nursing home in Rock Rapids, IA
Lyon Specialty Care
1010 South Union, Rock Rapids, IA 51246 · (712) 472-3748
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Lyon Specialty Care at a glance
Lyon Specialty Care is a 45-bed non-profit nursing home in Rock Rapids, Iowa (Lyon 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 2.8 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (June 19, 2025) found 3 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 50% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 45
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Care Initiatives
- Medicare-certified since
- April 18, 1994
- Resident/family council
- Resident
- County
- Lyon County
- CMS Certification Number
- 165215
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) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.77 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.57 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.49 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.52 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 50% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 40% | 42.1% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 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) | 3 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 21 | 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) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 45 | 65 | 107 | |
| Average residents per day | 36 | 52 | 86 | |
| Occupancy | 80.4% | 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) | 1.4% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.4% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 28.3% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.4% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.5% | 17.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 18% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.4% | 4.6% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 2.6% | 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) | 19.3% | 20.8% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 27.8% | 25.6% | 19% | Worse |
| 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) | 100% | 94% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 4.9% | 2.1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 90.9% | 73.3% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 2, 2026 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 | E Potential harm, pattern | Corrected February 27, 2026 |
| February 2, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected February 27, 2026 |
| February 2, 2026 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 February 27, 2026 |
| June 19, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected July 22, 2025 |
| June 19, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 30, 2025 |
| June 19, 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 June 30, 2025 |
| July 25, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected July 30, 2024 |
| July 25, 2024 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 25, 2024 Standard | 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 Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 25, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 25, 2024 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 | D Potential harm, isolated | Corrected August 8, 2024 |
| March 5, 2024 Complaint | 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 March 22, 2024 |
| May 24, 2023 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 June 8, 2023 |
| May 24, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected May 30, 2023 |
| May 24, 2023 Fire safety | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0922 | D Potential harm, isolated | Corrected May 30, 2023 |
| May 24, 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 16, 2023 |
| May 24, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 16, 2023 |
| May 24, 2023 Standard | 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 June 16, 2023 |
| May 24, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected June 16, 2023 |
| May 24, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected June 16, 2023 |
| May 24, 2023 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected June 16, 2023 |
| May 24, 2023 Standard | 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 June 16, 2023 |
| May 24, 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 16, 2023 |
| May 24, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected June 16, 2023 |
| May 24, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected June 16, 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 no federal fines or payment denials in the past three years.
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% | 11/12/2010 |
| 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 | 04/14/2025 |
| DONELAN, KEEGAN Individual | adp of the snf | NOT APPLICABLE | 04/14/2025 |
| WHYMS, BRIAN Individual | adp of the snf | NOT APPLICABLE | 07/31/2025 |
| 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 | 01/01/2025 |
| 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 | 02/22/2023 |
| VOLM, JOHANNA Individual | corporate officer | NOT APPLICABLE | 01/01/2021 |
| BOEVE, DESTINY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| DONELAN, KEEGAN Individual | operational/managerial control | NOT APPLICABLE | 02/13/2022 |
| WHYMS, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
Other nursing homes near Lyon Specialty Care
Good Samaritan - George
324 First Avenue North, George, IA 51237 · 10.3 mi
Non-profit · 36 beds · Part of Good Samaritan Society
★★★★★5Much above average- ★★★★★1Much below average
- ★★★★★4Above average
- ★★★★★4Above average
Hegg Memorial Health Center
2116 14th Street, Rock Valley, IA 51247 · 16 mi
Non-profit · 60 beds
- CMS high performer
★★★★★5Much above averageGood Samaritan Society - Mary Jane Brown
110 South Walnut Avenue, Luverne, MN 56156 · 16.3 mi
Non-profit · 51 beds · Part of Good Samaritan Society
★★★★★1Much below average
Frequently asked questions
What is Lyon Specialty Care's rating?
Lyon 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 Lyon Specialty Care receive?
Its most recent standard health inspection found 3 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Lyon 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 Lyon 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 Lyon Specialty Care and how do I contact it?
Lyon Specialty Care is at 1010 South Union, Rock Rapids, IA 51246. Phone: (712) 472-3748.
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.