PlainNursing
CMS Nursing Home Compare · March 2026

Happy Siesta Health Care Center

Happy Siesta Health Care Center is a non profit - corporation facility in Remsen, IA with 62 certified beds and a 3-star overall CMS rating. The inspection file holds 6 deficiency records. Total penalties: $10K.

423 Roosevelt St, Remsen, IA 51050

Phone: 7127861125

Overall CMS Rating

3/5

vs 3.0 national avg

The verdict

Happy Siesta Health Care Center holds a 3-star CMS overall rating — right around the 3.0-star national average, with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall rating (nat'l avg 3.0)
3.86
Nursing hrs/resident-day (nat'l 3.89)
6
Inspection findings on file · 2 serious
$10K
Federal penalties (1)

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.

Health Inspection

3/5

Staffing

3/5

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
51
In Hospital
No
County
Plymouth
Last Inspection
Jun 12, 2025

Staffing Data

RN Hours
0.82 (nat'l avg: 0.68)
LPN Hours
0.35
CNA Hours
2.69
Total Nursing Hours
3.86 (nat'l avg: 3.89)
PT Hours
0.01

What the CMS Record Reveals About Happy Siesta Health Care Center

Happy Siesta Health Care Center operates 62 certified beds in Remsen, IA with approximately 51 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (3★), and quality measures (4★). 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.

The inspection file contains 6 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $10K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.86 total nursing hours per resident day (national average 3.89), with RN coverage at 0.82 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

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. 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. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (6 most recent)

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

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

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

J — Isolated - Jeopardy Jul 13, 2023 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: Jul 14, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 18.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.1% No
Percentage of long-stay residents who were physically restrained Long Stay 13.7% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 88.6% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 27.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 87.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 30.7% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 28.9% Yes

Penalty History 1 penalties totaling $10K

Date Type Amount
Jul 13, 2023 Fine $10K

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 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at Happy Siesta Health Care Center?
Happy Siesta Health Care Center reports 3.86 total nursing hours per resident day (national average: 3.89). RN hours are 0.82 per resident day (national average: 0.68).
How many beds does Happy Siesta Health Care Center have?
Happy Siesta Health Care Center has 62 certified beds with approximately 51 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 6 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Happy Siesta Health Care Center received any fines or penalties?
Yes, Happy Siesta Health Care Center has received 1 penalties totaling $10K.
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 3 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. Always verify information directly 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.