Nursing HomeMedicaid Investigative

Casa De Paz Health Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2121 West 19th Street, Sioux City, IA 51103|71 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.2/5

based on 26 Google reviews

(712) 233-3127 Directions Website

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4/ 10

moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (1/5 stars)
Low staffing rating (1/5 stars)
Above-median deficiencies (11 vs median 5)

Bottom 25% in IA · Below recommended RN staffing · Worst in CAMPBELL STREET SERVICES chain · No penalties on record

Source: Medicare data

What this means for your family

While some families report a warm and engaging environment, there are recurring, serious concerns regarding hygiene and staffing responsiveness. We recommend visiting during off-hours or weekends to observe the actual level of care provided, as these times appear to be when the facility struggles the most.

Google Reviews

26 reviews on Google

“Casa De Paz Health Care Center receives highly polarized feedback, with recent reviews showing a sharp divide between praise for staff dedication and severe criticism regarding operational standards. While some families and staff members highlight a caring environment, other reports describe significant issues with cleanliness, staffing shortages, and management oversight. Prospective families should be aware of recurring complaints regarding basic hygiene and responsiveness.”

Quality Themes

Tap a score for details

Strengths

Dedicated and caring nursing staff
Engaging resident activities
Visible improvements in leadership
Friendly, patient-centered care

Concerns

Chronic understaffing leading to slow response times (mentioned by 2 reviewers)
Poor hygiene and cleanliness standards (mentioned by 2 reviewers)
High staff and management turnover (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 29 analyzed

How They Respond to Reviews

4%response rate

This facility rarely responds to reviews.

Questions for Your Tour

1Given the recent focus on leadership transitions, how are you ensuring consistent communication with families regarding their loved one's daily care?
2I noticed some feedback regarding response times; what specific protocols do you have in place to ensure residents receive timely assistance when they call for help?
3With the current staffing levels, how do you manage the workload to ensure that high standards of hygiene and room cleanliness are maintained for all residents?
4I see that you have a very active calendar; could you walk me through a typical day for a resident and how you encourage participation in these activities?
5How does your nursing team coordinate with outside specialists to manage complex medical needs, especially during an emergency or after-hours situation?
6What steps is the facility taking to improve staff retention so that residents can build long-term, trusting relationships with their primary caregivers?

Personalized based on this facility's data

Key Review Excerpts

“My dad is there for some rehabilitation they didn’t get him out of bed until 11 am when he wanted to be up situation 8 and when I got to his room there was urine on the floor”

Rehab patient's family · 2024★☆☆☆☆

“The staff was friendly and attentive to my needs. Nurse Stephenie did an excellent job. Always asking if I was ok and checking on me every couple of hours.”

Rehab patient · 2019★★★★★

“Casa De Paz has very caring staff and the residents are happy and stay engaged in activities! The facility is very clean and well taken care of”

Visitor/Community member · 2025★★★★★

Source: 26 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.88hrs

Registered nurses for medical care

Total Nursing

3.00hrs

73%

All nurses + aides combined

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating

3/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility28.5%

Worse than Avg

Here

28.5%

15.4%

19.4%

Woodbury

24.0%

😔

Residents with depression symptoms

↓ Lower is better

This Facility2.2%

Mixed vs Avgs

Here

2.2%

12.1%

4.1%

Woodbury

1.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility26.5%

Worse than Avg

Here

26.5%

19.4%

25.9%

Woodbury

25.2%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility96.4%

Better than Avg

Here

96.4%

93.4%

93.9%

Woodbury

90.6%

🩹

Residents with pressure sores (bedsores)

↓ Lower is better

This Facility0.5%

Better than Avg

Here

0.5%

4.9%

4.3%

Woodbury

3.1%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility18.9%

Worse than Avg

Here

18.9%

15.3%

17.5%

Woodbury

14.7%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility79.3%

Worse than Avg

Here

79.3%

81.8%

84.0%

Woodbury

81.0%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility4.3%

Worse than Avg

Here

4.3%

1.6%

2.0%

Woodbury

3.3%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies

Well above state avg (6.2)

12 complaint-triggered

Casa De Paz shows concerning patterns with 16 complaint-triggered deficiencies among 47 total violations, indicating families have filed reports about care issues. The facility has persistent problems in care planning and assessment, medication management, and food safety that recur across multiple surveys from 2023 through 2025. While all deficiencies show correction dates, the repeated nature of similar issues suggests ongoing quality challenges that prospective families should carefully investigate.

Oct 30, 2025Complaint2 findings

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Aug 21, 2025Complaint2 findings

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Apr 3, 2025Routine5 findings

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 3, 2025Complaint2 findings

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jan 10, 2025Complaint2 findings

0755Potential for harm · PatternResolved (past non-compliance)

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · PatternResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Jul 15, 2024Complaint3 findings

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

22deficiencies

May 7, 2026InspectionNo deficiencies

Clean