Nursing home
Happy Siesta Health Care Center
423 Roosevelt St, Remsen, IA 51050 · Map
Non profit - Corporation · 62 certified beds
Happy Siesta Health Care Center is a Medicare-certified nursing home in Remsen, Iowa. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.86 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on Jun 12, 2025 cited 4 deficiencies.
- 1 fine totaling $9,835In 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 Happy Siesta Health Care Center 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) | 3.86 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.82 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.69 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | —% | 43.9% | 46.4% | — |
| Deficiencies cited, last inspection | 4.0 | 6.2 | 9.5 | below 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 June 12, 2025 inspection was corrected by June 25, 2025
Penalties in CMS records: 1 fine totaling $9,835, 1 total penalty.
What inspectors found at Happy Siesta Health Care Center
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 12, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 12, 2025 · Full report (PDF) - Potential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 12, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Jun 12, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 17, 2024 · Full report (PDF)
Show all 6 deficiencies
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 13, 2023
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
- 423 Roosevelt St
Remsen, IA 51050 - CMS certification #
- 165405
- Ownership
- Non profit - Corporation
- Certified beds
- 62
- Avg residents/day
- 50.8
- Provider type
- Medicare and Medicaid
- First certified
- 1999-01-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Happy Siesta Health Care Center using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day
- Staff pay 1 federal wage case with violations found, since 2016
Full public records, with dates and sources
Care and services
From the community’s website
What Happy Siesta Health Care Center 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 respite or short-term stays.
At Happy Siesta, our mission is to provide you and your loved ones with quality, compassionate care in your time of need whether that be rehab to home, long term care, respite care, or dementia care.
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
24 hour nursing services
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Apr 16, 2016 to Apr 16, 2018. Violations found: Overtime. Back wages: $1,769 owed to 12 employees. Employer as DOL recorded it: Happy Siesta Health Care Center (CORNERSTONE SENIOR COMMUNITIES OF REMSEN). Case 1846111.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Floyd Valley Healthcare, Le Mars. 9.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Heartland Care Center, Marcus. 8.3 miles away, straight line.
- Nearest home health agency office
- Floyd Valley Hospital Community Health Services, Le Mars. 11.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 8.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 51050 as rural (rural area).
- Dialysis within 15 miles
- Le Mars Area Dialysis Services, Le Mars, 10.1 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 51050.
Orange City Hospice, office in Orange City, 14.6 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Homaha Senior Care LLC, Omaha. 106.8 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 moderate. By hazard: inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively low, 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 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| 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 Happy Siesta Health Care Center a good nursing home?
CMS gives Happy Siesta Health Care Center an overall rating of 3 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Happy Siesta Health Care Center staffed?
Happy Siesta Health Care Center reports 3.86 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Happy Siesta Health Care Center had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Happy Siesta Health Care Center have?
Happy Siesta Health Care Center is certified for 62 beds.