PlainNursing
CMS Nursing Home Compare · March 2026

Manly Specialty Care

Manly Specialty Care is a non profit - corporation facility in Manly, IA with 43 certified beds and a 3-star overall CMS rating. The inspection file holds 22 deficiency records. Total penalties: $14K.

601 E South Street, Manly, IA 50456

Phone: 6414542223

Overall CMS Rating

3/5

vs 3.0 national avg

The verdict

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

3 / 5
CMS overall rating (nat'l avg 3.0)
3.37
Nursing hrs/resident-day (nat'l 3.89)
22
Inspection findings on file · 1 serious
$14K
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

2/5

Staffing

5/5

Quality Measures

2/5

Long-Stay Quality

1/5

Facility Information

Provider Number
165226
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
43
Residents
41
In Hospital
No
County
Worth
Last Inspection
Feb 27, 2025

Staffing Data

RN Hours
0.92 (nat'l avg: 0.68)
LPN Hours
0.24
CNA Hours
2.21
Total Nursing Hours
3.37 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
33.3%
RN Turnover
25.0%

What the CMS Record Reveals About Manly Specialty Care

Manly Specialty Care operates 43 certified beds in Manly, IA with approximately 41 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 (2★), staffing levels (5★), and quality measures (2★). 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 22 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, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.37 total nursing hours per resident day (national average 3.89), with RN coverage at 0.92 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, Manly 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 33.3%, 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 (22 most recent)

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

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

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

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

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

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 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

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

D — Isolated - Minimal harm Jan 26, 2023 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 26, 2023 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 26, 2023 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 26, 2023 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 26, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 26, 2023 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: Feb 17, 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 24.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 7.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 7.1% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 5.8% 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 0.7% 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 93.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 5.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 24.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 31.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 70.4% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 20.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 33.3% Yes

Penalty History 1 penalties totaling $14K

Date Type Amount
Jan 17, 2024 Fine $14K

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 (2★).
What are the staffing levels at Manly Specialty Care?
Manly Specialty Care reports 3.37 total nursing hours per resident day (national average: 3.89). RN hours are 0.92 per resident day (national average: 0.68). Nursing staff turnover is 33.3%.
How many beds does Manly Specialty Care have?
Manly Specialty Care has 43 certified beds with approximately 41 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 22 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 Feb 27, 2025. 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. 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.