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CMS Nursing Home Compare · March 2026

Lyon Specialty Care

Lyon Specialty Care is a non profit - corporation facility in Rock Rapids, IA with 45 certified beds and a 5-star overall CMS rating. The inspection file holds 15 deficiency records.

1010 South Union, Rock Rapids, IA 51246

Phone: 7124723748

Overall CMS Rating

5/5

vs 3.0 national avg

The verdict

Lyon Specialty Care holds a 5-star CMS overall rating — well above the 3.0-star national average, with nurse staffing below the national norm. No recent finding reached the actual-harm level.

5 / 5
CMS overall rating (nat'l avg 3.0)
3.02
Nursing hrs/resident-day (nat'l 3.89)
15
Inspection findings on file
$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

5/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
165215
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
45
Residents
37
In Hospital
No
County
Lyon
Last Inspection
Jun 19, 2025

Staffing Data

RN Hours
0.48 (nat'l avg: 0.68)
LPN Hours
0.50
CNA Hours
2.05
Total Nursing Hours
3.02 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
34.5%

What the CMS Record Reveals About Lyon Specialty Care

Lyon Specialty Care operates 45 certified beds in Rock Rapids, IA with approximately 37 residents currently in care, and carries a CMS overall rating of 5 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 (5★), staffing levels (4★), and quality measures (5★). 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 15 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of 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 3.02 total nursing hours per resident day (national average 3.89), with RN coverage at 0.48 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, Lyon Specialty Care 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 34.5%, 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 (15 most recent)

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 8, 2024

E — Pattern - Minimal harm Jul 25, 2024 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 8, 2024

D — Isolated - Minimal harm Jul 25, 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: Aug 8, 2024

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Aug 8, 2024

D — Isolated - Minimal harm Mar 5, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 22, 2024

E — Pattern - Minimal harm May 24, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 16, 2023

E — Pattern - Minimal harm May 24, 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: Jun 16, 2023

D — Isolated - Minimal harm May 24, 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: Jun 16, 2023

E — Pattern - Minimal harm May 24, 2023 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm May 24, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm May 24, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm May 24, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm May 24, 2023 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm May 24, 2023 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 16, 2023

D — Isolated - Minimal harm May 24, 2023 Tag: 0554

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

Category: Resident Rights Deficiencies

Corrected: Jun 16, 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 14.4% 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 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 4.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.4% 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 100.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 19.8% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 24.3% 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 90.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 31.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 32.9% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Lyon Specialty Care?
Lyon Specialty Care has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at Lyon Specialty Care?
Lyon Specialty Care reports 3.02 total nursing hours per resident day (national average: 3.89). RN hours are 0.48 per resident day (national average: 0.68). Nursing staff turnover is 34.5%.
How many beds does Lyon Specialty Care have?
Lyon Specialty Care has 45 certified beds with approximately 37 residents. The facility is located at 1010 South Union, Rock Rapids, IA 51246.
Does Lyon Specialty Care have any deficiencies on record?
Yes, Lyon Specialty Care has 15 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Lyon Specialty Care received any fines or penalties?
No, Lyon Specialty Care has no fines or penalties on record.
Who owns Lyon Specialty Care?
Lyon Specialty Care is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Lyon Specialty Care last inspected?
The most recent health inspection for Lyon Specialty Care was on Jun 19, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for Lyon Specialty Care?
Lyon Specialty Care 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.