Home›Iowa›Woodbury County›Casa De Paz Health Care Center
C
Below Standard

Casa De Paz Health Care Center

2121 West 19th Street · Sioux City, IA 51103

7122333127 · For profit - Limited Liability company

71 beds63.9 residents94 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
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

Casa De Paz Health Care Center receives an overall staffing grade of C (Below Standard). With 3.0248 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.7086 HPRD, below the recommended 0.75. It is 0.87 HPRD below the national average.

Weekend staffing drops significantly — dropping 37.14% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (4)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0248 HPRD — needs 0.46 more hours per resident per day.
⚠️RN staffing (0.7086 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 37.14% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.
📊Staffing levels are highly variable day to day (consistency score: 0.8164). This means the care experience can be very different depending on the day.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.0248hrs/resident/day▼ 0.87
CMS benchmark: 3.48
RN HPRD
0.7086hrs/resident/day▲ 0.03
Recommended: 0.75
Weekend Drop-off
37.14%
3.3794 weekday → 2.1244 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.3617hrs/resident/day
Direct care aides
LPN HPRD
0.6171hrs/resident/day
Licensed practical nurses
Consistency
0.8164std 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. Woodbury County Average-0.84 HPRD
3.87
03.02 HPRD
vs. Iowa State Average-0.79 HPRD
3.82
03.02 HPRD
vs. National Average-0.87 HPRD
3.90
03.02 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
Casa De Paz Health Care Center ★
Sioux City · This facility
—
C
3.02480.7086★☆☆☆☆
Holy Spirit Retirement Home
Sioux City
0.5 mi
B
4.30060.7419★★★★☆
Westwood Specialty Care
Sioux City
1.4 mi
C
3.29330.6894★☆☆☆☆
Embassy Rehab and Care Center
Sergeant Bluff
8.8 mi
B
3.56370.9061★☆☆☆☆
Kingsley Specialty Care
Kingsley
20.8 mi
C
3.08351.1241★★☆☆☆
Accura Healthcare of Le Mars
Le Mars
23.6 mi
A
4.79330.8927★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
40
Total Deficiencies
$0
Fines Assessed
Oct 30, 2025Health
2 deficiencies cited
▼
Aug 21, 2025Health
2 deficiencies cited
▼
Apr 3, 2025Health
7 deficiencies cited
▼
Jan 10, 2025Health
2 deficiencies cited
▼
Jul 15, 2024Health
3 deficiencies cited
▼
Apr 11, 2024Health
12 deficiencies cited
▼
Jan 18, 2024Health
1 deficiency cited
▼
Mar 16, 2023Health
11 deficiencies cited· Includes actual harm
▼
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.