nursing home in Dunlap, IA
Dunlap Specialty Care
1403 Harrison Road, Dunlap, IA 51529 · (712) 643-2121
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★5
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Dunlap Specialty Care at a glance
Dunlap Specialty Care is a 46-bed non-profit nursing home in Dunlap, Iowa (Harrison County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Iowa average of 3.1.
Residents receive about 3.6 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (May 22, 2025) found 7 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $10,062.
Nursing staff turnover is 35.5% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 46
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Care Initiatives
- Medicare-certified since
- December 1, 1993
- Resident/family council
- Resident
- County
- Harrison County
- CMS Certification Number
- 165193
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.58 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.73 hrs | 0.74 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.58 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.34 hrs | 3.37 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 35.5% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 14.3% | 42.1% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 2 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 64.5 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $10,062 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 46 | 65 | 107 | |
| Average residents per day | 33 | 52 | 86 | |
| Occupancy | 71.3% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.9% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 28.1% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 13% | 17.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 3.1% | 16.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4.3% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 10.9% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 40.6% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 17.4% | 25.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 16% | 2.1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 76.2% | 73.3% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 86.5% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 41 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 22, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 28, 2025 |
| May 22, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected June 4, 2025 |
| May 22, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected June 2, 2025 |
| May 22, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 12, 2025 |
| May 22, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected June 12, 2025 |
| May 22, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 22, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 22, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 22, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 22, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected June 12, 2025 |
| February 12, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 20, 2025 |
| July 3, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 25, 2024 |
| July 3, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected July 18, 2024 |
| July 3, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected July 18, 2024 |
| July 3, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected July 18, 2024 |
| July 3, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected July 25, 2024 |
| July 3, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected July 25, 2024 |
| July 3, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 19, 2024 |
| July 3, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected July 19, 2024 |
| July 3, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 19, 2024 |
| July 3, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected July 19, 2024 |
| July 3, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 19, 2024 |
| July 3, 2024 Standard | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | B No harm, pattern | Corrected July 19, 2024 |
| January 16, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected January 30, 2024 |
| January 16, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected January 30, 2024 |
| January 16, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 30, 2024 |
| January 16, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected January 30, 2024 |
| January 16, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 30, 2024 |
| November 9, 2023 Complaint | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | J Immediate jeopardy, isolated | Corrected December 1, 2023 |
| November 9, 2023 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected December 1, 2023 |
| November 9, 2023 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected December 1, 2023 |
| November 9, 2023 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected January 30, 2024 |
| November 9, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected December 1, 2023 |
| November 9, 2023 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected December 1, 2023 |
| November 9, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 1, 2023 |
| November 9, 2023 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 1, 2023 |
| May 4, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 17, 2023 |
| May 4, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected May 17, 2023 |
| May 4, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected May 17, 2023 |
| May 4, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected May 17, 2023 |
| May 4, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected May 17, 2023 |
| May 4, 2023 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected June 14, 2023 |
| May 4, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected June 14, 2023 |
| May 4, 2023 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | J Immediate jeopardy, isolated | Corrected June 14, 2023 |
| May 4, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected June 14, 2023 |
| May 4, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 14, 2023 |
| May 4, 2023 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected June 14, 2023 |
| May 4, 2023 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 14, 2023 |
| May 4, 2023 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected June 14, 2023 |
| May 4, 2023 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected June 14, 2023 |
| May 4, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 14, 2023 |
| May 4, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 14, 2023 |
| May 4, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected June 14, 2023 |
| May 4, 2023 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | C No harm, widespread | Corrected June 14, 2023 |
| May 4, 2023 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | C No harm, widespread | Corrected June 14, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $10,062 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 9, 2023 | Payment Denial | 55 days from December 6, 2023 |
| November 9, 2023 | Fine | $10,062 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CARE INITIATIVES Organization | 5% or greater direct ownership interest | 100% | 08/01/1989 |
| COMPUTERSHARE CORPORATE TRUST COMPANY, NA Organization | 5% or greater mortgage interest | NOT APPLICABLE | 02/01/2025 |
| COMPUTERSHARE CORPORATE TRUST COMPANY, NA Organization | adp of the snf | NOT APPLICABLE | 04/11/2025 |
| HIATT, SARA Individual | adp of the snf | NOT APPLICABLE | 04/11/2025 |
| SCHULZ, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 07/18/2025 |
| WEI, SHIPENG Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| BEAL, MICHAEL Individual | corporate director | NOT APPLICABLE | 06/01/2020 |
| BOWEN, LANE Individual | corporate director | NOT APPLICABLE | 01/01/2021 |
| CAROTHERS, MARY JANE Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| CHILDS, KEVIN Individual | corporate director | NOT APPLICABLE | 04/01/2023 |
| CORLESS, PETER Individual | corporate director | NOT APPLICABLE | 01/01/2024 |
| KREIN, KEITH Individual | corporate director | NOT APPLICABLE | 06/29/2022 |
| RUST, ELIZABETH Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| STURM, DENISE Individual | corporate director | NOT APPLICABLE | 01/01/2021 |
| UPMEYER, LINDA Individual | corporate director | NOT APPLICABLE | 06/29/2022 |
| BEAL, MICHAEL Individual | corporate officer | NOT APPLICABLE | 06/01/2020 |
| DIXON, DAVID Individual | corporate officer | NOT APPLICABLE | 06/01/2016 |
| DRAKE, EMILY Individual | corporate officer | NOT APPLICABLE | 01/04/2023 |
| GILYARD, TANYA Individual | corporate officer | NOT APPLICABLE | 05/23/2025 |
| KUHN, JERAMY Individual | corporate officer | NOT APPLICABLE | 06/25/2008 |
| MCDYER, JESSICA Individual | corporate officer | NOT APPLICABLE | 01/04/2023 |
| VOLM, JOHANNA Individual | corporate officer | NOT APPLICABLE | 01/01/2021 |
| BEAL, MICHAEL Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 08/05/2025 |
| BOEVE, DESTINY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| HIATT, SARA Individual | operational/managerial control | NOT APPLICABLE | 05/08/2024 |
| SCHULZ, CHRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 05/19/2025 |
Other nursing homes near Dunlap Specialty Care
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★★★★★5Much above averageDenison Care Center
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★★★★★4Above averageElm Crest Retirement Community
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★★★★★2Below average- ★★★★★5Much above average
Azria Health Longview
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Frequently asked questions
What is Dunlap Specialty Care's rating?
Dunlap Specialty Care has 4 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Dunlap Specialty Care receive?
Its most recent standard health inspection found 7 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Dunlap Specialty Care accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Dunlap Specialty Care?
It is non profit - corporation and part of Care Initiatives. The ownership section on this page lists the owners and managers reported to CMS.
Where is Dunlap Specialty Care and how do I contact it?
Dunlap Specialty Care is at 1403 Harrison Road, Dunlap, IA 51529. Phone: (712) 643-2121.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.