April Wolfe
Dec 2025
Very Small, dirty rooms. Flies everywhere. Floors never appeared to be mopped. Personal blankets go to the laundry and never come back even when clearly marked. The staff on duty always seemed nice.
3.9(12 ratings)
Part of Care Initiatives · 43 communities · 3.6★ average
1 / 5CMS Care Compare
Reviews for State Center Specialty Care are mixed, with several families citing cleanliness issues, missing belongings, and serious concerns about care and pain management, while others describe the staff as friendly and helpful. The facility is a small, nonprofit skilled nursing and long-term care home operated by Care Initiatives.
AI-generated from reviews and community data.
State Center Specialty Care is a senior living community in State Center, Iowa offering Skilled Nursing / Long Term Care. Amenities include Gathering / Activity Spaces, Social Activities and Housekeeping. Families rate it 3.9 out of 5 across 12 reviews.
State Center Specialty Care is a skilled nursing and long-term care community in State Center, Iowa, licensed to serve up to 39 residents around the clock. The facility provides compassionate, individualized care to residents from Marshall County and surrounding areas.
The community offers skilled nursing care, long-term care options, short-term rehabilitation, and services for residents with chronic diseases and debilitating medical conditions such as Alzheimer's and heart disease. Rehabilitation therapy services are provided onsite with state-of-the-art approaches, tailored to each resident's needs.
State Center Specialty Care is committed to promoting an active and engaging quality of life through daily programming, social and educational activities, and services designed to support physical health, mental stimulation, and resident engagement in a home-like setting.
The facility is operated by Care Initiatives, Iowa's largest nonprofit provider of skilled nursing care, with more than 40 dedicated team members at this location working to enhance residents' quality of life.
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Help Me Choose3.9overall · 12 ratings combined
3.9★ on Google (12)
April Wolfe
Dec 2025
Very Small, dirty rooms. Flies everywhere. Floors never appeared to be mopped. Personal blankets go to the laundry and never come back even when clearly marked. The staff on duty always seemed nice.
Shelly
Dec 2024
My husbands clothes keep coming up missing as well as other things. I told the nurse about it. She wrote it down but nothing has been done. I left my husband in their care hoping to get the help I needed, and now Im constantly worrying about him!
Megan Love
Feb 2024
The staff members are very nice and friendly and also will help with anything you need in a timely matter.
M
Sep 2023
The incompetence, negligence, unlawful and unethical employees of this horrifyingly foul and filthy facility, now has their business license in question by the Iowa Department of Inspections, Appeals & Licensing. My father suffered in agony for eight days before the Dr, that was “afraid” to prescribe an opioid for “fear of constipation”, ordered an Rx for pain management. These people will do anything to make your loved one as miserable, pain ridden, and lonely, as is sub-humanly possible. They’ll defiantly ignore and dismiss any Durable Power of Attorney’s instructions and / or legality. They’re everyone’s worst nightmare come true—they guarantee it. They refused to allow an employee to visit her own grandmother, at her own place of employment, due to a “conflict of interest.” The brazen chutzpah of denying their own staff to visit their own grandmother, who is now a victim, at the mercy of these heartless, incompetent, unaccountable and abusive staff, says it all. They want no witnesses and nothing that anyone should ever have to experience. RUN!!!
6 inspection visits in the last three years, 42 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 13, 2026
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 13, 2026
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 4, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 3, 2026
Inspect, test, and maintain automatic sprinkler systems.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 13, 2026
Provide properly protected cooking facilities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 22, 2026
Ensure proper usage of power strips and extension cords.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 4, 2026
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 3, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 3, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 3, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 20, 2025
Conduct testing and exercise requirements.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 27, 2024
Have proper medical gas storage and administration areas.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 27, 2024
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 27, 2024
Provide primary/alternate means for communication.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 27, 2024
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 6, 2024
Reasonably accommodate the needs and preferences of each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 6, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 6, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 6, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 6, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 6, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 6, 2024
Inspect, test, and maintain automatic sprinkler systems.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 29, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 18, 2024
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 21, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 21, 2023
Provide a written emergency evacuation plan.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Develop and maintain an Emergency Preparedness Program (EP).
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 12, 2023
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 14, 2023
Conduct testing and exercise requirements.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 14, 2023
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Install corridor and hallway doors that block smoke.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 11, 2023
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 14, 2023
Ensure proper usage of power strips and extension cords.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 11, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 25, 2023
Have proper medical gas storage and administration areas.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 10, 2024
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 14, 2023
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 12, 2023
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 25, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 25, 2023
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 25, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 25, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
State Center Specialty Care offers Skilled Nursing / Long Term Care.
State Center Specialty Care is located at 702 Third Street Nw in State Center, Iowa.
Reviews for State Center Specialty Care are mixed, with several families citing cleanliness issues, missing belongings, and serious concerns about care and pain management, while others describe the staff as friendly and helpful. The facility is a small, nonprofit skilled nursing and long-term care home operated by Care Initiatives.
State Center Specialty Care had 6 government inspection visits in the last three years, with 42 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
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