46.5/100
Below average
1708 Harding Street, Tama, IA 52339
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.
4 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.
$24,756 in federal fines
CMS has fined this facility across 2 penalty action(s).
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.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours 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.
Last standard health inspection: March 5, 2026 (5 months ago).
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
No actual harm, minimal potential
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
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Actual harm to a resident
| Owner | Type | Role | Since |
|---|---|---|---|
| KILIAN, MARK | Individual | DIRECT OWNERSHIP INTEREST | — |
| OSTHUS, DAVID | Individual | DIRECT OWNERSHIP INTEREST | — |
| WALTON, CALEB | Individual | DIRECT OWNERSHIP INTEREST | — |
| LTC ACCOUNTING SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| POTTER AND BRANT PLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| PREMIER SENIOR MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| HINEMAN, POLLY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| OSTHUS, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| THIESSEN, MEGAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| WALTON, CALEB | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| LTC ACCOUNTING SERVICES, LLC | Organization | ADP OF THE SNF | — |
| POTTER AND BRANT PLC | Organization | ADP OF THE SNF | — |
No family reviews yet for Sunny Hill Care Center. If you or a relative have experience of this home, other families would find it useful.
Be the first to reviewEvery review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.
Sunny Hill Care Center holds an ElderGrade of D (46.5 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.00 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 4 of the 14 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.
Yes, Sunny Hill 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.