Iowa › Hamilton County › Stratford
Stratford Specialty Care
1200 Highway 175 East, Stratford, IA 50249
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 53 beds, Stratford Specialty Care serves Stratford in Hamilton 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 31 health deficiencies across the three most recent survey cycles (13, 5, 13 by cycle, most recent first), none at the actual-harm level. That is 58.5 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 3.3 hours per resident per day (0.8 RN), close to the Iowa median of 3.7; nursing staff turnover is 55.0%.
Compared with county, state and nation
| Measure | This facility | Hamilton Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 31 | 31 | 16 | 28.7 |
| Citations per 100 beds | 58.5 | 58.5 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.7 | 0.7 |
| Nursing staff turnover | 55.0% | 53.6% | 41.9% | 45.8% |
| Fines listed | $0 | $25,136 | $0 | — |
County and state figures are medians across facilities (3 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 May 2025, 25 Jul 2024.
Severity mix: D ×26 E ×4 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 |
|---|---|---|---|---|---|
| 4 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 26 Dec 2025 |
| 4 Dec 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 | 26 Dec 2025 |
| 4 Dec 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 26 Dec 2025 |
| 4 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 26 Dec 2025 |
| 4 Dec 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 26 Dec 2025 |
| 21 May 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 22 May 2025 |
| 21 May 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 22 May 2025 |
| 21 May 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 22 May 2025 |
| 21 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 22 May 2025 |
| 21 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 May 2025 |
| 21 May 2025 | 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 | 22 May 2025 |
| 21 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 May 2025 |
| 21 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 May 2025 |
| 6 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 16 Jan 2025 |
| 25 Jul 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 5 Aug 2024 |
| 25 Jul 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 | 5 Aug 2024 |
| 25 Jul 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 5 Aug 2024 |
| 25 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 5 Aug 2024 |
| 17 Jun 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 28 Jun 2024 |
| 21 Mar 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 15 Apr 2024 |
| 21 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 15 Apr 2024 |
| 4 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 5 Jan 2024 |
| 6 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 Nov 2023 |
| 6 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 Nov 2023 |
| 6 Nov 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 21 Nov 2023 |
| 24 May 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 20 Jun 2023 |
| 24 May 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 20 Jun 2023 |
| 24 May 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 20 Jun 2023 |
| 24 May 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 20 Jun 2023 |
| 24 May 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 | 20 Jun 2023 |
| 24 May 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 20 Jun 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 55.0%, RNs 70.0%; 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 | 13.6% | 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 | 0.7% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.7% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.5% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.2% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.7% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 30.9% | 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).
| 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 | 01/01/2025 |
| Computershare Corporate Trust Company, Na | Adp of the snf | NOT APPLICABLE | 08/06/2025 |
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 Hamilton County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Crestview Nursing and Rehabilitation | Webster City | 70 | 2 | 2 | 4 | 19 | 27.1 | $25K | 17 Nov 2025 |
| Southfield Wellness Community | Webster City | 65 | 1 | 1 | 4 | 58 | 89.2 | $72K | 19 Feb 2026 |
All 3 facilities in Hamilton County
Questions and answers
How many deficiencies has Stratford Specialty Care been cited for?
31 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 Stratford Specialty Care been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Stratford 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 Stratford 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 Stratford Specialty Care last inspected?
The most recent survey or investigation in the CMS record is dated 4 Dec 2025; the most recent standard health survey was 21 May 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.