Titonka Care Center
312 First Avenue NW, Titonka, IA 50480
Titonka Care Center, a 26-bed non profit - corporation nursing facility in Titonka, IA, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #40 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm 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: 5159282600
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- #40 of 385
- In-state rank among rated IA homes
- 4.15
- Above average · nurse hrs/day · nat'l 3.86
- 9
- Inspection findings
The verdict
Titonka Care Center, a 26-bed non profit - corporation nursing facility in Titonka, IA, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #40 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 5 / 5
- CMS overall · national 3.0
- #40 of 385
- In-state rank among rated IA homes
- 4.15
- Nurse hrs/resident-day · national 3.86
- 9
- Inspection findings on file
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
Staffing
Quality Measures
Long-Stay Quality
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 30, 2026
Staffing Data
How the 4.15 total nursing hours per resident-day are staffed:
- RN Hours
- 1.04 (nat'l avg: 0.69)
- LPN Hours
- 0.58
- CNA Hours
- 2.53
- Total Nursing Hours
- 4.15 (nat'l avg: 3.86)
- PT Hours
- 0.02
- Nursing Turnover
- 25.0%
- RN Turnover
- 20.0%
What the CMS Record Reveals About Titonka Care Center
According to CMS Nursing Home Compare, Titonka Care Center ranks #40 of 385 rated nursing homes in IA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Titonka Care Center operates 26 certified beds in Titonka, IA with approximately 20 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 5★ · quality 4★).
The inspection file contains 9 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Reported nurse staffing runs 4.15 total hours per resident day (national average 3.86); RN hours specifically are 1.04 per resident day.
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. Reported nursing staff turnover at this facility is 25.0% (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 (9 most recent)
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
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 29, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 29, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 29, 2025
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
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 29, 2025
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
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 17, 2024
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
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.5% | Yes |
| 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 | 4.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.2% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.6% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.5% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 6.9% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 4.3% | 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 | 84.2% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 32.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 81.8% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 14.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 87.9% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Titonka Care Center, both outside IA so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside IA (26 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside IA (5.43 here).
Nearby Nursing Homes in IA
386 other nursing homes are on record in IA; 6 are shown here.
Accura Healthcare of Ames, LLC
Ames, IA
Accura Healthcare of Aurelia, LLC
Aurelia, IA
Accura Healthcare of Bancroft
Bancroft, IA
Accura Healthcare of Carlisle
Carlisle, IA
Accura Healthcare of Carroll
Carroll, IA
Accura Healthcare of Cascade LLC
Cascade, IA
Understanding Nursing Home Data
What the CMS records show for Titonka Care Center
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 26 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 Titonka Care Center?
Where does Titonka Care Center rank among nursing homes in IA?
What are the staffing levels at Titonka Care Center?
How many beds does Titonka Care Center have?
Does Titonka Care Center have any deficiencies on record?
Has Titonka Care Center received any fines or penalties?
Who owns Titonka Care Center?
When was Titonka Care Center last inspected?
What quality measures are tracked for Titonka Care Center?
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.
Read our methodology - how this data is sourced, computed, and verified.
