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Nursing HomeMedicaid

Lyon Specialty Care

Strong Medicare quality ratings; families often praise beautiful, well-maintained facility. Still worth an in-person visit.

1010 South Union, Rock Rapids, IA 5124645 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 4 Google reviews

Lyon Specialty Care Nursing Home in Rock Rapids, IA — Street View
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What this means for your family

The facility is highly regarded for its aesthetic environment and the collaborative, kind nature of its staff. Because the available feedback is limited to general praise, families should schedule an on-site tour to observe daily operations and ask specific questions about clinical care protocols.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.53hrs
70%
Registered nurses for medical care
Total Nursing
2.83hrs
69%
All nurses + aides combined
Staff Turnover
31%
Lower is better (< 30% = good)
RN Turnover
20%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

13

measures

Worse Than Avg

4

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility29.5%
Worse than Avg
Here
29.5%
US
15.5%
IA
19.4%
Lyon
13.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.5%
Better than Avg
Here
2.5%
US
12.1%
IA
4.1%
Lyon
15.4%

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 Facility28.8%
Worse than Avg
Here
28.8%
US
19.4%
IA
25.9%
Lyon
24.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.4%
Better than Avg
Here
12.4%
US
14.4%
IA
17.6%
Lyon
21.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.9%
Better than Avg
Here
13.9%
US
15.3%
IA
17.5%
Lyon
22.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IA
93.9%
Lyon
94.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.9%
Better than Avg
Here
90.9%
US
79.8%
IA
73.3%
Lyon
68.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
IA
84.1%
Lyon
79.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.5%
Worse than Avg
Here
4.5%
US
1.6%
IA
2.0%
Lyon
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (6.2)
4 complaint-triggered

Lyon Specialty Care has recurring issues with fire safety systems and infection control that have persisted across multiple surveys, with smoke doors cited twice and infection prevention deficiencies appearing in two separate inspections. One family filed a complaint regarding inadequate treatment and care. While all deficiencies have correction dates, the pattern of repeated problems with safety systems and infection control suggests ongoing operational challenges that families should discuss with administrators before choosing this facility.

Feb 2, 2026Complaint
3
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jun 19, 2025Routine
3
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Jul 25, 2024Routine
5
0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 5, 2024Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

May 24, 2023Routine
13
0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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.

0922Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use and maintenance of medical gas equipment.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
19deficiencies
Mar 2, 2026Other
Clean

Fed violations: 0, State violations: 0

Feb 2, 2026Other
Clean

Fed violations: 3, State violations: 1

Oct 16, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jun 19, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Aug 8, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Jul 25, 2024Inspection
Clean

Fed violations: 4, State violations: 0

Mar 22, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Mar 5, 2024Complaint
Clean

Fed violations: 1, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Lyon Specialty Care

Organization Type

nonprofit

Chain Affiliation

Chain Name

Care Initiatives

Chain Size

43 facilities nationwide

Chain avg rating: 3.0/5 · Rank 1 of 43 (Best)

Ownership & Management

Owners

Care Initiatives

Owner · Organization

100%

Key personnel

Computershare Corporate Trust Company, Na5% or Greater Mortgage InterestBeal, MichaelOfficer / DirectorBowen, LaneOfficer / DirectorCarothers, Mary JaneOfficer / DirectorChilds, KevinOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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