Nursing home
Titonka Care Center
312 First Avenue Nw, Titonka, IA 50480 · Map
Non profit - Corporation · 26 certified beds
Titonka Care Center is a Medicare-certified nursing home in Titonka, Iowa. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.16 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on Apr 17, 2025 cited 7 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Titonka 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) | 4.16 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.17 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.47 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 38.1% | 43.9% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 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 April 17, 2025 inspection was corrected by April 29, 2025
What inspectors found at Titonka 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
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
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.
Administration Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Apr 17, 2025 · 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 · Apr 17, 2025 · Full report (PDF)
Show all 11 deficiencies
- Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 2, 2024 · Full report (PDF) - Potential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · May 2, 2024 · Full report (PDF) - Potential for harm
Ensure staff are vaccinated for COVID-19
Infection Control Deficiencies · Feb 16, 2023 - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 16, 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
- 312 First Avenue Nw
Titonka, IA 50480 - CMS certification #
- 165431
- Ownership
- Non profit - Corporation
- Certified beds
- 26
- Avg residents/day
- 19.9
- Provider type
- Medicare and Medicaid
- First certified
- 2000-12-12
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Titonka Care Center using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2006
Full public records, with dates and sources
Care and services
From the community’s website
What Titonka 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.
- Apartment types named: private room, semi-private room.
Titonka Care Center is a long-term, skilled care facility offering private or semi-private rooms with private bathrooms.
(page, checked Oct 12, 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 Feb 1, 2006 to Jan 31, 2008. Violations found: Overtime. Back wages: $47 owed to 1 employee. Employer as DOL recorded it: Titonka Care Center (Titnka Community Rest Home, Inc.). Case 1500994.
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
- Kossuth Regional Health Center, Algona. 14.2 miles away, straight line. CMS overall hospital rating: 1 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Accura Healthcare of Bancroft, Bancroft. 9.1 miles away, straight line.
- Nearest home health agency office
- Community Health Services, Algona. 14.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 14.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50480 as rural (rural area).
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 50480.
Hospice Of The Heartland, office in Algona, 14.2 miles away, straight line - Nearest geriatric medicine practice
- Mayo Clinic Health System-Southeast Minnesota Region, Austin. 61.5 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 very low, tornado relatively 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 | 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 very 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 Titonka Care Center a good nursing home?
CMS gives Titonka Care Center an overall rating of 4 out of 5 stars, including 5/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Titonka Care Center staffed?
Titonka Care Center reports 4.16 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Titonka Care Center had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Titonka Care Center have?
Titonka Care Center is certified for 26 beds.