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

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Titonka Care Center has a strong overall Medicare rating. RN hours meet the EveryPlace reference benchmark, which is one useful staffing signal to discuss during a visit. Public reviewers frequently mention: friendly and respectful staff and welcoming, small-town atmosphere. Review the component ratings and current source records before deciding.
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
Rating Trends
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Distribution · 30 analyzed
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.”
This facility meets both EveryPlace staffing reference benchmarks. Higher staffing is generally associated with stronger day-to-day care.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 15 measures
6
measures
7
measures
2
measures
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who fell and were seriously hurt
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
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.
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.
Source: Iowa Dept. of Inspections, Appeals & Licensing
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 7, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 2, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Titonka Care Center
nonprofit
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
29 reviews from families & visitors
Official Website
Visit titonkacarecenter.com
Medicare data downloads
Original nursing home datasets
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