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C
Below Standard

State Center Specialty Care

702 Third Street NW · State Center, IA 50247

6414832812 · Non profit - Corporation

39 beds31.6 residents65 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

State Center Specialty Care receives an overall staffing grade of C (Below Standard). With 3.2594 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 0.64 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.51% 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 (2)

⚠️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: 3.2594 HPRD — needs 0.22 more hours per resident per day.

✨ Strengths (2)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.2594hrs/resident/day▼ 0.64
CMS benchmark: 3.48
RN HPRD
0.8081hrs/resident/day▲ 0.13
Recommended: 0.75
Weekend Drop-off
12.51%
3.3789 weekday → 2.9561 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.2379hrs/resident/day
Direct care aides
LPN HPRD
0.3766hrs/resident/day
Licensed practical nurses
Consistency
0.4029std 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. Marshall County Average-0.45 HPRD
3.71
03.26 HPRD
vs. Iowa State Average-0.56 HPRD
3.82
03.26 HPRD
vs. National Average-0.64 HPRD
3.90
03.26 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
State Center Specialty Care ★
State Center · This facility
—
C
3.25940.8081★★★★☆
Zearing Health Care, LLC
Zearing
11.7 mi
B
3.90421.0048★★★★★
Southridge Specialty Care
Marshalltown
13.1 mi
C
3.45690.6116★★☆☆☆
Harmony Marshalltown
Marshalltown
14.1 mi
C
3.85580.4931★☆☆☆☆
Rolling Green Village Care Center
Nevada
14.4 mi
B
4.0450.735★★★☆☆
Hubbard Care Center
Hubbard
20.4 mi
B
3.70890.5849★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
32
Total Deficiencies
$0
Fines Assessed
Nov 19, 2025Health
1 deficiency cited
▼
Nov 21, 2024Health
7 deficiencies cited
▼
Oct 17, 2024Health
1 deficiency cited
▼
Dec 20, 2023Health
2 deficiencies cited
▼
Aug 30, 2023Health
5 deficiencies cited
▼
Jul 19, 2022Health
16 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.