Titonka Care Center
Strong Medicare quality ratings; families often praise friendly and respectful staff. Still worth an in-person visit.
based on 29 Google reviews

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What this means for your family
Titonka Care Center is highly regarded for its warm, small-town environment and attentive staff, making it a comfortable choice for those seeking a personal touch. While there are no recurring complaints, families should schedule a tour to observe the daily routine and ensure the facility's specific care capabilities align with their loved one's needs.
Google Reviews
Google Reviews
29 reviews on Google“Titonka Care Center is consistently described by visitors as a friendly, small-town facility with a caring and respectful staff. Families appreciate the welcoming environment and the quality of the meals provided during holiday visits.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and respectful staff
- Welcoming, small-town atmosphere
- High-quality dining experiences
Rating Trends
Tap a year to see what changed
Distribution · 30 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1With such a high staffing rating, how do you ensure that the friendly and respectful atmosphere mentioned by families is maintained during busy shifts?
- 2Since the facility has a cozy, small-town atmosphere, what kind of daily social activities or community events do the 26 residents participate in together?
- 3We've heard wonderful things about the dining experiences here; could you tell us more about how much input residents have in their daily menus?
- 4I noticed there have been some recent state inspections; what specific steps is the team taking right now to address those findings and improve health inspection outcomes?
- 5In a smaller setting like this, what is the protocol for handling medical emergencies or coordinating with outside doctors after hours?
- 6How does the staff ensure that the high level of personalized care is consistent for every resident, given the small resident population?
Personalized based on this facility's data
Key Review Excerpts
“Was a little warm, but I know elderly get very cold. We went to spend Thanksgiving with my boyfriends mom and had lunch there. It was delicious and staff was friendly.”
“Small town care for the ones that you love. The staff has been totally awesome to my mother and our famile.”
“Very nice small town care center with terrific staff.”
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 · 15 measures
7
measures
6
measures
2
measures
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
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.
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Titonka Care Center has 23 deficiencies across 3 surveys with no complaint-triggered issues, suggesting families haven't filed formal reports. The most recent survey revealed widespread problems with emergency preparedness, infection control, and medication management. While all deficiencies show correction dates, recurring infection control issues across multiple surveys indicate ongoing challenges in this critical area that families should discuss during visits.
Apr 17, 2025Routine19
Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Emergency Preparedness Deficiencies
Establish policies and procedures for sheltering.
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Emergency Preparedness Deficiencies
Provide family notifications of emergency plan.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
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.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
May 2, 2024Routine2
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 16, 2023Routine2
Infection Control Deficiencies
Ensure staff are vaccinated for COVID-19
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.
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Apr 30, 2026InspectionClean
Fed violations: 0, State violations: 0
May 1, 2025InspectionClean
Fed violations: 0, State violations: 0
Apr 17, 2025InspectionClean
Fed violations: 7, State violations: 0
Jun 11, 2024ComplaintClean
Fed violations: 0, State violations: 0
May 17, 2024InspectionClean
Fed violations: 0, State violations: 0
May 2, 2024InspectionClean
Fed violations: 2, State violations: 0
Aug 9, 2023ComplaintClean
Fed violations: 0, State violations: 0
Mar 16, 2023InspectionClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Titonka Care Center
nonprofit
Ownership & Management
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
29 reviews from families & visitors
Official Website
Visit titonkacarecenter.com
Medicare data downloads
Original nursing home datasets
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