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601 E South Street Manly, IA 50456 · Worth County
CMS certification number 165226 · See this home on Medicare Care Compare
Is Manly 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 Manly Specialty Care as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as 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 3.76 hours per resident per day at Manly Specialty Care, about the same as the Iowa median of 3.76 (US median: 3.72). About 1.01 of those hours are from registered nurses. On weekends it falls to 3.39 hours, 10% below its all-week average. 17.6% 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.
About this nursing home
Paying for care at Manly Specialty Care: Medicare and Medicaid
Manly 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 March 5, 2026 and found 5 deficiencies. In total, inspectors issued 21 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 21 citations at Manly Specialty Care across 4 inspection dates, 2 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 17, 2024 (complaint inspection). The most common areas cited were nutrition and dietary (5) and resident assessment and care planning (5). The most serious was cited under the CMS rule to "plan the resident's discharge to meet the resident's goals and needs" (tag F0660, level J, January 17, 2024). 4 citations were under CMS's abuse, neglect and exploitation rules.
March 5, 2026 · 5 citations
EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
ERespond appropriately to all alleged violations.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
February 27, 2025 · 7 citations
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EEnsure that residents are free from significant medication errors.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DEnsure each resident receives an accurate assessment.
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.
April 25, 2024 · 7 citations
EEnsure 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.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DImplement 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.
DHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
DProvide and implement an infection prevention and control program.
January 17, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JPlan the resident's discharge to meet the resident's goals and needs.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Questions to ask on a tour of Manly Specialty Care
- Inspectors cited the home at the immediate-jeopardy level on January 17, 2024 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 5, 2026. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- 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
1 penalty in the last three years, including $13,627 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 17, 2024 | Fine | $13,627 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 5/5 | 2/5 |
| August 2026 | 3/5 | 2/5 | 5/5 | 3/5 |
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Location
Hospitals near Manly 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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9.4 mi
Mercy Medical Center-North Iowa Mason CityEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 13m for patients treated and sent home
- 19.5 mi
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.