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C
Below Standard

Stratford Specialty Care

1200 Highway 175 East · Stratford, IA 50249

5158382795 · Non profit - Corporation

53 beds38.1 residents65 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

Stratford Specialty Care receives an overall staffing grade of C (Below Standard). With 3.3966 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6989 HPRD, below the recommended 0.75. It is 0.50 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.4% 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: 3.3966 HPRD — needs 0.08 more hours per resident per day.
⚠️RN staffing (0.6989 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
3.3966hrs/resident/day▼ 0.50
CMS benchmark: 3.48
RN HPRD
0.6989hrs/resident/day▲ 0.02
Recommended: 0.75
Weekend Drop-off
18.4%
3.583 weekday → 2.9235 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.2746hrs/resident/day
Direct care aides
LPN HPRD
0.578hrs/resident/day
Licensed practical nurses
Consistency
0.4578std 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. Hamilton County Average-0.28 HPRD
3.68
03.40 HPRD
vs. Iowa State Average-0.42 HPRD
3.82
03.40 HPRD
vs. National Average-0.50 HPRD
3.90
03.40 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
Stratford Specialty Care ★
Stratford · This facility
—
C
3.39660.6989★★☆☆☆
Grandview Health Care Center
Dayton
5.4 mi
C
3.06030.7779★★☆☆☆
Friendship Haven, Inc
Fort Dodge
18.4 mi
A
4.50.944★★★★☆
Fort Dodge Health and Rehabilitation
Fort Dodge
21.1 mi
C
3.08210.727★☆☆☆☆
Madrid Home for the Aged
Madrid
27.6 mi
B
4.12520.6967★★★★☆
Regency Park Nursing & Rehab Center of Jefferson
Jefferson
27.8 mi
B
3.51650.671★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
32
Total Deficiencies
$0
Fines Assessed
Dec 4, 2025Health
5 deficiencies cited
▼
May 21, 2025Health
8 deficiencies cited
▼
Jan 6, 2025Health
1 deficiency cited
▼
Jul 25, 2024Health
4 deficiencies cited
▼
Jun 17, 2024Health
1 deficiency cited
▼
Mar 21, 2024Health
2 deficiencies cited
▼
Jan 4, 2024Health
1 deficiency cited
▼
Nov 6, 2023Health
3 deficiencies cited
▼
May 24, 2023Health
6 deficiencies cited
▼
Feb 7, 2023Health
1 deficiency 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.