Nursing home
State Center Specialty Care
702 Third Street Nw, State Center, IA 50247 · Map
Non profit - Corporation · Part of Care Initiatives (43 facilities) · 39 certified beds
State Center Specialty Care is a Medicare-certified nursing home in State Center, Iowa. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.25 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Nov 21, 2024 cited 8 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How State Center 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) | 3.25 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.81 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.06 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 41.9% | 43.9% | 46.4% | below 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.
What inspectors found at State Center 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
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 · Nov 19, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Nov 21, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 21, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 21, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Nov 21, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Nov 21, 2024 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Nov 21, 2024 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Nov 21, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Oct 17, 2024 · Full report (PDF) - Potential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Dec 20, 2023 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Dec 20, 2023 · Full report (PDF) - Potential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Aug 30, 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
- 702 Third Street Nw
State Center, IA 50247 - CMS certification #
- 165390
- Ownership
- Non profit - Corporation
- Certified beds
- 39
- Avg residents/day
- 31.6
- Provider type
- Medicare and Medicaid
- First certified
- 1998-04-01
- 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 State Center Specialty Care using Google Maps.
Other public records
- Website says Works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What State Center 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)
Location and nearby care
- Nearest hospital with an emergency room
- Story County Hospital, Nevada. 13.5 miles away, straight line.
- Nearest Medicare nursing home
- Zearing Health Care, LLC, Zearing. 11.7 miles away, straight line.
- Nearest home health agency office
- Mary Greeley Home Health Services, Ames. 22.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 13.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50247 as rural (rural area).
- Dialysis within 15 miles
- Davita Marshalltown Mary Greeley Dialysis, Marshalltown, 13.2 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 50247.
Iowa River Hospice, office in Marshalltown, 13.8 miles away, straight line (CMS family survey rating 5 of 5 stars)
Mary Greeley Hospice Services, office in Ames, 22.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Joseph Hoagbin, MD, Marshalltown. 12.4 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 high. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado very high, heat wave very 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 | Nothing on record |
| 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 State Center Specialty Care a good nursing home?
CMS gives State Center Specialty Care an overall rating of 4 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is State Center Specialty Care staffed?
State Center Specialty Care reports 3.25 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has State Center Specialty Care had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does State Center Specialty Care have?
State Center Specialty Care is certified for 39 beds.