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Nursing HomeMedicaid

Southern Hills Specialty Care

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

444 North West View Drive, Osceola, IA 5021390 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 24 Google reviews

5
4
3
2
1
Southern Hills Specialty Care Nursing Home in Osceola, IA — Street View
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What this means for your family

Southern Hills is frequently praised for its clean environment and compassionate staff, making it a strong contender for residents requiring general care. However, families of residents with dementia or complex medical needs should be cautious; ensure you have a clear plan for monitoring hygiene and safety, and ask specifically how the facility manages medical emergencies and communication with families.

Google Reviews

Google Reviews

24 reviews on Google
Southern Hills Specialty Care receives highly polarized feedback, with many families praising the compassionate, attentive staff and clean facility environment. However, significant concerns exist regarding the management of residents with complex needs, specifically regarding hygiene, safety monitoring, and communication during medical emergencies or discharge processes.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean8.0ActivitiesN/AMeds2.0Memory3.0Comms4.0ValueN/A

Strengths

  • Compassionate and caring nursing staff
  • Clean, well-maintained facility
  • Strong support during end-of-life care
  • Personalized recognition of returning residents

Concerns

  • Inadequate hygiene and personal care for residents (mentioned by 2 reviewers)
  • Safety and supervision failures for residents with dementia/wandering (mentioned by 2 reviewers)
  • Poor communication regarding resident health status and discharge (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(1)'20(1)'22(3)'25(6)'26(1)

Distribution · 25 analyzed

5
16
4
1
3
0
2
1
1
7

How They Respond to Reviews

33%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1We've heard wonderful things about how compassionate the nursing staff is; how do you ensure that this level of personalized care is maintained during shift changes?
  • 2What specific protocols do you have in place to ensure residents with wandering tendencies or dementia are supervised and kept safe within the facility?
  • 3How does the clinical team communicate updates regarding a resident's health status or changes in medication to the family members?
  • 4Can you walk us through your process for managing medication administration to ensure everything is handled accurately and timely?
  • 5What kind of daily activities or social engagement programs are available to help residents stay active and connected with one another?
  • 6In the event of a medical emergency after hours, what is the immediate procedure for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

The building is always clean and doesn't have that nursing home smell. With their care my mom was gaining back some of

Long-term resident's family · 2022★★★★★

The staff treats her with love & compassion. They communicate clearly & regularly with me. Our family has had experience with four other LTC facilities over the last 12 years here in Iowa. Southern Hills is by far the very best we've experienced.

Long-term resident's family · 2021★★★★★

His hygiene care was horrible and he slept in his clothes. One on one was mentioned and we were told we would have to pay for that.

Memory care family member · 2023☆☆☆☆
Source: 24 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.66hrs
88%
Registered nurses for medical care
Total Nursing
3.40hrs
83%
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
53%
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

9

measures

Worse Than Avg

3

measures

Mixed Results

5

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.9%
Worse than Avg
Here
27.9%
US
19.4%
IA
25.9%
Clarke
15.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
IA
4.1%
Clarke
7.7%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility27.2%
Worse than Avg
Here
27.2%
US
15.5%
IA
19.4%
Clarke
15.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
93.4%
IA
93.9%
Clarke
94.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.8%
Better than Avg
Here
11.8%
US
14.4%
IA
17.6%
Clarke
14.9%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
5.3%
IA
4.9%
Clarke
5.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility81.5%
Mixed vs Avgs
Here
81.5%
US
79.8%
IA
73.3%
Clarke
88.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility87.6%
Better than Avg
Here
87.6%
US
81.8%
IA
84.1%
Clarke
84.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Clarke
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
1penalties
Near state avg (6.2)
3 complaint-triggered
$36,865 in fines

Families have filed complaints about Southern Hills Specialty Care, including serious concerns about resident abuse protection and pest control issues. The facility shows recurring problems with fire safety systems, food safety practices, and infection control across multiple surveys. While all identified deficiencies have been corrected according to state records, the pattern of complaints and repeated issues in critical safety areas warrants careful consideration during your visit.

Aug 21, 2025Routine
5
0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

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.

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.

Aug 21, 2025Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Apr 10, 2025Complaint
1
0925Minimal · WidespreadCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Sep 12, 2024Routine
4
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.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

May 2, 2024Routine
6
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

Dec 12, 2023Complaint
1
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Federal Penalties

Fine

Aug 18, 2024

$36,865

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
7deficiencies
Oct 28, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Sep 16, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Aug 21, 2025Inspection
Clean

Fed violations: 5, State violations: 0

Apr 10, 2025Complaint
Clean

Fed violations: 1, State violations: 0

Jan 7, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Sep 27, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Sep 12, 2024Inspection
Clean

Fed violations: 1, State violations: 0

Aug 18, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Southern Hills Specialty Care

Organization Type

nonprofit

Chain Affiliation

Chain Name

Care Initiatives

Chain Size

43 facilities nationwide

Chain avg rating: 3.0/5 · Rank 24 of 43

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

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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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