All states › Iowa › Sioux City › Casa De Paz Health Care Center
2121 West 19th Street Sioux City, IA 51103 · Woodbury County
All 6 nursing homes in Sioux City, IA (6 take Medicaid)
CMS certification number 165174 · See this home on Medicare Care Compare
Is Casa De Paz Health Care Center 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 Casa De Paz Health Care Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below 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 3.09 hours per resident per day at Casa De Paz Health Care Center, below 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 2.34 hours, 24% below its all-week average. Ask how weekends are staffed. 53.8% of nursing staff left within a year (Iowa median 41.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Casa De Paz Health Care Center: Medicare and Medicaid
Casa De Paz Health Care Center 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 April 9, 2026 and found 4 deficiencies, plus 8 from complaint inspections in the same period. In total, inspectors issued 39 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 39 citations at Casa De Paz Health Care Center across 9 inspection dates, 18 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 39 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (9) and quality of life and care (8). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level E, April 9, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.
July 14, 2026 · 3 citations · includes complaint inspection
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
April 9, 2026 · 7 citations · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
October 30, 2025 · 2 citations · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure 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.
August 21, 2025 · 2 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EEnsure services provided by the nursing facility meet professional standards of quality.
April 3, 2025 · 7 citations · includes complaint inspection
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DHonor 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.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
DProvide and implement an infection prevention and control program.
January 10, 2025 · 2 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
July 15, 2024 · 3 citations · includes complaint inspection
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
April 11, 2024 · 12 citations
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EProvide 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.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
DEnsure that residents are free from significant medication errors.
DEnsure 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 a neutral and fair arbitration process and agree to arbitrator and venue.
January 18, 2024 · 1 citation · includes complaint inspection
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Questions to ask on a tour of Casa De Paz Health Care Center
- CMS cited the home under its abuse and neglect rules on April 9, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 24% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 53.8% a year. How many of the staff come from agencies?
- 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 3/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
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Location
Hospitals near Casa De Paz Health Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
1.7 mi
St Lukes Regional Medical Center Sioux CityEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 54m for patients treated and sent home
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2.0 mi
Mercyone Siouxland Medical Center Sioux CityEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 19m for patients treated and sent home
- 3.0 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Casa De Paz Health Care Center › All nursing homes in Sioux City ›
Compare Casa De Paz Health Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- St Luke's Regional Medical Center SNF · Sioux City · 5 stars · 2.1 mi
- Accura Healthcare of Sioux City · Sioux City · 5 stars · 3.6 mi
- Sunrise Retirement Community · Sioux City · 5 stars · 5.6 mi
- Holy Spirit Retirement Home · Sioux City · 3 stars · 0.5 mi
Other Campbell Street Services nursing homes in Iowa
- Regency Park Nursing & Rehab Center of Carroll · Carroll · 5 stars
- University Park Nursing and Rehabilitation Center · Des Moines · 4 stars
- Regency Park Nursing & Rehab Center of Jefferson · Jefferson · 4 stars
- Denison Care Center · Denison · 3 stars
- Granger Nursing & Rehabilitation Center · Granger · 3 stars
- Pleasant Acres Care Center · Hull · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 25 Campbell Street Services 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.