nursing home in Titonka, IA
Titonka Care Center
312 First Avenue NW, Titonka, IA 50480 · (515) 928-2600
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★5
- Quality measures★★★★★4
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Titonka Care Center at a glance
Titonka Care Center is a 26-bed non-profit nursing home in Titonka, Iowa (Kossuth County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Iowa average of 3.1.
Residents receive about 4.1 hours of nursing care per day (1 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (April 30, 2026) found 0 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 25% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 26
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- December 12, 2000
- Resident/family council
- Resident
- County
- Kossuth County
- CMS Certification Number
- 165431
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 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) | 5 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.15 hrs | 3.82 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.04 hrs | 0.74 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.53 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.23 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 25% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 20% | 42.1% | 42.9% | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 0 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 13 | 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 | 26 | 65 | 107 | |
| Average residents per day | 20 | 52 | 86 | |
| Occupancy | 77.3% | 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) | 9.2% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.5% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 14.5% | 19.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 4% | 2.4% | 1.6% | Worse |
| 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) | 14.5% | 17.1% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 18.6% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.9% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 4.3% | 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) | 32.9% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 14.8% | 25.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 81.8% | 95.3% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 84.2% | 94% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 87.9% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 9 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 17, 2025 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected May 14, 2025 |
| April 17, 2025 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected April 24, 2025 |
| April 17, 2025 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | F Potential harm, widespread | Corrected April 25, 2025 |
| April 17, 2025 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | F Potential harm, widespread | Corrected April 25, 2025 |
| April 17, 2025 Fire safety | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Tag E0022 | F Potential harm, widespread | Corrected April 25, 2025 |
| April 17, 2025 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | F Potential harm, widespread | Corrected May 14, 2025 |
| April 17, 2025 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected May 14, 2025 |
| April 17, 2025 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected May 14, 2025 |
| April 17, 2025 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | F Potential harm, widespread | Corrected April 24, 2025 |
| April 17, 2025 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | F Potential harm, widespread | Corrected April 25, 2025 |
| April 17, 2025 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected April 25, 2025 |
| April 17, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected April 25, 2025 |
| April 17, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected April 29, 2025 |
| April 17, 2025 Standard | 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. Administration Deficiencies · Tag F0836 | F Potential harm, widespread | Corrected April 29, 2025 |
| April 17, 2025 Standard | 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 April 29, 2025 |
| April 17, 2025 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 April 29, 2025 |
| April 17, 2025 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 April 29, 2025 |
| April 17, 2025 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 April 29, 2025 |
| April 17, 2025 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 April 29, 2025 |
| May 2, 2024 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected May 17, 2024 |
| May 2, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected May 17, 2024 |
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 |
|---|---|---|---|
| RASCH, COREY Individual | contracted managing employee | NOT APPLICABLE | 10/04/2021 |
| ANDERSON POST, SHERRI Individual | corporate director | NOT APPLICABLE | 06/04/2018 |
| GERZEMA, DEAN Individual | corporate director | NOT APPLICABLE | 06/04/2018 |
| RASCH, COREY Individual | corporate director | NOT APPLICABLE | 10/04/2021 |
| ANDERSON POST, SHERRI Individual | corporate officer | NOT APPLICABLE | 06/04/2018 |
| BUFFINGTON-MISSMAN, TAMMY Individual | corporate officer | NOT APPLICABLE | 06/04/2018 |
| CHRISTENSEN, WENDELL Individual | corporate officer | NOT APPLICABLE | 06/04/2018 |
| HEYER, STEVEN Individual | corporate officer | NOT APPLICABLE | 06/04/2018 |
| LARSEN, PAUL Individual | corporate officer | NOT APPLICABLE | 06/04/2018 |
| PHELPS, LAURA Individual | corporate officer | NOT APPLICABLE | 06/04/2018 |
| CONTINUUM HEALTH CARE SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 08/01/2006 |
Other nursing homes near Titonka Care Center
Accura Healthcare of Bancroft
546 East Ramsey Street, Bancroft, IA 50517 · 9.1 mi
For-profit · 25 beds · Part of Accura Healthcare
★★★★★5Much above averageTimely Mission Nursing Home
109 Mission Drive, Buffalo Center, IA 50424 · 11.5 mi
Non-profit · 42 beds
- CMS high performer
★★★★★5Much above averageAlgona Manor Care Center
2221 East McGregor Street, Algona, IA 50511 · 14.3 mi
For-profit · 46 beds
- CMS high performer
★★★★★5Much above averageWestview Care Center
445 Eighth Avenue SW, Britt, IA 50423 · 15.4 mi
For-profit · 67 beds · Part of Legacy Healthcare
- CMS high performer
★★★★★5Much above averageGood Samaritan - Algona
412 West Kennedy Street, Algona, IA 50511 · 15.4 mi
Non-profit · 72 beds · Part of Good Samaritan Society
★★★★★3AverageGood Samaritan - Forest City
606 South Seventh Street, Forest City, IA 50436 · 20.4 mi
Non-profit · 43 beds · Part of Good Samaritan Society
★★★★★4Above average
Frequently asked questions
What is Titonka Care Center's rating?
Titonka Care Center has 5 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 Titonka Care Center receive?
Its most recent standard health inspection found 0 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Titonka Care Center 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 Titonka Care Center?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Titonka Care Center and how do I contact it?
Titonka Care Center is at 312 First Avenue NW, Titonka, IA 50480. Phone: (515) 928-2600.
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.