Nursing home
Chariton Specialty Care
1214 North Seventh Street, Chariton, IA 50049 · Map
Non profit - Corporation · Part of Care Initiatives (43 facilities) · 60 certified beds
Chariton Specialty Care is a Medicare-certified nursing home in Chariton, Iowa. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.15 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Jan 30, 2025 cited 8 deficiencies.
- 1 fine totaling $15,134In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Chariton Specialty Care compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.15 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.72 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.95 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 51.4% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 8.0 | 6.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 14, 2026 inspection was corrected by January 30, 2026
Penalties in CMS records: 1 fine totaling $15,134, 1 total penalty.
What inspectors found at Chariton Specialty Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Jan 14, 2026 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jan 14, 2026 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Sep 18, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 30, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jan 30, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 30, 2025 · Full report (PDF) - Potential for harm
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.
Nutrition and Dietary Deficiencies · Jan 30, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jan 30, 2025 · Full report (PDF) - Potential for harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Jan 30, 2025 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Jan 30, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 7, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Mar 7, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1214 North Seventh Street
Chariton, IA 50049 - CMS certification #
- 165305
- Ownership
- Non profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 39.4
- Provider type
- Medicare and Medicaid
- First certified
- 1996-12-01
- Chain
- Care Initiatives (43 facilities)
- Setting
- Rural
Part of Care Initiatives
Care Initiatives operates 43 nursing facilities across the United States. View all Care Initiatives facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Chariton Specialty Care using Google Maps.
Other public records
- Website says Works with hospice
- Workplace safety 1 OSHA workplace safety inspection since 2022, no violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Chariton Specialty Care says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
Care Initiatives is Iowa’s largest nonprofit provider of high-quality skilled nursing care, hospice care, assisted living, independent living, memory care and more.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Feb 18, 2022: complaint inspection, partial (health). Case closed Mar 9, 2022. No violations cited. OSHA record. OSHA recorded the employer as Chariton Specialty Care.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Lucas County Health Center, Chariton. 0.0 miles away, straight line.
- Nearest Medicare nursing home
- Corydon Specialty Care, Corydon. 19.0 miles away, straight line.
- Nearest home health agency office
- Elara Caring, Chariton. 0.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 1.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50049 as rural (rural area).
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 50049.
- Nearest geriatric medicine practice
- Lucas County Health Center, Chariton. 0.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Chariton Specialty Care a good nursing home?
CMS gives Chariton Specialty Care an overall rating of 3 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Chariton Specialty Care staffed?
Chariton Specialty Care reports 3.15 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Chariton Specialty Care had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Chariton Specialty Care have?
Chariton Specialty Care is certified for 60 beds.