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C
Below Standard

Southern Hills Specialty Care

444 North West View Drive · Osceola, IA 50213

6413426061 · Non profit - Corporation

90 beds85.8 residents130 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

Southern Hills Specialty Care receives an overall staffing grade of C (Below Standard). With 3.4194 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.657 HPRD, below the recommended 0.75. It is 0.48 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.43% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4194 HPRD — needs 0.06 more hours per resident per day.
⚠️RN staffing (0.657 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
3.4194hrs/resident/day▼ 0.48
CMS benchmark: 3.48
RN HPRD
0.657hrs/resident/day▼ 0.03
Recommended: 0.75
Weekend Drop-off
19.43%
3.6181 weekday → 2.9151 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7725hrs/resident/day
Direct care aides
LPN HPRD
0.5514hrs/resident/day
Licensed practical nurses
Consistency
0.394std 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. Clarke County Average+0.00 HPRD
3.42
03.42 HPRD
vs. Iowa State Average-0.40 HPRD
3.82
03.42 HPRD
vs. National Average-0.48 HPRD
3.90
03.42 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
Southern Hills Specialty Care ★
Osceola · This facility
—
C
3.41940.657★★★☆☆
Westview Acres Care Center
LEON
20.4 mi
C
3.80980.4926★★★★☆
Chariton Specialty Care
Chariton
24 mi
C
3.15260.7197★★★☆☆
Westview of Indianola Care Center
INDIANOLA
24 mi
C
3.81850.531★★★★★
Good Samaritan Society - Indianola
Indianola
24.4 mi
C
3.27190.4954★☆☆☆☆
Azria Health Winterset
Winterset
24.4 mi
C
3.53810.4743★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
8
Total Deficiencies
$36,865
Fines Assessed
Aug 21, 2025Health
5 deficiencies cited
▼
Apr 10, 2025Health
1 deficiency cited
▼
Sep 12, 2024Health
1 deficiency cited
▼
Dec 12, 2023Health
1 deficiency cited
▼

Penalty History

Aug 18, 2024Fine
$36,865
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.