Iowa › Clarke County › Osceola
Southern Hills Specialty Care
444 North West View Drive, Osceola, IA 50213
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.
Southern Hills Specialty Care, in Osceola, Iowa, is certified for 90 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 3, staffing 3 and quality measures 3.
Inspectors recorded 8 health deficiencies across the three most recent survey cycles (5, 2, 1 by cycle, most recent first), none at the actual-harm level. That is 8.9 per 100 beds, fewer than the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $37K.
Reported nurse staffing is 3.4 hours per resident per day (0.6 RN), close to the Iowa median of 3.7; nursing staff turnover is 40.4%.
Compared with county, state and nation
| Measure | This facility | Clarke Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 8 | 8 | 16 | 28.7 |
| Citations per 100 beds | 8.9 | 8.9 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.7 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 40.4% | 40.4% | 41.9% | 45.8% |
| Fines listed | $36,865 | $36,865 | $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: 21 Aug 2025, 12 Sep 2024.
Severity mix: D ×4 E ×2 F ×1 C ×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 |
|---|---|---|---|---|---|
| 21 Aug 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 25 Aug 2025 |
| 21 Aug 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 | 25 Aug 2025 |
| 21 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 Aug 2025 |
| 21 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Aug 2025 |
| 21 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Aug 2025 |
| 10 Apr 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | C | Complaint investigation | 11 Apr 2025 |
| 12 Sep 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 | 27 Sep 2024 |
| 12 Dec 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 18 Aug 2024 | Fine | $36,865 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 40.4%, RNs 55.6%; 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 | 13.3% | 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 | 1.9% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.9% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 27.0% | 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: 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% | 08/01/1989 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2025 |
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 Southern Hills Specialty Care been cited for?
8 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 Southern Hills Specialty Care been fined?
Yes. CMS lists fines totalling $37K in the period covered.
How does staffing at Southern Hills Specialty Care compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Southern Hills 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 Southern Hills Specialty Care last inspected?
The most recent survey or investigation in the CMS record is dated 21 Aug 2025; the most recent standard health survey was 21 Aug 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.