PlainNursing
CMS Nursing Home Compare · August 2026

Manly Specialty Care

601 E South Street, Manly, IA 50456

Manly Specialty Care, a 44-bed non profit - corporation nursing facility in Manly, IA, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #199 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: 6414542223

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3 / 5
Average · CMS overall · nat'l 3.0
#199 of 385
In-state rank among rated IA homes
3.60
Below average · nurse hrs/day · nat'l 3.86
21
Inspection findings · 1 serious

The verdict

Manly Specialty Care, a 44-bed non profit - corporation nursing facility in Manly, IA, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #199 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.

3 / 5
CMS overall · national 3.0
#199 of 385
In-state rank among rated IA homes
3.60
Nurse hrs/resident-day · national 3.86
21
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

2/5

Staffing

5/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
165226
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
44
Residents
39
In Hospital
No
County
Worth
Last Inspection
Mar 5, 2026

Staffing Data

How the 3.60 total nursing hours per resident-day are staffed:

RN Hours
0.98 (nat'l avg: 0.69)
LPN Hours
0.24
CNA Hours
2.38
Total Nursing Hours
3.60 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
27.0%
RN Turnover
11.1%

What the CMS Record Reveals About Manly Specialty Care

According to CMS Nursing Home Compare, Manly Specialty Care ranks #199 of 385 rated nursing homes in IA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Manly Specialty Care operates 44 certified beds in Manly, IA with approximately 39 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 2★ · staffing 5★ · quality 3★).

The inspection file contains 21 deficiency records from recent surveys, of which 1 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 $14K against this provider. Reported nurse staffing runs 3.60 total hours per resident day (national average 3.86); RN hours specifically are 0.98 per resident day.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Manly Specialty Care falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 27.0% (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 (21 most recent)

D - Isolated - Minimal harm Mar 5, 2026 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: May 14, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 14, 2026

E - Pattern - Minimal harm Mar 5, 2026 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 14, 2026

E - Pattern - Minimal harm Mar 5, 2026 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: May 14, 2026

E - Pattern - Minimal harm Mar 5, 2026 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: May 14, 2026

D - Isolated - Minimal harm Feb 27, 2025 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: Mar 21, 2025

D - Isolated - Minimal harm Feb 27, 2025 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: Mar 21, 2025

D - Isolated - Minimal harm Feb 27, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 21, 2025

E - Pattern - Minimal harm Feb 27, 2025 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 21, 2025

E - Pattern - Minimal harm Feb 27, 2025 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: Mar 21, 2025

E - Pattern - Minimal harm Feb 27, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Mar 21, 2025

F - Widespread - Minimal harm Feb 27, 2025 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 21, 2025

D - Isolated - Minimal harm Apr 25, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 12, 2024

D - Isolated - Minimal harm Apr 25, 2024 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: May 12, 2024

D - Isolated - Minimal harm Apr 25, 2024 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: May 12, 2024

D - Isolated - Minimal harm Apr 25, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: May 12, 2024

D - Isolated - Minimal harm Apr 25, 2024 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: May 12, 2024

D - Isolated - Minimal harm Apr 25, 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: May 12, 2024

E - Pattern - Minimal harm Apr 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: May 12, 2024

D - Isolated - Minimal harm Jan 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: Feb 2, 2024

J - Isolated - Jeopardy Jan 17, 2024 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 25, 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 11.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 9.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.2% 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 6.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 6.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.6% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 32.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 70.4% No

Penalty History 1 penalties totaling $14K

Date Type Amount
Jan 17, 2024 Fine $14K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Manly Specialty Care, both outside IA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Manly Specialty Care

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 44 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 Manly Specialty Care?
Manly Specialty Care has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (5★), and quality measures (3★).
Where does Manly Specialty Care rank among nursing homes in IA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Manly Specialty Care ranks 199th among 385 rated nursing homes in IA (#199 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 Manly Specialty Care?
Manly Specialty Care reports 3.60 total nursing hours per resident day (national average: 3.86). RN hours are 0.98 per resident day (national average: 0.69). Nursing staff turnover is 27.0%.
How many beds does Manly Specialty Care have?
Manly Specialty Care has 44 certified beds with approximately 39 residents. The facility is located at 601 E South Street, Manly, IA 50456.
Does Manly Specialty Care have any deficiencies on record?
Yes, Manly Specialty Care has 21 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Manly Specialty Care received any fines or penalties?
Yes, Manly Specialty Care has received 1 penalties totaling $14K.
Who owns Manly Specialty Care?
Manly Specialty Care is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Manly Specialty Care last inspected?
The most recent health inspection for Manly Specialty Care was on Mar 5, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Manly Specialty Care?
Manly 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. 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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