ElderGrade
B

76/100

Above average

Southern Hills Specialty Care

444 North West View Drive, Osceola, IA 50213

CMS 3/5 stars (641) 342-6061
Certified beds
90
Occupancy
93%
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.

  • $36,865 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

30/30

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

Staffing

20/30

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

  • 3.85 total nurse hours per resident per day (national median 3.77)
  • 0.6 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

12/15

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

  • 40% 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

5/10

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

  • $36,865 in federal fines across 1 action(s)

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 3.38 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.60 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 2.97 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 40.40%
National average 45.80% Better than average

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

Recent inspection findings

Last standard health inspection: August 21, 2025 (1 year ago).

F Aug 21, 2025 F0865

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

No actual harm, potential for more than minimal harm

E Aug 21, 2025 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

D Aug 21, 2025 F0600 From a complaint

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 Aug 21, 2025 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Aug 21, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

C Apr 10, 2025 F0925 From a complaint

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

No actual harm, minimal potential

E Sep 12, 2024 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

D Dec 12, 2023 F0610 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

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 Southern Hills Specialty Care

What is the ElderGrade for Southern Hills Specialty Care? +

Southern Hills Specialty Care holds an ElderGrade of B (76 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 Southern Hills Specialty Care? +

Residents receive an average of 3.38 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Southern Hills Specialty Care been cited for harming residents? +

No. None of the 8 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Southern Hills Specialty Care accept Medicaid? +

Yes, Southern Hills 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.