81/100
Above average
Happy Siesta Health Care Center
423 Roosevelt St, Remsen, IA 51050
- Certified beds
- 62
- Occupancy
- 91%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
Our read on Happy Siesta Health Care Center
Happy Siesta runs lean on nursing hours, 3.30 per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday staffing. That gap matters because a 52.5% annual turnover rate means many of the aides and nurses on the floor are still learning the building, and it sits well above the 45.8% national figure. The current inspection record shows six deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse. The last state visit was June 2025, so the picture is recent. Quality measures score well, but staffing hours and staff retention tell a different story than the star ratings alone suggest.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
20/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.96 total nurse hours per resident per day (national median 3.77)
- →0.77 RN hours per resident per day
- →Weekend staffing drops 8% against weekdays
Staff stability
9/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →53% of nursing staff left in the last year
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: June 12, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Happy Siesta Health Care Center
What is the ElderGrade for Happy Siesta Health Care Center? +
Happy Siesta Health Care Center holds an ElderGrade of B (81 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Happy Siesta Health Care Center? +
Residents receive an average of 3.30 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Happy Siesta Health Care Center been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Happy Siesta Health Care Center accept Medicaid? +
Yes, Happy Siesta Health Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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