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Nursing HomeMedicaid Investigative

Stratford Specialty Care

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

1200 Highway 175 East, Stratford, IA 5024953 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 5 Google reviews

5
4
3
2
1
Stratford Specialty Care Nursing Home in Stratford, IA — Street View
Street View

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3/ 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 (2/5 stars)
  • Above-median deficiencies (13 vs median 5)

Below average in IA · Below recommended RN staffing · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

The facility is consistently rated highly for its attentive and hardworking staff, making it a potentially comfortable environment for residents. As there are no negative reviews provided, families should schedule a tour to observe staff-to-resident interactions firsthand and verify if the facility's daily operations align with these positive reports.

Google Reviews

Google Reviews

5 reviews on Google
Stratford Specialty Care receives praise for its dedicated staff and pleasant outdoor amenities like the patio. Reviewers highlight the team's hard work and responsiveness in meeting resident needs in a timely manner.

Quality Themes

Tap a score for details
FoodN/AStaff10.0CleanN/AActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Hardworking, attentive staff
  • Beautiful outdoor patio area
  • Responsive to resident needs

Rating Trends

Tap a year to see what changed

2345.02018(1)1.02020(1)5.02022(1)5.02023(1)5.02024(2)

Distribution · 6 analyzed

5
5
4
0
3
0
2
0
1
1

How They Respond to Reviews

40%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed the facility has a beautiful outdoor patio; how do you encourage residents to utilize that space for daily socialization and activities?
  • 2With a capacity of 53 residents, how does your team ensure that the high level of staff attentiveness mentioned by families is maintained consistently throughout the day?
  • 3Given that the facility has had some recent health inspection findings, what specific steps are you taking to improve those areas and ensure the highest standard of care?
  • 4I see that you engage with some feedback online; how do you incorporate family input and suggestions into your daily operations?
  • 5In the event of a medical emergency, what is your specific protocol for coordinating care with local hospitals and keeping family members informed?
  • 6With 13 recent federal deficiencies, could you walk me through how your leadership team monitors staff performance to ensure compliance and resident safety?

Personalized based on this facility's data


Key Review Excerpts

Beautiful patio for the residents! Great staff that are respectful!

Visitor or family member · 2022★★★★★

A great place to be at and the stuff is amazing and works very hard to take care of the residents and also to make sure they have anything they need in a timely matter.

Visitor or family member · 2024★★★★★
Source: 5 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.91hrs
OK
Registered nurses for medical care
Total Nursing
3.53hrs
86%
All nurses + aides combined
Staff Turnover
43%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

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

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
12.1%
IA
4.1%
Hamilton
29.7%

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 Facility30.6%
Worse than Avg
Here
30.6%
US
15.5%
IA
19.4%
Hamilton
11.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility22.0%
Worse than Avg
Here
22.0%
US
15.3%
IA
17.5%
Hamilton
8.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility31.4%
Worse than Avg
Here
31.4%
US
19.4%
IA
25.9%
Hamilton
21.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IA
93.9%
Hamilton
88.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.3%
Mixed vs Avgs
Here
10.3%
US
14.4%
IA
17.6%
Hamilton
6.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.6%
Better than Avg
Here
96.6%
US
81.8%
IA
84.1%
Hamilton
70.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
Well above state avg (6.2)
18 complaint-triggered

Stratford Specialty Care has concerning patterns with 39% of deficiencies triggered by family complaints regarding nursing staffing, resident rights, and safety issues. The facility shows recurring problems with nursing staffing shortages across multiple years (2023-2025), medication errors, infection control, and failure to protect residents from accidents and restraint misuse. While all deficiencies show correction dates, the persistent nature of core care issues, particularly inadequate staffing levels, warrants careful consideration.

Dec 4, 2025Complaint
5
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0580Potential for harm · IsolatedCorrected

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.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0609Potential for harm · IsolatedCorrected

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 · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

May 21, 2025Routine
8
0222Potential for harm · WidespreadCorrected

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.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0291Potential for harm · PatternCorrected

Egress Deficiencies

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

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

May 21, 2025Complaint
4
0865Potential for harm · WidespreadCorrected

Administration Deficiencies

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

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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 6, 2025Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Jul 25, 2024Routine
8
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

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.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Jul 25, 2024Complaint
1
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.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
19deficiencies
Dec 31, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Dec 4, 2025Complaint
Clean

Fed violations: 5, State violations: 1

Oct 14, 2025Complaint
Clean

Fed violations: 0, State violations: 0

May 22, 2025Inspection
Clean

Fed violations: 0, State violations: 0

May 21, 2025Inspection
Clean

Fed violations: 8, State violations: 0

Feb 26, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jan 16, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jan 6, 2025Complaint
Clean

Fed violations: 1, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Stratford Specialty Care

Organization Type

nonprofit

Chain Affiliation

Chain Name

Care Initiatives

Chain Size

43 facilities nationwide

Chain avg rating: 3.0/5 · Rank 35 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

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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.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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