Sioux City, IA

Casa De Paz Health Care Center

1-star overall rating with 2-star inspections with 11 recent health deficiencies

2121 West 19th Street, Sioux City, IA

(712) 233-3127

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Campbell Street Services

Operator or chain grouping

Approved since

1992-10-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

16 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.71

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.62

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

1.70

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.02

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.32

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.12

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.34

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.77

CMS adjusted RN staffing hours

Adjusted total hours

3.29

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

11,166

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

17.81

Composite VBP score used to determine payment impact.

Payment multiplier

0.9818

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Performance 23.22% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

0.82

Performance 7.59% · Measure score 0.82 · Achievement 0.82 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

4.52

Baseline 3.68 hours · Performance 4.36 hours · Measure score 4.52 · Achievement 4.52 · Improvement 2.76

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.61%	10.72% 2.9 pts worse	No Different than the National Rate · Eligible stays 38 · Observed rate 26.32% · Lower 95% interval 9.42%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.18	1.02 0.2 pts worse
Drug regimen review with follow-up	92.31%	95.27% 3 pts worse	Numerator 24 · Denominator 26
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 26
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	3.85%	2.29% 1.6 pts worse	Numerator 1 · Denominator 26 · Adjusted rate 3.87%
Healthcare-associated infections requiring hospitalization	7.59%	7.12% 0.5 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 10% · Lower 95% interval 3.72%
Staff COVID-19 vaccination coverage	7.32%	8.2% 0.9 pts worse	Numerator 6 · Denominator 82
Staff flu vaccination coverage	39.13%	42% 2.9 pts worse	Numerator 36 · Denominator 92
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	1.5 0.9 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.1 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	2.1 0.3 pts better	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.2%	94.0% 3.2 pts better	93.4% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 100.0% · Q3 92.3% · Q4 98.3% · 4Q avg 97.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.7%	95.2% 0.5 pts better	95.5% 0.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.7%
Percentage of long-stay residents experiencing one or more falls with major injury	3.6%	3.7% 0.1 pts better	3.3% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.5% · Q3 4.6% · Q4 5.0% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.8%	4.0% 1.2 pts better	11.4% 8.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 5.6% · Q3 1.7% · Q4 1.8% · 4Q avg 2.8%
Percentage of long-stay residents who lose too much weight	4.3%	4.9% 0.6 pts better	5.4% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.9% · Q3 6.5% · Q4 1.7% · 4Q avg 4.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.5%	20.6% 3.9 pts worse	19.6% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 21.0% · Q3 27.0% · Q4 25.4% · 4Q avg 24.5%
Percentage of long-stay residents who received an antipsychotic medication	37.8%	19.8% 18 pts worse	16.7% 21.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.4% · Q2 44.4% · Q3 37.8% · Q4 32.6% · 4Q avg 37.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	21.6%	18.5% 3.1 pts worse	16.3% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 18.0% · Q3 25.7% · Q4 21.6% · 4Q avg 21.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.1%	18.3% 0.2 pts better	14.9% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 20.0% · Q3 16.1% · Q4 20.7% · 4Q avg 18.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.0%	1.7% 0.7 pts better	1.0% About the same	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 1.8% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.5%	2.5% About the same	1.7% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.6% · Q3 4.7% · Q4 1.7% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.0%	26.0% 3 pts better	19.8% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 23.0% · Q3 17.8% · Q4 33.3% · 4Q avg 23.0%
Percentage of long-stay residents with pressure ulcers	0.5%	4.3% 3.8 pts better	5.1% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	84.3%	84.3% About the same	81.7% 2.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 85.7% · Q4 80.0% · 4Q avg 84.3%
Percentage of short-stay residents who had an outpatient emergency department visit	9.9%	13.1% 3.2 pts better	12.0% 2.1 pts better	Short Stay · 20240701-20250630 · Adjusted 9.9% · Observed 9.5% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	7.0%	1.9% 5.1 pts worse	1.6% 5.4 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 7.0% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.8%	21.3% 10.5 pts worse	23.9% 7.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.8% · Observed 28.6% · Expected 21.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-03 · Fire 2025-04-03

11 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-11 · Fire 2024-04-11

17 health deficiencies

Top issue: Nutrition and Dietary (5 deficiencies)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Cycle 3 Health 2023-03-16 · Fire 2023-03-16

12 health deficiencies

Top issue: Resident Rights (4 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-11

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-04-25

F · Potential for more than minimal harm 2024-04-11

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2024-04-25

F · Potential for more than minimal harm 2024-04-11

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2024-05-08

F · Potential for more than minimal harm 2024-04-11

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-11

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-05-08

F · Potential for more than minimal harm 2024-04-11

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2024-05-12

F · Potential for more than minimal harm 2023-03-16

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2023-03-27

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-10-30

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-11-11

D · Potential for more than minimal harm 2025-10-30

F693 · Quality of Life and Care Deficiencies

Health

Ensure 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.

Corrected 2025-11-11

E · Potential for more than minimal harm 2025-08-21

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-09-13

E · Potential for more than minimal harm 2025-08-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-09-13

E · Potential for more than minimal harm 2025-04-03

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-04-27

D · Potential for more than minimal harm 2025-04-03

F584 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2025-04-27

D · Potential for more than minimal harm 2025-04-03

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-04-27

D · Potential for more than minimal harm 2025-04-03

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-27

D · Potential for more than minimal harm 2025-04-03

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-27

D · Potential for more than minimal harm 2025-04-03

F758 · Pharmacy Service Deficiencies

Health

Implement 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.

Corrected 2025-04-27

D · Potential for more than minimal harm 2025-04-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-27

E · Potential for more than minimal harm 2025-01-10

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-01-06

E · Potential for more than minimal harm 2025-01-10

F761 · Pharmacy Service Deficiencies

Health

Ensure 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.

Corrected 2025-01-06

E · Potential for more than minimal harm 2024-07-15

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-07-26

E · Potential for more than minimal harm 2024-07-15

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-07-26

E · Potential for more than minimal harm 2024-07-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-26

E · Potential for more than minimal harm 2024-04-11

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-05-11

E · Potential for more than minimal harm 2024-04-11

F688 · Quality of Life and Care Deficiencies

Health

Provide 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.

Corrected 2024-05-11

E · Potential for more than minimal harm 2024-04-11

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-05-11

E · Potential for more than minimal harm 2024-04-11

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-11