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Nursing HomeMedicaid

Titonka Care Center

Strong Medicare quality ratings; families often praise friendly and respectful staff. Still worth an in-person visit.

312 First Avenue Nw, Titonka, IA 5048026 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 29 Google reviews

5
4
3
2
1
Titonka Care Center Nursing Home in Titonka, IA — Street View
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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 details
Food10.0Staff10.0CleanN/AActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Friendly and respectful staff
  • Welcoming, small-town atmosphere
  • High-quality dining experiences

Rating Trends

Tap a year to see what changed

234'16(2)'18(4)'20(2)'22(4)'25(5)'26(3)

Distribution · 30 analyzed

5
24
4
5
3
0
2
0
1
1

How They Respond to Reviews

0%response rate

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.

Resident's family member · 2022★★★★

Small town care for the ones that you love. The staff has been totally awesome to my mother and our famile.

Resident's family member · 2016★★★★★

Very nice small town care center with terrific staff.

Visitor · 2025★★★★★
Source: 29 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.20hrs
OK
Registered nurses for medical care
Total Nursing
3.92hrs
96%
All nurses + aides combined
Staff Turnover
36%
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
5/ 5
Better Than Avg

7

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility81.8%
Worse than Avg
Here
81.8%
US
95.5%
IA
95.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility80.5%
Worse than Avg
Here
80.5%
US
93.4%
IA
93.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.1%
Better than Avg
Here
14.1%
US
19.4%
IA
25.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility30.7%
Worse than Avg
Here
30.7%
US
19.5%
IA
20.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.8%
Better than Avg
Here
11.8%
US
15.5%
IA
19.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility7.5%
Mixed vs Avgs
Here
7.5%
US
12.1%
IA
4.1%

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

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility84.4%
Better than Avg
Here
84.4%
US
81.8%
IA
84.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Above state avg (6.2)

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, 2025Routine
19
0836Potential for harm · WidespreadCorrected

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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0018Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

0022Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for sheltering.

0025Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0031Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0032Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0035Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0625Potential for harm · IsolatedCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

May 2, 2024Routine
2
0851Potential for harm · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 16, 2023Routine
2
0888Potential for harm · PatternCorrected

Infection Control Deficiencies

Ensure staff are vaccinated for COVID-19

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.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
11deficiencies
Apr 30, 2026Inspection
Clean

Fed violations: 0, State violations: 0

May 1, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Apr 17, 2025Inspection
Clean

Fed violations: 7, State violations: 0

Jun 11, 2024Complaint
Clean

Fed violations: 0, State violations: 0

May 17, 2024Inspection
Clean

Fed violations: 0, State violations: 0

May 2, 2024Inspection
Clean

Fed violations: 2, State violations: 0

Aug 9, 2023Complaint
Clean

Fed violations: 0, State violations: 0

Mar 16, 2023Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Titonka Care Center

Organization Type

nonprofit

Ownership & Management

Key personnel

Rasch, CoreyContracted Managing EmployeeAnderson Post, SherriOfficer / DirectorGerzema, DeanOfficer / DirectorRasch, CoreyOfficer / DirectorAnderson Post, SherriOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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