facebook tracking State Center Specialty Care, State Center IA: CMS Ratings
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State Center Specialty Care

All states › Iowa › State Center › State Center Specialty Care

702 Third Street NW State Center, IA 50247 · Marshall County

(641) 384-5407

Accepts Medicare Accepts Medicaid 39 certified beds Non profit

CMS certification number 165390 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is State Center 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 State Center Specialty Care as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Iowa average of 3.1. Inspectors issued 20 citations in the last three years. CMS reports no fines or payment denials in that time.

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.

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Staffing

Nursing staff spend about 3.54 hours per resident per day at State Center Specialty Care, below the Iowa median of 3.76 (US median: 3.72). About 0.96 of those hours are from registered nurses. On weekends it falls to 3.08 hours, 13% below its all-week average. 53.3% 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.

Nursing care per resident per day 3.54 hours
Below the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.96 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.08 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 53.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 57.1% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds39
Residents per day 31 About 80% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceApril 1998
Part of a chainCare Initiatives
Legal business nameCARE INITIATIVES

Paying for care at State Center Specialty Care: Medicare and Medicaid

State Center 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 January 22, 2026 and found 4 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 20 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 20 citations at State Center Specialty Care across 6 inspection dates, 5 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 20 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident rights (6) and resident assessment and care planning (5). The most serious was cited under the CMS rule to "ensure 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" (tag F0803, level E, January 22, 2026).

January 22, 2026 · 4 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Feb 3, 2026)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Feb 3, 2026)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Feb 3, 2026)

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Feb 3, 2026)

November 19, 2025 · 1 citation · includes complaint inspection

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Nov 20, 2025)

November 21, 2024 · 7 citations · includes complaint inspection

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Dec 6, 2024)

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Dec 6, 2024)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Dec 6, 2024)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Dec 6, 2024)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Dec 6, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Dec 6, 2024)

DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Complaint inspection · Deficient, Provider has date of correction (Dec 6, 2024)

October 17, 2024 · 1 citation · includes complaint inspection

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Oct 18, 2024)

December 20, 2023 · 2 citations · includes complaint inspection

EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Deficient, Provider has date of correction (Dec 21, 2023)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Dec 21, 2023)

August 30, 2023 · 5 citations

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Sep 25, 2023)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Sep 25, 2023)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Sep 25, 2023)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Sep 25, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 25, 2023)

Questions to ask on a tour of State Center Specialty Care

  1. Nursing staff turnover was 53.3% a year. How many of the staff come from agencies?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. 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 monthOverallInspectionStaffingQuality
October 2026 4/5 3/5 4/5 5/5
August 2026 5/5 3/5 5/5 5/5
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Location

Hospitals near State Center 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.

  • 13.6 mi
    Story County Hospital Nevada
    Emergency room
    Median ER visit 1h 42m for patients treated and sent home
  • 13.8 mi
    Marshalltown Medical & Surgical Center Marshalltown
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 42m for patients treated and sent home
  • 22.6 mi
    Mary Greeley Medical Center Ames
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 26m 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.

Nearby nursing homes

Zearing Health Care Zearing · 11.7 mi away ★★☆☆☆ Inspection 1/5 · Staffing 3/5 40 beds · Medicaid
Iowa Veterans Home Marshalltown · 12.4 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 702 beds · Medicaid
Southridge Specialty Care Marshalltown · 13.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 82 beds · Medicaid
Accura Healthcare of Marshalltown Marshalltown · 13.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 84 beds · Medicaid
Story Medical Senior Care Nevada · 13.5 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 60 beds · Medicaid

More nursing homes near State Center Specialty Care ›   All nursing homes in State Center ›

Compare State Center Specialty Care with the 3 closest homes side by side ›

Other Care Initiatives nursing homes in Iowa

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.

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https://www.nursinghomesineachstate.com/iowa/state-center/state-center-specialty-care/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.