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A

93/100

Excellent

State Center Specialty Care

702 Third Street Nw, State Center, IA 50247

CMS 5/5 stars #2 of 5 in Marshall County (641) 384-5407
Certified beds
39
Occupancy
84%
Ownership
Non-profit
Accepts
Medicare + Medicaid

Our read on State Center Specialty Care

State Center Specialty Care runs 39 certified beds as a nonprofit operation, and its staffing sits at 3.41 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts are predictable. Turnover lands at 40%, a bit better than the 45.8% national figure. Twenty deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 22, 2026. The quality and staffing stars both come in at 5 out of 5, while health inspections sit at 3. Worth asking how the home covers weekends and what those 20 deficiencies involved.

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.

Inspection30/30Staffing26/30Stability12/15Outcomes15/15Enforcement10/10

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

30/30

Citations 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

26/30

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

  • →4.54 total nurse hours per resident per day (national median 3.77)
  • →0.85 RN hours per resident per day
  • →Weekend staffing drops 7% 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

15/15

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

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

Enforcement history

10/10

Fines 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 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 day3.41 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.85 hrs
National average 0.69 hrsBetter than average

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

Weekend nurse hours3.18 hrs
National average 3.42 hrsBelow average

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

Nursing staff turnover40.00%
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: January 22, 2026 (9 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

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.

What families say

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Common questions about State Center Specialty Care

What is the ElderGrade for State Center Specialty Care? +

State Center Specialty Care holds an ElderGrade of A (93 out of 100), which we describe as "excellent". 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 State Center Specialty Care? +

Residents receive an average of 3.41 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has State Center Specialty Care 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 State Center Specialty Care accept Medicaid? +

Yes, State Center 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.