facebook tracking Titonka Care Center, Titonka IA: CMS Ratings & Inspections
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Titonka Care Center

All states › Iowa › Titonka › Titonka Care Center

312 First Avenue NW Titonka, IA 50480 · Kossuth County

(515) 928-2600

Accepts Medicare Accepts Medicaid 26 certified beds Non profit

CMS certification number 165431 · 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 Titonka 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 Titonka Care Center as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Iowa average of 3.1. Inspectors issued 9 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 4.22 hours per resident per day at Titonka Care Center, above the Iowa median of 3.76 (US median: 3.72). About 1.06 of those hours are from registered nurses. On weekends it falls to 3.35 hours, 21% below its all-week average. Ask how weekends are staffed. 33.3% of nursing staff left within a year (Iowa median 41.7%).

Nursing care per resident per day 4.22 hours
Above the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.06 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.35 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 33.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 50% a year Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds26
Residents per day 20 About 78% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceDecember 2000
Legal business nameTITONKA COMMUNITY REST HOME, INC.

Paying for care at Titonka Care Center: Medicare and Medicaid

Titonka 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 30, 2026 and found 0 deficiencies. In total, inspectors issued 9 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 9 citations at Titonka Care Center across 2 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 9 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were administration (2) and infection control (2). The most serious was cited under the CMS rule to "ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards" (tag F0836, level F, April 17, 2025).

April 17, 2025 · 7 citations

FEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Potential for more than minimal harm · Administration Deficiencies · Tag F0836 · Deficient, Provider has date of correction (Apr 29, 2025)

FProvide 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 (Apr 29, 2025)

DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Apr 29, 2025)

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 (Apr 29, 2025)

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 (Apr 29, 2025)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 29, 2025)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Apr 29, 2025)

May 2, 2024 · 2 citations

FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Potential for more than minimal harm · Administration Deficiencies · Tag F0851 · Deficient, Provider has date of correction (May 17, 2024)

FProvide 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 (May 17, 2024)

Questions to ask on a tour of Titonka Care Center

  1. Weekend staffing is 21% below the all-week average. Who is on duty on Saturday nights?
  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 5/5 4/5 5/5 3/5
August 2026 5/5 4/5 5/5 4/5
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Location

Hospitals near Titonka 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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Accura Healthcare of Bancroft Bancroft · 9.1 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 25 beds · Medicaid
Timely Mission Nursing Home Buffalo Center · 11.5 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 42 beds · Medicaid
Algona Manor Care Center Algona · 14.3 mi away ★★★★★ Inspection 4/5 · Staffing 3/5 46 beds · Medicaid
Westview Care Center Britt · 15.4 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 67 beds · Medicaid
Good Samaritan - Algona Algona · 15.4 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 72 beds · Medicaid

More nursing homes near Titonka Care Center ›   All nursing homes in Titonka ›

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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/titonka/titonka-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.