PlainNursing
CMS Nursing Home Compare · August 2026

Happy Siesta Health Care Center

423 Roosevelt St, Remsen, IA 51050

Happy Siesta Health Care Center, a 62-bed non profit - corporation nursing facility in Remsen, IA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #104 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7127861125

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4 / 5
Above average · CMS overall · nat'l 3.0
#104 of 385
In-state rank among rated IA homes
3.30
Below average · nurse hrs/day · nat'l 3.86
5
Inspection findings · 1 serious

The verdict

Happy Siesta Health Care Center, a 62-bed non profit - corporation nursing facility in Remsen, IA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #104 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall · national 3.0
#104 of 385
In-state rank among rated IA homes
3.30
Nurse hrs/resident-day · national 3.86
5
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 387 IA nursing homes split by ownership sector

This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
165405
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
62
Residents
56
In Hospital
No
County
Plymouth
Last Inspection
Jun 12, 2025

Staffing Data

How the 3.30 total nursing hours per resident-day are staffed:

RN Hours
0.77 (nat'l avg: 0.69)
LPN Hours
0.31
CNA Hours
2.22
Total Nursing Hours
3.30 (nat'l avg: 3.86)
PT Hours
0.02
Nursing Turnover
52.5%
RN Turnover
40.0%

What the CMS Record Reveals About Happy Siesta Health Care Center

According to CMS Nursing Home Compare, Happy Siesta Health Care Center ranks #104 of 385 rated nursing homes in IA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Happy Siesta Health Care Center operates 62 certified beds in Remsen, IA with approximately 56 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 4★ · quality 4★).

The inspection file contains 5 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Staffing is reported at 3.30 total nursing hours per resident day (national average 3.86), with RN coverage at 0.77 per resident day.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Happy Siesta Health Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 52.5% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (5 most recent)

D - Isolated - Minimal harm Jun 12, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 25, 2025

D - Isolated - Minimal harm Jun 12, 2025 Tag: 0605

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 25, 2025

D - Isolated - Minimal harm Jun 12, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jun 25, 2025

E - Pattern - Minimal harm Jun 12, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 25, 2025

G - Isolated - Actual harm Apr 17, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 4, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 16.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.1% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 14.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 27.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.5% No
Percentage of long-stay residents who were physically restrained Long Stay 16.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 28.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 23.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 87.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 87.0% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Happy Siesta Health Care Center, both outside IA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Happy Siesta Health Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The IA registry aggregates state averages and the highest-rated homes in this cohort. View IA registry
  • Peer homes near 62 beds show how CMS stars vary at a similar scale in IA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Happy Siesta Health Care Center?
Happy Siesta Health Care Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (4★).
Where does Happy Siesta Health Care Center rank among nursing homes in IA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Happy Siesta Health Care Center ranks 104th among 385 rated nursing homes in IA (#104 of 385). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Happy Siesta Health Care Center?
Happy Siesta Health Care Center reports 3.30 total nursing hours per resident day (national average: 3.86). RN hours are 0.77 per resident day (national average: 0.69). Nursing staff turnover is 52.5%.
How many beds does Happy Siesta Health Care Center have?
Happy Siesta Health Care Center has 62 certified beds with approximately 56 residents. The facility is located at 423 Roosevelt St, Remsen, IA 51050.
Does Happy Siesta Health Care Center have any deficiencies on record?
Yes, Happy Siesta Health Care Center has 5 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Happy Siesta Health Care Center received any fines or penalties?
No, Happy Siesta Health Care Center has no fines or penalties on record.
Who owns Happy Siesta Health Care Center?
Happy Siesta Health Care Center is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Happy Siesta Health Care Center last inspected?
The most recent health inspection for Happy Siesta Health Care Center was on Jun 12, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Happy Siesta Health Care Center?
Happy Siesta Health Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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