Iowa › Marshall County › State Center
State Center Specialty Care
702 Third Street Nw, State Center, IA 50247
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.
State Center Specialty Care, in State Center, Iowa, is certified for 39 beds under non-profit, corporation ownership and belongs to the Care Initiatives chain.
CMS gives it 5 of 5 stars overall, above the Iowa median of 3; the health inspection rating is 3, staffing 5 and quality measures 5.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (5, 8, 7 by cycle, most recent first), none at the actual-harm level. That is 51.3 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 3.4 hours per resident per day (0.8 RN), close to the Iowa median of 3.7; nursing staff turnover is 40.0%.
Compared with county, state and nation
| Measure | This facility | Marshall Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 25 | 16 | 28.7 |
| Citations per 100 beds | 51.3 | 47.6 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.6 | 3.7 | 3.9 |
| RN hours per resident day | 0.8 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 40.0% | 40.0% | 41.9% | 45.8% |
| Fines listed | $0 | $9,350 | $0 | — |
County and state figures are medians across facilities (5 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: 22 Jan 2026, 21 Nov 2024.
Severity mix: D ×17 E ×3
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 |
|---|---|---|---|---|---|
| 22 Jan 2026 | 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 | 3 Feb 2026 |
| 22 Jan 2026 | 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 | 3 Feb 2026 |
| 22 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 3 Feb 2026 |
| 22 Jan 2026 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 3 Feb 2026 |
| 19 Nov 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 20 Nov 2025 |
| 21 Nov 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 6 Dec 2024 |
| 21 Nov 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 6 Dec 2024 |
| 21 Nov 2024 | 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 | 6 Dec 2024 |
| 21 Nov 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 6 Dec 2024 |
| 21 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Dec 2024 |
| 21 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Dec 2024 |
| 21 Nov 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 6 Dec 2024 |
| 17 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 18 Oct 2024 |
| 20 Dec 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 | 21 Dec 2023 |
| 20 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 21 Dec 2023 |
| 30 Aug 2023 | 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. | E | Complaint investigation | 25 Sep 2023 |
| 30 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 25 Sep 2023 |
| 30 Aug 2023 | 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 | 25 Sep 2023 |
| 30 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Sep 2023 |
| 30 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Sep 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 40.0%, RNs —; 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 | 9.8% | 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 | 0.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.3% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.2% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.5% | 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% | 07/01/2000 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2025 |
| Computershare Corporate Trust Company, Na | Adp of the snf | NOT APPLICABLE | 08/11/2025 |
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 Marshall County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Iowa Veterans Home | Marshalltown | 702 | 5 | 5 | 5 | 2 | 0.3 | — | 17 Nov 2025 |
| Southridge Specialty Care | Marshalltown | 82 | 2 | 2 | 4 | 25 | 30.5 | $45K | 29 May 2025 |
| Accura Healthcare of Marshalltownabuse icon | Marshalltown | 84 | 1 | 1 | 1 | 40 | 47.6 | $9K | 12 Mar 2026 |
| Harmony Marshalltown | Marshalltown | 72 | 1 | 1 | 3 | 46 | 63.9 | $79K | 20 May 2026 |
All 5 facilities in Marshall County
Questions and answers
How many deficiencies has State Center Specialty Care been cited for?
20 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 State Center Specialty Care been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at State Center 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 State Center 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 State Center Specialty Care last inspected?
The most recent survey or investigation in the CMS record is dated 22 Jan 2026; the most recent standard health survey was 22 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.