PlainNursing
CMS Nursing Home Compare · March 2026

Hiawatha Care Center

Hiawatha Care Center is a for profit - corporation facility in Hiawatha, IA with 109 certified beds and a 3-star overall CMS rating. The inspection file holds 14 deficiency records.

405 North 15th Avenue, Hiawatha, IA 52233

Phone: 3193788583

Overall CMS Rating

3/5

vs 3.0 national avg

The verdict

Hiawatha Care Center holds a 3-star CMS overall rating — right around the 3.0-star national average, with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall rating (nat'l avg 3.0)
3.90
Nursing hrs/resident-day (nat'l 3.89)
14
Inspection findings on file · 1 serious
$0
Federal penalties (0)

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

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
165537
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
109
Residents
99
In Hospital
No
County
Linn
Last Inspection
Mar 13, 2025

Staffing Data

RN Hours
0.62 (nat'l avg: 0.68)
LPN Hours
0.61
CNA Hours
2.66
Total Nursing Hours
3.90 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
40.0%
RN Turnover
21.1%

What the CMS Record Reveals About Hiawatha Care Center

Hiawatha Care Center operates 109 certified beds in Hiawatha, IA with approximately 99 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 (4★), 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 14 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.90 total nursing hours per resident day (national average 3.89), with RN coverage at 0.62 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Hiawatha 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. Reported nursing turnover at this facility is 40.0%, within a range generally associated with stable care teams. 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 (14 most recent)

G — Isolated - Actual harm Oct 29, 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: Nov 3, 2025

D — Isolated - Minimal harm Mar 13, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 12, 2025

E — Pattern - Minimal harm Mar 13, 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: Apr 12, 2025

E — Pattern - Minimal harm Mar 13, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 12, 2025

D — Isolated - Minimal harm Jan 8, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Feb 8, 2025

E — Pattern - Minimal harm May 9, 2024 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 8, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Jun 8, 2024

F — Widespread - Minimal harm Jan 26, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 1, 2023

F — Widespread - Minimal harm Jan 26, 2023 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: Mar 1, 2023

E — Pattern - Minimal harm Jan 26, 2023 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Mar 1, 2023

D — Isolated - Minimal harm Jan 26, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 1, 2023

D — Isolated - Minimal harm Jan 26, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 1, 2023

D — Isolated - Minimal harm Jan 26, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 1, 2023

D — Isolated - Minimal harm Jan 26, 2023 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Mar 1, 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 16.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 7.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.6% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 16.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 23.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.6% 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 3.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 29.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 21.0% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Hiawatha Care Center?
Hiawatha Care Center has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (4★).
What are the staffing levels at Hiawatha Care Center?
Hiawatha Care Center reports 3.90 total nursing hours per resident day (national average: 3.89). RN hours are 0.62 per resident day (national average: 0.68). Nursing staff turnover is 40.0%.
How many beds does Hiawatha Care Center have?
Hiawatha Care Center has 109 certified beds with approximately 99 residents. The facility is located at 405 North 15th Avenue, Hiawatha, IA 52233.
Does Hiawatha Care Center have any deficiencies on record?
Yes, Hiawatha Care Center has 14 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Hiawatha Care Center received any fines or penalties?
No, Hiawatha Care Center has no fines or penalties on record.
Who owns Hiawatha Care Center?
Hiawatha Care Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Hiawatha Care Center last inspected?
The most recent health inspection for Hiawatha Care Center was on Mar 13, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Hiawatha Care Center?
Hiawatha 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.