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C
Below Standard

Manly Specialty Care

601 E South Street · Manly, IA 50456

6414542223 · Non profit - Corporation

43 beds40.9 residents53 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

Manly Specialty Care receives an overall staffing grade of C (Below Standard). With 3.368 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 0.53 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 7.92% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

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

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.368 HPRD — needs 0.11 more hours per resident per day.

✨ Strengths (5)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 7.92% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.368hrs/resident/day▼ 0.53
CMS benchmark: 3.48
RN HPRD
0.9191hrs/resident/day▲ 0.24
Recommended: 0.75
Weekend Drop-off
7.92%
3.4451 weekday → 3.1723 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9872hrs/resident/day
Direct care aides
LPN HPRD
0.2427hrs/resident/day
Licensed practical nurses
Consistency
0.2396std 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. Worth County Average-0.58 HPRD
3.95
03.37 HPRD
vs. Iowa State Average-0.45 HPRD
3.82
03.37 HPRD
vs. National Average-0.53 HPRD
3.90
03.37 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
Manly Specialty Care ★
Manly · This facility
—
C
3.3680.9191★★★☆☆
Good Shepherd Health Center
Mason City
9 mi
D
3.6920.3636★★☆☆☆
Heritage Care And Rehabilitation Center
Mason City
9.5 mi
D
3.34260.3996★★☆☆☆
Nora Springs Care Center
Nora Springs
13.2 mi
D
3.45670.3447★★★★★
Oakwood Care Center
Clear Lake
13.9 mi
C
3.41870.4567★★★☆☆
Good Samaritan Society - Saint Ansgar
Saint Ansgar
15.7 mi
C
3.03270.8782★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
22
Total Deficiencies
$13,627
Fines Assessed
Feb 27, 2025Health
7 deficiencies cited
▼
Apr 25, 2024Health
7 deficiencies cited
▼
Jan 17, 2024Health
2 deficiencies cited· Includes actual harm
▼
Jan 26, 2023Health
6 deficiencies cited
▼

Penalty History

Jan 17, 2024Fine
$13,627
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.