PlainNursing
CMS Nursing Home Compare · March 2026

Titonka Care Center

Titonka Care Center is a non profit - corporation facility in Titonka, IA with 26 certified beds and a 4-star overall CMS rating. The inspection file holds 11 deficiency records.

312 First Avenue NW, Titonka, IA 50480

Phone: 5159282600

Overall CMS Rating

4/5

vs 3.0 national avg

The verdict

Titonka Care Center holds a 4-star CMS overall rating — well above the 3.0-star national average, with nurse staffing above the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall rating (nat'l avg 3.0)
4.16
Nursing hrs/resident-day (nat'l 3.89)
11
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

2/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
165431
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
26
Residents
20
In Hospital
No
County
Kossuth
Last Inspection
Apr 17, 2025

Staffing Data

RN Hours
1.17 (nat'l avg: 0.68)
LPN Hours
0.53
CNA Hours
2.47
Total Nursing Hours
4.16 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
38.1%

What the CMS Record Reveals About Titonka Care Center

Titonka Care Center operates 26 certified beds in Titonka, IA with approximately 20 residents currently in care, and carries a CMS overall rating of 4 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 (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 11 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 4.16 total nursing hours per resident day (national average 3.89), with RN coverage at 1.17 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, Titonka 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 38.1%, 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 (11 most recent)

F — Widespread - Minimal harm Apr 17, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 29, 2025

F — Widespread - Minimal harm Apr 17, 2025 Tag: 0836

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Category: Administration Deficiencies

Corrected: Apr 29, 2025

D — Isolated - Minimal harm Apr 17, 2025 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: Apr 29, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 29, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 29, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 29, 2025

D — Isolated - Minimal harm Apr 17, 2025 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: Apr 29, 2025

F — Widespread - Minimal harm May 2, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 17, 2024

F — Widespread - Minimal harm May 2, 2024 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: May 17, 2024

D — Isolated - Minimal harm Feb 16, 2023 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: Mar 16, 2023

E — Pattern - Minimal harm Feb 16, 2023 Tag: 0888

Ensure staff are vaccinated for COVID-19

Category: Infection Control Deficiencies

Corrected: Mar 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 14.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.9% 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 1.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 11.9% 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 2.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 78.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 75.7% 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 11.8% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 30.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 81.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 6.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 6.5% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Titonka Care Center?
Titonka Care Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (2★), staffing levels (5★), and quality measures (5★).
What are the staffing levels at Titonka Care Center?
Titonka Care Center reports 4.16 total nursing hours per resident day (national average: 3.89). RN hours are 1.17 per resident day (national average: 0.68). Nursing staff turnover is 38.1%.
How many beds does Titonka Care Center have?
Titonka Care Center has 26 certified beds with approximately 20 residents. The facility is located at 312 First Avenue NW, Titonka, IA 50480.
Does Titonka Care Center have any deficiencies on record?
Yes, Titonka Care Center has 11 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Titonka Care Center received any fines or penalties?
No, Titonka Care Center has no fines or penalties on record.
Who owns Titonka Care Center?
Titonka Care Center is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Titonka Care Center last inspected?
The most recent health inspection for Titonka Care Center was on Apr 17, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Titonka Care Center?
Titonka 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.