Home›Iowa›Cass County›Caring Acres Nursing and Rehab Center
C
Below Standard

Caring Acres Nursing and Rehab Center

1000 Hillcrest Drive · Anita, IA 50020

7127623219 · For profit - Limited Liability company

41 beds25.8 residents40 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Caring Acres Nursing and Rehab Center receives an overall staffing grade of C (Below Standard). With 3.0399 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.86 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 24.66% compared to weekdays. The facility relies heavily on temporary agency staff (19% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0399 HPRD — needs 0.44 more hours per resident per day.
⚠️19% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
Total Nurse HPRD
3.0399hrs/resident/day▼ 0.86
CMS benchmark: 3.48
RN HPRD
0.8025hrs/resident/day▲ 0.12
Recommended: 0.75
Weekend Drop-off
24.66%
3.2676 weekday → 2.4618 weekend
⚠ Significant weekend reduction
Agency Staff
19%
46.16% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.8654hrs/resident/day
Direct care aides
LPN HPRD
0.3719hrs/resident/day
Licensed practical nurses
Consistency
0.6055std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Cass County Average-0.43 HPRD
3.47
03.04 HPRD
vs. Iowa State Average-0.78 HPRD
3.82
03.04 HPRD
vs. National Average-0.86 HPRD
3.90
03.04 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Caring Acres Nursing and Rehab Center ★
Anita · This facility
—
C
3.03990.8025★☆☆☆☆
Atlantic Specialty Care
Atlantic
12.2 mi
C
3.25250.5757★★★☆☆
Salem Lutheran Home
Elk Horn
18.6 mi
D
2.94530.5758★☆☆☆☆
Greenfield Rehabilitation & Health Care Center
Greenfield
18.7 mi
C
3.0780.6194★★★☆☆
Friendship Home Association
Audubon
21 mi
B
3.69340.6987★★★★★
Panora Specialty Care
Panora
27.8 mi
C
3.44020.7096★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
60
Total Deficiencies
$73,488
Fines Assessed
Oct 14, 2025Health
3 deficiencies cited
▼
Jun 19, 2025Health
6 deficiencies cited· Includes actual harm
▼
Feb 20, 2025Health
17 deficiencies cited
▼
Nov 26, 2024Health
4 deficiencies cited
▼
Aug 2, 2024Health
3 deficiencies cited· Includes actual harm
▼
Jun 25, 2024Health
2 deficiencies cited
▼
Mar 21, 2024Health
3 deficiencies cited
▼
Aug 3, 2023Health
8 deficiencies cited· Includes actual harm
▼
Jan 10, 2023Health
14 deficiencies cited· Includes actual harm
▼

Penalty History

Aug 2, 2024Fine
$51,773
Aug 3, 2023Fine
$21,715
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.