Federal inspection record · CMS data as of October 1, 2026
Sunny Hill Care Center
1708 Harding Street, Tama, IA · (641) 484-4061
- Certified beds
- 57
- Residents per day
- 53
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 2002
1
How this home got 1 star
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Sunny Hill Care Center carries 86.5 inspection points. That is fewer than 19% 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
14 health citations on record since 2023. 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 (4)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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K
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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K
Respond appropriately to all alleged violations.
Everything else, by area of care
Pharmacy Service2D
- D
Ensure that residents are free from significant medication errors.
- D
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.
Resident Assessment and Care Planning2D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care2D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nursing and Physician Services1D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Administration1E
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
Resident Rights1B
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspection history
2026-03-05
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2025-02-06
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-02-08
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 1 min of nursing staff time a day, 46 min of it from a registered nurse.
This home
3 h 1 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 31% of nursing staff and 25% 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
Fines and payment denials
$13,787 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-08 | Fine | $13,787 |
6
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 days0.9 pts worse | 2.3 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.4 | 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 vaccine0.5 pts better | 96.3% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 4.1% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.4 pts better | 0.0% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication28.2 pts worse | 49.2% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.3 pts better | 11.5% | 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 worsened6.8 pts worse | 22.0% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.5 pts worse | 30.1% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.3 pts worse | 3.7% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 1.0% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4 pts better | 21.0% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.5 pts worse | 7.6% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.8 pts better | 98.8% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts better | 10.1% | 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 rehospitalized after a nursing home admission11 pts better | 9.7% | 20.7% | 23.4% |
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Who owns and runs it
18 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 |
|---|---|---|---|
| Hineman, Polly | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hineman, Polly | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kilian, Mark | Direct Ownership Interest · Individual | 0% | 2 facilities |
| Kilian, Mark | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ltc Accounting Services, LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Ltc Accounting Services, LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Osthus, David | Direct Ownership Interest · Individual | 0% | 3 facilities |
| Osthus, David | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Osthus, David | Adp Of The SNF · Individual | 0% | 3 facilities |
| Potter And Brant Plc | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Potter And Brant Plc | Adp Of The SNF · Organization | 0% | 3 facilities |
| Premier Senior Management LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Premier Senior Management LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Thiessen, Megan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Thiessen, Megan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Walton, Caleb | Direct Ownership Interest · Individual | 0% | 2 facilities |
| Walton, Caleb | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Walton, Caleb | Adp Of The SNF · Individual | 0% | 2 facilities |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Smoke1F
- F
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous1F
- F
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure that testing and maintenance of electrical equipment is performed.
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Other homes nearby
-
Accura Healthcare of Toledo
Toledo, IA · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 10 min
- Fines
- $0
-
Westbrook Acres
Gladbrook, IA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 22 min
- Fines
- $9,347
-
Sunrise Hill Care Center
Traer, IA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 30 min
- Fines
- $0