Elder Care Record

Iowa › Monroe County › Albia

Oakwood Specialty Care

200 16th Avenue East, Albia, IA 52531

CCN 165313 · Non-profit, corporation · 54 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.

Oakwood Specialty Care, in Albia, Iowa, is certified for 54 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 3, staffing 3 and quality measures 5.

Inspectors recorded 18 health deficiencies across the three most recent survey cycles (1, 6, 11 by cycle, most recent first), none at the actual-harm level. That is 33.3 per 100 beds, about the same as the state median of 27.5.

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

Reported nurse staffing is 3.3 hours per resident per day (0.5 RN), close to the Iowa median of 3.7; nursing staff turnover is 31.7%.

18health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.3nurse hours per resident per daystate median 3.7
88%occupancy (residents ÷ beds)47 residents a day

Compared with county, state and nation

MeasureThis facilityMonroe Co. medianIowa medianUS average
Overall star rating4433.0
Health citations, 3 cycles18181628.7
Citations per 100 beds33.333.327.526.8
Total nurse hours per resident day3.33.33.73.9
RN hours per resident day0.50.50.70.7
Nursing staff turnover31.7%31.7%41.9%45.8%
Fines listed$0$0$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

Cycle 1 (latest)1
Cycle 26
Cycle 311

Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Sep 2025, 5 Sep 2024.

Severity mix: D ×9 E ×7 F ×2

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
4 Sep 2025F0880Provide and implement an infection prevention and control program.DStandard survey5 Sep 2025
5 Sep 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey13 Sep 2024
5 Sep 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey13 Sep 2024
5 Sep 2024F0803Ensure 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.EStandard survey13 Sep 2024
5 Sep 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey13 Sep 2024
5 Sep 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey13 Sep 2024
5 Sep 2024F0880Provide and implement an infection prevention and control program.DStandard survey13 Sep 2024
29 May 2024F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EComplaint investigation15 Jun 2024
23 Oct 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation3 Nov 2023
23 Oct 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation3 Nov 2023
15 Jun 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey3 Jul 2023
15 Jun 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey3 Jul 2023
15 Jun 2023F0584Honor 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.DStandard survey3 Jul 2023
15 Jun 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey3 Jul 2023
15 Jun 2023F0641Ensure each resident receives an accurate assessment.DStandard survey3 Jul 2023
15 Jun 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey3 Jul 2023
15 Jun 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey3 Jul 2023
15 Jun 2023F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard survey3 Jul 2023

Penalties

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

Staffing

Total nursing3.26 h
Nurse aides2.03 h
LPN0.7 h
RN0.54 h
Weekend total2.84 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 31.7%, RNs 28.6%; 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 Stay13.1%16.8%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.5%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.1%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 Stay16.1%15.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.7%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.9%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%11/12/2010
Computershare Corporate Trust Company, Na5% or greater mortgage interestNOT APPLICABLE01/01/2025
Computershare Corporate Trust Company, NaAdp of the snfNOT APPLICABLE04/15/2025

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 Oakwood Specialty Care been cited for?

18 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 Oakwood Specialty Care been fined?

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

How does staffing at Oakwood Specialty Care compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.

Who operates Oakwood 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 Oakwood Specialty Care last inspected?

The most recent survey or investigation in the CMS record is dated 4 Sep 2025; the most recent standard health survey was 4 Sep 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.