ElderGrade
C

64/100

Average

Manly Specialty Care

601 E South Street, Manly, IA 50456

CMS 3/5 stars #1 of 2 in Worth County (641) 454-2223
Certified beds
44
Occupancy
88%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $13,627 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

18.6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -1.4 for 21 total citations against a national median of 17

Staffing

26/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.5 total nurse hours per resident per day (national median 3.77)
  • 0.98 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 27% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $13,627 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.60 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.98 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.30 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 27.00%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 21 citations

Last standard health inspection: March 5, 2026 (5 months ago).

E Mar 5, 2026 F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

No actual harm, potential for more than minimal harm

E Mar 5, 2026 F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

E Mar 5, 2026 F0610

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

No actual harm, potential for more than minimal harm

D Mar 5, 2026 F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D Mar 5, 2026 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

F Feb 27, 2025 F0801

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

No actual harm, potential for more than minimal harm

E Feb 27, 2025 F0760

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

E Feb 27, 2025 F0803

Nutrition and Dietary Deficiencies

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.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CARE INITIATIVES, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
COMPUTERSHARE CORPORATE TRUST COMPANY, NA Organization 5% OR GREATER MORTGAGE INTEREST
BEAL, MICHAEL Individual CORPORATE DIRECTOR
BOWEN, LANE Individual CORPORATE DIRECTOR
CAROTHERS, MARY JANE Individual CORPORATE DIRECTOR
CHILDS, KEVIN Individual CORPORATE DIRECTOR
CORLESS, PETER Individual CORPORATE DIRECTOR
KREIN, KEITH Individual CORPORATE DIRECTOR
RUST, ELIZABETH Individual CORPORATE DIRECTOR
STURM, DENISE Individual CORPORATE DIRECTOR
UPMEYER, LINDA Individual CORPORATE DIRECTOR
BEAL, MICHAEL Individual CORPORATE OFFICER
DIXON, DAVID Individual CORPORATE OFFICER

What families say

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Common questions about Manly Specialty Care

What is the ElderGrade for Manly Specialty Care? +

Manly Specialty Care holds an ElderGrade of C (64 out of 100), which we describe as "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 Manly Specialty Care? +

Residents receive an average of 3.60 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Manly Specialty Care been cited for harming residents? +

Yes. 1 of the 21 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Manly Specialty Care accept Medicaid? +

Yes, Manly Specialty Care 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.