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1403 Harrison Road Dunlap, IA 51529 · Harrison County
CMS certification number 165193 · See this home on Medicare Care Compare
Is Dunlap Specialty Care a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Dunlap Specialty Care as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.68 hours per resident per day at Dunlap Specialty Care, about the same as the Iowa median of 3.76 (US median: 3.72). About 0.82 of those hours are from registered nurses. On weekends it falls to 3.22 hours, 13% below its all-week average. 29.4% of nursing staff left within a year (Iowa median 41.7%). That is lower than most homes in Iowa, a sign of a steadier team. 3 administrators left in the past year.
About this nursing home
Paying for care at Dunlap Specialty Care: Medicare and Medicaid
Dunlap Specialty Care is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 6, 2026 and found 2 deficiencies. In total, inspectors issued 29 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 29 citations at Dunlap Specialty Care across 6 inspection dates, 22 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 9, 2023 (complaint inspection). The most common areas cited were resident assessment and care planning (9) and quality of life and care (5). The most serious was cited under the CMS rule to "arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services" (tag F0849, level J, November 9, 2023). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 6, 2026 · 2 citations
DEnsure that residents are free from significant medication errors.
DProvide and implement an infection prevention and control program.
May 22, 2025 · 7 citations · includes complaint inspection
EHonor 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
February 12, 2025 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
July 3, 2024 · 6 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide safe and appropriate respiratory care for a resident when needed.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
BHonor the resident's right to manage his or her financial affairs.
January 16, 2024 · 5 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 9, 2023 · 8 citations, includes immediate jeopardy · includes complaint inspection
JArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Dunlap Specialty Care
- Inspectors cited the home at the immediate-jeopardy level on November 9, 2023 under the rule on administration. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on November 9, 2023. How are staff trained, and how are concerns reported?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $10,062 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Nov 9, 2023 | Fine | $10,062 |
| Nov 9, 2023 | Payment Denial | 55 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 2/5 | 5/5 | 5/5 |
| August 2026 | 4/5 | 2/5 | 5/5 | 5/5 |
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Location
Hospitals near Dunlap Specialty Care
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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16.2 mi
Crawford County Memorial Hospital DenisonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 41m for patients treated and sent home
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19.4 mi
Myrtue Medical Center HarlanEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 1m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Affiliation comes from CMS's affiliated-entity data, October 2026. All 43 Care Initiatives nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.