?
18 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Chariton Specialty Care been fined?
Yes. CMS lists fines totalling $15K in the period covered.
How does staffing at Chariton Specialty Care compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Chariton Specialty Care?
It is part of the Care Initiatives chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Care Initiatives. Individual owners and managers are not listed on this site.
When was Chariton Specialty Care last inspected?
The most recent survey or investigation in the CMS record is dated 14 Jan 2026; the most recent standard health survey was 14 Jan 2026.
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.