Iowa › Kossuth County › Titonka
Titonka Care Center
312 First Avenue Nw, Titonka, IA 50480
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.
Titonka Care Center, in Titonka, Iowa, is certified for 26 beds under non-profit, corporation ownership.
CMS gives it 5 of 5 stars overall, above the Iowa median of 3; the health inspection rating is 4, staffing 5 and quality measures 4.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (0, 7, 2 by cycle, most recent first), none at the actual-harm level. That is 34.6 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 4.1 hours per resident per day (1.0 RN), close to the Iowa median of 3.7; nursing staff turnover is 25.0%.
Compared with county, state and nation
| Measure | This facility | Kossuth Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 9 | 12 | 16 | 28.7 |
| Citations per 100 beds | 34.6 | 34.6 | 27.5 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.1 | 3.7 | 3.9 |
| RN hours per resident day | 1.0 | 1.0 | 0.7 | 0.7 |
| Nursing staff turnover | 25.0% | 39.3% | 41.9% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (4 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: 30 Apr 2026, 17 Apr 2025.
Severity mix: D ×5 F ×4
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 |
|---|---|---|---|---|---|
| 17 Apr 2025 | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | F | Standard survey | 29 Apr 2025 |
| 17 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 29 Apr 2025 |
| 17 Apr 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 29 Apr 2025 |
| 17 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 29 Apr 2025 |
| 17 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Apr 2025 |
| 17 Apr 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Apr 2025 |
| 17 Apr 2025 | 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 | 29 Apr 2025 |
| 2 May 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 17 May 2024 |
| 2 May 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 17 May 2024 |
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 25.0%, RNs 20.0%; — 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 | 14.5% | 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 | 4.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.2% | 3.4% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.6% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.5% | 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: Titonka Community Rest Home, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Continuum Health Care Services LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2006 |
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 Kossuth County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Accura Healthcare of Bancroft | Bancroft | 25 | 5 | 4 | 5 | 5 | 20.0 | — | 5 Jun 2025 |
| Algona Manor Care Center | Algona | 46 | 5 | 4 | 3 | 12 | 26.1 | — | 12 Jun 2025 |
| Good Samaritan - Algona | Algona | 72 | 3 | 3 | 3 | 27 | 37.5 | $7K | 4 Dec 2025 |
All 4 facilities in Kossuth County
Questions and answers
How many deficiencies has Titonka Care Center been cited for?
9 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 Titonka Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Titonka Care Center compare?
Reported total nurse staffing is 4.1 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Titonka Care Center?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Continuum Health Care Services LLC. Individual owners and managers are not listed on this site.
When was Titonka Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 17 Apr 2025; the most recent standard health survey was 30 Apr 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.