Iowa › Worth County › Manly
Manly Specialty Care
601 E South Street, Manly, IA 50456
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.
Manly Specialty Care, in Manly, Iowa, is certified for 44 beds under non-profit, corporation ownership and belongs to the Care Initiatives chain.
CMS gives it 3 of 5 stars overall, equal to the Iowa median; the health inspection rating is 2, staffing 5 and quality measures 3.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (5, 7, 9 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 47.7 per 100 beds, more than the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 3.6 hours per resident per day (1.0 RN), close to the Iowa median of 3.7; nursing staff turnover is 27.0%.
Compared with county, state and nation
| Measure | This facility | Worth Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 21 | 16 | 28.7 |
| Citations per 100 beds | 47.7 | 47.7 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.6 | 4.6 | 3.7 | 3.9 |
| RN hours per resident day | 1.0 | 1.1 | 0.7 | 0.7 |
| Nursing staff turnover | 27.0% | 41.9% | 41.9% | 45.8% |
| Fines listed | $13,627 | $24,922 | $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
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Mar 2026, 27 Feb 2025.
Severity mix: J ×1 D ×12 E ×7 F ×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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 Mar 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 14 May 2026 |
| 5 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 14 May 2026 |
| 5 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 14 May 2026 |
| 5 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 14 May 2026 |
| 5 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 14 May 2026 |
| 27 Feb 2025 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 21 Mar 2025 |
| 27 Feb 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 21 Mar 2025 |
| 27 Feb 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. | E | Standard survey | 21 Mar 2025 |
| 27 Feb 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 21 Mar 2025 |
| 27 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 21 Mar 2025 |
| 27 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 21 Mar 2025 |
| 27 Feb 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 21 Mar 2025 |
| 25 Apr 2024 | 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. | E | Standard survey | 12 May 2024 |
| 25 Apr 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 12 May 2024 |
| 25 Apr 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 12 May 2024 |
| 25 Apr 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 12 May 2024 |
| 25 Apr 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 12 May 2024 |
| 25 Apr 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 12 May 2024 |
| 25 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 May 2024 |
| 17 Jan 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | J | Complaint investigation | 25 Jan 2024 |
| 17 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Feb 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Jan 2024 | Fine | $13,627 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 27.0%, RNs 11.1%; 0 administrators 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 | 11.1% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 9.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.8% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.7% | 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 | 27.4% | 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).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Care Initiatives | 5% or greater direct ownership interest | 100% | 03/01/2014 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | NOT APPLICABLE | 02/01/2025 |
| Computershare Corporate Trust Company, Na | Adp of the snf | NOT APPLICABLE | 04/14/2025 |
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 Worth County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Lutheran Retirement Home | Northwood | 42 | 3 | 2 | 5 | 13 | 31.0 | $25K | 26 Feb 2026 |
All 2 facilities in Worth County
Questions and answers
How many deficiencies has Manly Specialty Care been cited for?
21 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 Manly Specialty Care been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at Manly Specialty Care compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Manly 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 Manly Specialty Care last inspected?
The most recent survey or investigation in the CMS record is dated 5 Mar 2026; the most recent standard health survey was 5 Mar 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.