Nursing HomeMedicaid Investigative

Sunny Hill Care Center

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

1708 Harding Street, Tama, IA 52339|57 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

3.5/5

based on 6 Google reviews

(641) 484-4061 Directions Website

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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)
Low staffing rating (1/5 stars)

Below average in IA · $24,756 in fines

Source: Medicare data

What this means for your family

Due to the lack of descriptive content in all available reviews, it is impossible to evaluate the quality of care at this facility. Families should schedule an in-person tour and ask specific questions about staffing and cleanliness, as the online ratings do not provide enough information to make an informed decision.

Google Reviews

6 reviews on Google

“It is difficult to provide a detailed assessment of the facility's quality because the majority of recent reviews contain no descriptive text. While there are several 5-star ratings, there are also instances of 1-star ratings without specific details regarding care or service.”

Rating Trends

Tap a year to see what changed

Distribution · 6 analyzed

How They Respond to Reviews

83%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1We noticed you are very responsive to feedback from families; how does the administration use resident and family input to improve care here?
2With the current staffing levels, how do you ensure that every resident receives personalized attention during meal times and dressing?
3Can you walk us through the specific steps the nursing team takes when a medical emergency occurs during the overnight shift?
4What specific steps are being taken right now to address the recent health inspection findings and improve the facility's overall rating?
5What kind of daily activities or social outings do you have planned to help the 57 residents stay engaged and connected with each other?
6How do you manage the care of residents when there are changes in the nursing or support staff to ensure consistency in their routine?

Personalized based on this facility's data

Source: 6 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.75hrs

100%

Registered nurses for medical care

Total Nursing

2.92hrs

71%

All nurses + aides combined

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

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

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚶

Residents whose walking got worse

↓ Lower is better

This Facility36.1%

Worse than Avg

Here

36.1%

15.3%

17.5%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility32.4%

Worse than Avg

Here

32.4%

14.4%

17.6%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility8.2%

Better than Avg

Here

8.2%

19.4%

25.9%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility35.4%

Worse than Avg

Here

35.4%

19.5%

20.7%

😔

Residents with depression symptoms

↓ Lower is better

This Facility2.3%

Better than Avg

Here

2.3%

12.1%

4.1%

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 Facility11.4%

Better than Avg

Here

11.4%

15.5%

19.4%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility92.0%

Better than Avg

Here

92.0%

79.8%

73.3%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility96.9%

Better than Avg

Here

96.9%

81.8%

84.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

2.0%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies

2penalties

Well below state avg (6.2)

9 complaint-triggered

$24,756 in fines

Families have filed multiple complaints against this facility, triggering 9 of the 22 total deficiencies found across recent inspections. The most recurring issues involve resident protection from abuse and neglect, accident prevention and safety supervision, and care planning problems. While the facility has corrected all cited deficiencies, the pattern of complaint-driven investigations suggests ongoing concerns about resident safety and care quality that families should investigate thoroughly during visits.

Mar 5, 2026Routine2 findings

0725Potential for harm · IsolatedCorrected

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Aug 21, 2025Complaint1 finding

0689Actual 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.

Feb 6, 2025Routine4 findings

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0865Potential for harm · PatternCorrected

Administration Deficiencies

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

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.

0623Minimal · PatternCorrected

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.

Nov 26, 2024Complaint1 finding

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.

Feb 8, 2024Complaint4 findings

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

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.

Feb 8, 2024Routine3 findings

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Federal Penalties

Fine

Feb 8, 2024

$13,787

Fine

Oct 3, 2023

$10,969

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

8deficiencies

Mar 30, 2026InspectionNo deficiencies

Clean