Federal inspection record · CMS data as of October 1, 2026
Hiawatha Care Center
405 North 15th Avenue, Hiawatha, IA · (319) 378-8583
- Certified beds
- 109
- Residents per day
- 101
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 2004
1
How this home got 3 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
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Hiawatha Care Center carries 33 inspection points. That is fewer than 50% 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
10 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.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Nutrition and Dietary4E
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- 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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning1E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-04-02
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-03-13
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-05-09
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 2 h 42 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
2 h 42 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 33% of nursing staff and 30% of registered nurses left in the past year.
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.2 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts better | 0.2 | 1.9 | 1.7 |
| 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 vaccine6.3 pts worse | 89.5% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 1.9% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.8 pts better | 0.4% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 3.4% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts better | 20.9% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.7 pts worse | 23.5% | 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 worsened7.2 pts worse | 22.4% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts worse | 16.9% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder5.6 pts worse | 7.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts better | 0.3% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.3 pts worse | 30.3% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.6% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14 pts better | 98.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.6 pts better | 10.4% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.8 pts better | 85.2% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.1 pts worse | 21.8% | 20.7% | 23.4% |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2F
- F
Have properly located and lighted "Exit" signs.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous2F
- F
Have restrictions on the use of highly flammable decorations.
- F
Have simulated fire drills held at unexpected times.
Smoke2E
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Conduct risk assessment and an All-Hazards approach.
·
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