HomeIowaFloyd CountyNora Springs Care Center
D
Poor

Nora Springs Care Center

907 W Congress · Nora Springs, IA 50458

6417495331 · For profit - Limited Liability company

50 beds44.2 residents83 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Nora Springs Care Center receives an overall staffing grade of D (Poor). With 3.4567 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3447 HPRD, below the recommended 0.75. It is 0.44 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.59% 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 (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4567 HPRD — needs 0.02 more hours per resident per day.
⚠️RN staffing (0.3447 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (2)

No days with zero registered nurse hours this quarter
Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4567hrs/resident/day 0.44
CMS benchmark: 3.48
RN HPRD
0.3447hrs/resident/day 0.34
Recommended: 0.75
Weekend Drop-off
19.59%
3.6593 weekday → 2.9423 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1886hrs/resident/day
Direct care aides
LPN HPRD
0.6641hrs/resident/day
Licensed practical nurses
Consistency
0.4435std 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. Floyd County Average-0.40 HPRD
3.86
03.46 HPRD
vs. Iowa State Average-0.36 HPRD
3.82
03.46 HPRD
vs. National Average-0.44 HPRD
3.90
03.46 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
Nora Springs Care Center
Nora Springs · This facility
D
3.45670.3447★★★★★
Heritage Care And Rehabilitation Center
Mason City
8.3 mi
D
3.34260.3996★★☆☆☆
Good Shepherd Health Center
Mason City
9 mi
D
3.6920.3636★★☆☆☆
Manly Specialty Care
Manly
13.2 mi
C
3.3680.9191★★★☆☆
Osage Rehab and Health Care Center
Osage
13.7 mi
B
3.74330.7761☆☆☆☆
Good Samaritan Society - Saint Ansgar
Saint Ansgar
17 mi
C
3.03270.8782★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
6
Total Deficiencies
$0
Fines Assessed
Nov 18, 2025Health
1 deficiency cited
Jul 3, 2024Health
1 deficiency cited
May 18, 2023Health
4 deficiencies cited
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.