State Center Specialty Care
Strong Medicare quality ratings; families often praise friendly and nice staff members. Still worth an in-person visit.
based on 12 Google reviews
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What this means for your family
While some families report friendly staff, the recurring reports of lost personal belongings and poor facility hygiene are significant red flags. We strongly recommend conducting an unannounced tour to inspect the cleanliness of the rooms and asking management specifically how they track and secure resident property.
Google Reviews
Google Reviews
12 reviews on Google“State Center Specialty Care receives highly polarized feedback, with a significant divide between empty five-star ratings and detailed, critical accounts of neglect. Families have raised serious concerns regarding the loss of personal belongings and poor facility hygiene, including reports of dirty rooms and pest issues.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and nice staff members
- Timely assistance reported by some families
Concerns
- Loss of personal belongings and clothing (mentioned by 2 reviewers)
- Poor facility cleanliness and hygiene (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 15 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I noticed some families have mentioned how friendly and helpful the staff is; how do you ensure that this level of care remains consistent across all shifts?
- 2What specific protocols do you have in place to ensure that residents' personal belongings and clothing are kept safe and organized?
- 3Could you walk me through your daily cleaning and sanitation schedule to help us understand how the facility maintains hygiene standards?
- 4How does the nursing team manage medication administration to ensure everything is handled accurately and on time?
- 5In the event of a medical emergency during the night, what is the immediate process for getting care for a resident?
- 6How do you keep families updated on their loved one's well-being, and what is your preferred method for communication?
Personalized based on this facility's data
Key Review Excerpts
“My husbands clothes keep coming up missing as well as other things. I told the nurse about it. She wrote it down but nothing has been done.”
“Very Small, dirty rooms. Flies everywhere. Floors never appeared to be mopped. Personal blankets go to the laundry and never come back even when clearly marked.”
“The staff members are very nice and friendly and also will help with anything you need in a timely matter.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
5
measures
1
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have repeatedly filed complaints against this facility, triggering multiple investigations, with ongoing issues in resident rights, care planning, and infection control persisting across surveys from 2022 to 2024. The facility has struggled with medication management, protecting residents from abuse and neglect, and maintaining safe environmental conditions. While all deficiencies show correction dates, the recurring nature of problems in core care areas suggests systemic challenges that families should carefully consider.
Jan 22, 2026Routine10
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
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.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Nov 19, 2025Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nov 21, 2024Routine11
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Nov 21, 2024Complaint1
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Oct 17, 2024Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Dec 20, 2023Complaint2
Nursing and Physician Services Deficiencies
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Apr 21, 2026ComplaintClean
Fed violations: 0, State violations: 0
Feb 4, 2026InspectionClean
Fed violations: 0, State violations: 0
Jan 22, 2026InspectionClean
Fed violations: 4, State violations: 0
Dec 8, 2025ComplaintClean
Fed violations: 0, State violations: 0
Nov 19, 2025ComplaintClean
Fed violations: 1, State violations: 0
Apr 8, 2025ComplaintClean
Fed violations: 0, State violations: 0
Dec 6, 2024InspectionClean
Fed violations: 0, State violations: 0
Nov 21, 2024InspectionClean
Fed violations: 7, State violations: 0
Ownership & Operations
Who Operates This Facility
State Center Specialty Care
nonprofit
Chain Affiliation
Care Initiatives
43 facilities nationwide
Chain avg rating: 3.0/5 · Rank 11 of 43
Ownership & Management
Owners
Care Initiatives
Owner · Organization
Beal, Michael
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
12 reviews from families & visitors
Official Website
Visit careinitiatives.org
Medicare data downloads
Original nursing home datasets
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