Federal inspection record · CMS data as of October 1, 2026
Chariton Specialty Care
1214 North Seventh Street, Chariton, IA · (641) 774-5921
- Certified beds
- 60
- Residents per day
- 37
- Ownership
- For-Profit
- Chain
- Care Initiatives
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1996
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Chariton Specialty Care carries 20 inspection points. That is fewer than 68% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
15 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning4E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assess the resident when there is a significant change in condition
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary4E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care2D
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights2D
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-01-14
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2025-01-30
8 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2024-03-07
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 26 min of nursing staff time a day, 1 h 7 min of it from a registered nurse.
This home
3 h 26 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 63% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 3.0% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.2 pts worse | 7.4% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts better | 2.1% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts worse | 25.3% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7 pts worse | 26.8% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.6 pts worse | 18.8% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.8 pts better | 7.8% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.6% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 1.5% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts better | 24.1% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 3.0% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.8 pts better | 96.8% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.2 pts worse | 4.3% | 2.1% | 1.5% |
·
Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Care Initiatives | 5% Or Greater Direct Ownership Interest · Organization | 100% | 43 facilities |
| Beal, Michael | Corporate Director · Individual | 0% | 43 facilities |
| Beal, Michael | Corporate Officer · Individual | 0% | 43 facilities |
| Bowen, Lane | Corporate Director · Individual | 0% | 44 facilities |
| Carothers, Mary Jane | Corporate Director · Individual | 0% | 43 facilities |
| Childs, Kevin | Corporate Director · Individual | 0% | 43 facilities |
| Computershare Corporate Trust Company, Na | 5% Or Greater Mortgage Interest · Organization | 0% | 59 facilities |
| Computershare Corporate Trust Company, Na | Adp Of The SNF · Organization | 0% | 59 facilities |
| Corless, Peter | Corporate Director · Individual | 0% | 43 facilities |
| Dixon, David | Corporate Officer · Individual | 0% | 44 facilities |
| Drake, Emily | Corporate Officer · Individual | 0% | 43 facilities |
| Gilyard, Tanya | Corporate Officer · Individual | 0% | 42 facilities |
| Krein, Keith | Corporate Director · Individual | 0% | 43 facilities |
| Kuhn, Jeramy | Corporate Officer · Individual | 0% | 43 facilities |
| Mahler, Carla | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Mcdyer, Jessica | Corporate Officer · Individual | 0% | 43 facilities |
| Oben, Patrick | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Oben, Patrick | Adp Of The SNF · Individual | 0% | 8 facilities |
| Rust, Elizabeth | Corporate Director · Individual | 0% | 43 facilities |
| Sturm, Denise | Corporate Director · Individual | 0% | 43 facilities |
| Upmeyer, Linda | Corporate Director · Individual | 0% | 43 facilities |
| Young, Vanessa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Young, Vanessa | Adp Of The SNF · Individual | 0% | 1 facilities |
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Other homes nearby
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Corydon Specialty Care
Corydon, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 29 min
- Fines
- $0
-
West Ridge Specialty Care
Knoxville, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 53 min
- Fines
- $0
-
Accura Healthcare of Knoxville, LLC
Knoxville, IA · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 27 min
- Fines
- $16,153