Iowa › Louisa County › Wapello
Wapello Specialty Care
601 Highway 61 South, Wapello, IA 52653
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.
Wapello Specialty Care, in Wapello, Iowa, is certified for 49 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 29 health deficiencies across the three most recent survey cycles (1, 5, 23 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 59.2 per 100 beds, more than the state median of 27.5.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 3.4 hours per resident per day (1.1 RN), close to the Iowa median of 3.7; nursing staff turnover is 37.2%.
Compared with county, state and nation
| Measure | This facility | Louisa Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 29 | 29 | 16 | 28.7 |
| Citations per 100 beds | 59.2 | 59.2 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.5 | 3.7 | 3.9 |
| RN hours per resident day | 1.1 | 1.1 | 0.7 | 0.7 |
| Nursing staff turnover | 37.2% | 37.2% | 41.9% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (2 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: 20 Nov 2025, 3 Oct 2024.
Severity mix: G ×3 D ×23 E ×2 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 |
|---|---|---|---|---|---|
| 20 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 Dec 2025 |
| 3 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 17 Oct 2024 |
| 3 Oct 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 | 17 Oct 2024 |
| 3 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 17 Oct 2024 |
| 3 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 Oct 2024 |
| 3 Oct 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 17 Oct 2024 |
| 11 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 24 Apr 2024 |
| 11 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Apr 2024 |
| 11 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 24 Apr 2024 |
| 21 Sep 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 20 Oct 2023 |
| 21 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 29 Nov 2023 |
| 21 Sep 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint investigation | 20 Oct 2023 |
| 21 Sep 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. | E | Standard survey | 20 Oct 2023 |
| 21 Sep 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 Oct 2023 |
| 21 Sep 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 20 Oct 2023 |
| 21 Sep 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 | Complaint investigation | 29 Nov 2023 |
| 21 Sep 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 20 Oct 2023 |
| 21 Sep 2023 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 20 Oct 2023 |
| 21 Sep 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 29 Nov 2023 |
| 21 Sep 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 29 Nov 2023 |
| 21 Sep 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 20 Oct 2023 |
| 21 Sep 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 29 Nov 2023 |
| 21 Sep 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 20 Oct 2023 |
| 21 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 20 Oct 2023 |
| 21 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Oct 2023 |
| 21 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Oct 2023 |
| 21 Sep 2023 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 20 Oct 2023 |
| 21 Sep 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 29 Nov 2023 |
| 21 Sep 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | C | Standard survey | 20 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 21 Sep 2023 | Payment denial | — | 35 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 37.2%, RNs 20.0%; 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 | 11.5% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.6% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.3% | 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 | 08/11/2025 |
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 Louisa County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Colonial Manors of Columbus Community | Columbus Junction | 39 | 4 | 4 | 4 | 20 | 51.3 | — | 24 Jul 2025 |
All 2 facilities in Louisa County
Questions and answers
How many deficiencies has Wapello Specialty Care been cited for?
29 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Wapello Specialty Care been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Wapello 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 Wapello 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 Wapello Specialty Care last inspected?
The most recent survey or investigation in the CMS record is dated 20 Nov 2025; the most recent standard health survey was 20 Nov 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.