Federal inspection record · CMS data as of October 1, 2026
Titonka Care Center
312 First Avenue NW, Titonka, IA · (515) 928-2600
- CMS high-performer trophy
- Certified beds
- 26
- Residents per day
- 20
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 12, 2000
1
How this home got 5 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
★★★★★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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Titonka Care Center carries 13 inspection points. That is fewer than 79% 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
9 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
Administration2F
- F
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.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Quality of Life and Care2D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights1D
- D
Notify 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.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service1D
- 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.
Inspection history
2026-04-30
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2025-04-17
7 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-05-02
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Administration (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 13 min of nursing staff time a day, 1 h 3 min of it from a registered nurse.
This home
4 h 13 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 50% 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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.2 pts worse | 89.0% | 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 injury5.7 pts worse | 9.6% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.8 pts better | 1.4% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.4 pts worse | 8.8% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication21 pts worse | 42.0% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.4 pts worse | 23.2% | 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 worsened3.4 pts worse | 18.6% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.4 pts worse | 20.0% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 2.8% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.3 pts better | 14.7% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.3 pts worse | 8.4% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.3 pts better | 93.3% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
·
Who owns and runs it
11 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 |
|---|---|---|---|
| Anderson Post, Sherri | Corporate Director · Individual | 0% | 1 facilities |
| Anderson Post, Sherri | Corporate Officer · Individual | 0% | 1 facilities |
| Buffington-Missman, Tammy | Corporate Officer · Individual | 0% | 1 facilities |
| Christensen, Wendell | Corporate Officer · Individual | 0% | 1 facilities |
| Continuum Health Care Services LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Gerzema, Dean | Corporate Director · Individual | 0% | 1 facilities |
| Heyer, Steven | Corporate Officer · Individual | 0% | 1 facilities |
| Larsen, Paul | Corporate Officer · Individual | 0% | 1 facilities |
| Phelps, Laura | Corporate Officer · Individual | 0% | 1 facilities |
| Rasch, Corey | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Rasch, Corey | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness12F
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures for sheltering.
- F
Create arrangements with other facilities to receive patients.
- F
Establish roles under a Waiver declared by secretary.
- F
List the names and contact information of those in the facility.
- F
Provide emergency officials' contact information.
- F
Provide primary/alternate means for communication.
- F
Provide family notifications of emergency plan.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
- F
Address patient/client population and determine types of services needed.
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Other homes nearby
-
Accura Healthcare of Bancroft
Bancroft, IA · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 12 min
- Fines
- $0
-
Timely Mission Nursing Home
Buffalo Center, IA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 2 h 53 min
- Fines
- $0
-
Algona Manor Care Center
Algona, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 24 min
- Fines
- $0