Wapello, IA

Wapello Specialty Care

4-star overall rating with 3-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

601 Highway 61 South, Wapello, IA

(319) 523-2001

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

49

Certified beds

Average residents

36

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Care Initiatives

Operator or chain grouping

Approved since

2002-04-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.03

Registered nurse staffing

LPN hours / resident day

0.29

Licensed practical nurse staffing

Aide hours / resident day

2.06

Nurse aide staffing

Weekend hours

3.12

Weekend nurse staffing

RN turnover

22%

Annual RN turnover

Total nurse turnover

33%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.0%
6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
95.2%
2.4 pts better
95.5%
2.1 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
3.7%
3.7 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
4.0%
4 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.3%
4.9%
1.6 pts better
5.4%
2.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.1%
20.6%
2.5 pts better
19.6%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 11.8%
19.8%
8 pts better
16.7%
4.9 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 16.1%
18.5%
2.4 pts better
16.3%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 14.0%
18.3%
4.3 pts better
14.9%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.9%
1.7%
0.2 pts worse
1.0%
0.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.5%
2.5%
1 pts better
1.7%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 30.9%
26.0%
4.9 pts worse
19.8%
11.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 8.4%
4.3%
4.1 pts worse
5.1%
3.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.9%
84.3%
9.6 pts better
81.7%
12.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.0%
13.1%
5.1 pts better
12.0%
4 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.9%
1.9 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92.9%
73.3%
19.6 pts better
79.7%
13.2 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 11.9%
21.3%
9.4 pts better
23.9%
12 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-20 · Fire 2025-11-20

1 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-10-03 · Fire 2024-10-03

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2023-09-21 · Fire 2023-09-21

20 health deficiencies

Top issue: Resident Assessment and Care Planning (8 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-11-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-12-19

E · Potential for more than minimal harm 2024-10-03

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-10-09

E · Potential for more than minimal harm 2024-10-03

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-15

F · Potential for more than minimal harm 2023-09-21

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-09-21

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-09-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-02

E · Potential for more than minimal harm 2024-10-03

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 2024-10-17

D · Potential for more than minimal harm 2024-10-03

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-10-03

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-10-03

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 2024-10-17

D · Potential for more than minimal harm 2024-10-03

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-10-17

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

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-04-24

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

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-04-24

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

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 2024-04-24

G · Actual harm 2023-09-21

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-10-20

G · Actual harm 2023-09-21

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 2023-11-29

G · Actual harm 2023-09-21

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-10-20

E · Potential for more than minimal harm 2023-09-21

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-21

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 2023-10-20

D · Potential for more than minimal harm 2023-09-21

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-21

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-11-29

D · Potential for more than minimal harm 2023-09-21

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-21

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-21

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2023-11-29

D · Potential for more than minimal harm 2023-09-21

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2023-11-29

D · Potential for more than minimal harm 2023-09-21

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-21

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 2023-11-29

D · Potential for more than minimal harm 2023-09-21

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-21

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-21

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-11-29

C · Minimal harm 2023-09-21

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2023-10-20

Penalties and ownership

What sits behind the stars

$0 2023-09-21

Payment Denial

Payment Denial · denial start 2023-10-25 · 35 days

35 day denial

Ownership

Care Initiatives

5% Or Greater Direct Ownership Interest · Organization

100% 43 facilities 2010-11-12
Baedke, Charissa

Operational/Managerial Control · Individual

0% 12 facilities 2024-01-01
Beal, Michael

Corporate Director · Individual

0% 43 facilities 2020-06-01
Beal, Michael

Corporate Officer · Individual

0% 43 facilities 2020-06-01
Bowen, Lane

Corporate Director · Individual

0% 44 facilities 2021-01-01
Carothers, Mary Jane

Corporate Director · Individual

0% 43 facilities 2023-01-01
Childs, Kevin

Corporate Director · Individual

0% 43 facilities 2023-04-01
Computershare Corporate Trust

5% Or Greater Mortgage Interest · Organization

0% 41 facilities 2025-01-01
Corless, Peter

Corporate Director · Individual

0% 40 facilities 2025-01-01
Dixon, David

Corporate Officer · Individual

0% 44 facilities 2016-06-01
Drake, Emily

Corporate Officer · Individual

0% 43 facilities 2023-01-04
Gilyard, Tanya

Corporate Officer · Individual

0% 40 facilities 2025-05-23
Krein, Keith

Corporate Director · Individual

0% 43 facilities 2022-06-29
Kuhn, Jeramy

Corporate Officer · Individual

0% 43 facilities 2008-06-25
Mcdyer, Jessica

Corporate Officer · Individual

0% 43 facilities 2023-02-22
Paris, Kristen

Operational/Managerial Control · Individual

0% 1 facilities 2023-03-12
Rust, Elizabeth

Corporate Director · Individual

0% 43 facilities 2023-01-01
Sturm, Denise

Corporate Director · Individual

0% 43 facilities 2021-01-01
Upmeyer, Linda

Corporate Director · Individual

0% 43 facilities 2022-06-29
Volm, Johanna

Corporate Officer · Individual

0% 27 facilities 2021-01-01
Wei, Shipeng

Operational/Managerial Control · Individual

0% 14 facilities 2024-01-01

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