Odebolt Specialty Care

Nursing Home & Skilled Nursing · Odebolt, IA

CMS overall rating

801 South Des Moines Street, Odebolt, Ia 514584867 View map

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Odebolt Specialty Care accepts Medicare, Medicaid, and private pay.

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Odebolt Specialty Care accepts Medicare, Medicaid, and private pay.

Overview of Odebolt Specialty Care

Under the leadership of administrator Madison Leisinger, Odebolt Specialty Care manages a 38-bed skilled nursing community. The facility operates at an 87 percent occupancy level, processing monthly billing through private pay alongside Medicare and Medicaid networks. Lengths of stay hover around 198 days on average, creating an environment that balances post-hospital recovery therapies with traditional extended care.

An average of 4 hours and 44 minutes of direct daily care is delivered to each resident by the hands-on nursing staff. This round-the-clock clinical schedule utilizes a blended team of registered nurses, licensed practical nurses, and certified nurse aides who collaborate on physical therapy, medical monitoring, and everyday assistance. The community has a walkability score of 27 out of 100, indicating that visitors and family members will need a vehicle to handle local trips and errands.

Recent audits from the Iowa Department of Inspections, Appeals, and Licensing noted some administrative and operational issues. State files highlighted specific documentation corrections needed for high-risk medication records, general resident supervision routines, care planning, and basic infection control protocols. The management uses these formal inspection findings to adjust staff training programs and refine internal safety routines.

Prospective individuals can reach out to the administrative desk to verify room openings, request information about the customized rehabilitation therapies, or set up a time to visit the building. The office staff can also assist with insurance verification and explain how public coverage or private payments apply to monthly care costs.

Facility Direct Line (712) 668-4867

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 44m per day

vs avg

3 of 6 metrics below state avg

Standout metric LPN / LVN is +43% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	52m per day	▲ 19% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	48m per day	▲ 43% State avg: 34m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 2m per day	▼ 20% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 14m per day	▼ 4% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 50% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	35m per day	▲ 18% State avg: 30m per day · National avg: 28m per day

Capacity and availability

198 days

38-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 27 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

87%

Higher than the Iowa average: 75.4%

Occupied beds

33 / 38

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationAugust 1, 2026 Expires in 17 days

CountySac

License Number810297

CMS Certification Number165180

Certification TypeFALSE

Odebolt Specialty Care is administered by Madison Leisinger.

Rehabilitation Services

24-Hour Staffing

Email odeboltadministrator@careinitiatives.org

Fax7126682268

Pets not allowed

Operating Hours24 hours a day, seven days a week

Since 2020 · 6 years of data 54 deficiencies 17 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average

Overall vs. IA average

Latest Inspection December 10, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	54	27	This facility has 100% more total deficiencies than a typical Iowa assisted living residence (54 vs. IA avg 27).↑ 100% worse
Deficiencies per year Average deficiencies per year since 2020.	9	4.5	This facility has 100% more deficiencies per year than a typical Iowa assisted living residence (9 vs. IA avg 4.5).↑ 100% worse
Deficiencies per inspection Average deficiencies per inspection.	3.2	1.8	This facility has 78% more deficiencies per inspection than a typical Iowa assisted living residence (3.2 vs. IA avg 1.8).↑ 78% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	17	15	This facility has had 13% more total inspections than the Iowa average (17 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 13% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The December 10, 2025 complaint investigation found the facility in substantial compliance with no deficiencies cited.
The February 17, 2025 annual inspection cited five deficiencies including inaccurate medication records, incomplete care plans for high-risk meds, inadequate supervision causing accidents, and poor infection control.
The July 11, 2024 complaint investigation substantiated a fall incident due to failure to prevent wandering through an unsupervised propped-open kitchen door.

Show Inspection Reports

Inspections since 2023

Total health inspections 5

State average N/A

Last Health inspection on Feb 2025

Total health citations

State average N/A

Citations per inspection

4.2

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

9 of 21 citations resulted from standard inspections; 8 of 21 resulted from complaint investigations; and 4 of 21 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

1 critical citation State average: N/A

2 serious citations State average: N/A

18 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Infection Control moderate citation Feb 20, 2025

Corrected

Quality of Care moderate citation Feb 20, 2025

Corrected

Quality of Care moderate citation Feb 20, 2025

Corrected

Care Planning moderate citation Feb 20, 2025

Corrected

Total staff 53

Employees 41

Contractors 12

Staff to resident ratio 1.61 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 16

Average shift 7.2 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 10,649

Nursing staff breakdown

7.8 hours

9.3 hours

7.3 hours

Contractor staffing

379 contractor hours this quarter

Physical Therapy Assistant: 3 Speech Language Pathologist: 2 Respiratory Therapy Technician: 2 Qualified Social Worker: 2 Physical Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	14	0	14	3,944	92	100%	7.3
Licensed Practical Nurse	4	0	4	2,069	92	100%	9.3
Registered Nurse	7	0	7	1,396	89	97%	7.8
Medication Aide/Technician	3	0	3	1,252	90	98%	8.1
Clinical Nurse Specialist	3	0	3	449	60	65%	7.1
Administrator	1	0	1	419	55	60%	7.6
Nurse Practitioner	3	0	3	395	52	57%	7.4
Speech Language Pathologist	0	2	2	184	59	64%	3.1
Dental Services Staff	1	0	1	162	34	37%	4.8
Other Dietary Services Staff	3	0	3	109	32	35%	2.6
Dietitian	2	0	2	75	14	15%	5.4
Physical Therapy Aide	0	1	1	56	33	36%	1.7
Medical Director	0	1	1	45	3	3%	15
Respiratory Therapy Technician	0	2	2	42	20	22%	2
Physical Therapy Assistant	0	3	3	28	16	17%	1.6
Occupational Therapy Assistant	0	1	1	14	3	3%	4.5
Qualified Social Worker	0	2	2	11	8	9%	1.3

14 Certified Nursing Assistant

% of Days 100%

4 Licensed Practical Nurse

% of Days 100%

7 Registered Nurse

% of Days 97%

3 Medication Aide/Technician

% of Days 98%

3 Clinical Nurse Specialist

% of Days 65%

1 Administrator

% of Days 60%

3 Nurse Practitioner

% of Days 57%

2 Speech Language Pathologist

% of Days 64%

1 Dental Services Staff

% of Days 37%

3 Other Dietary Services Staff

% of Days 35%

2 Dietitian

% of Days 15%

1 Physical Therapy Aide

% of Days 36%

1 Medical Director

% of Days 3%

2 Respiratory Therapy Technician

% of Days 22%

3 Physical Therapy Assistant

% of Days 17%

1 Occupational Therapy Assistant

% of Days 3%

2 Qualified Social Worker

% of Days 9%

View All Staffing Data

Total fines amount $14K

70% lower than State average

State average: $48K

Number of fines 1

41% fewer fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.5

Fines amount comparison

This facility $14K

State average $48K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jul 11, 2024 · $14K

Civil Money Penalty Jul 11, 2024

$14K

Last updated: Jan 2026

High-risk clinical events score 7.7

25% better than State average

State average: 10.2

Functional decline score 17.5

19% better than State average

State average: 21.6

Long-stay resident measures

Average State avg: 3.3

Need for Help with Daily Activities Increased 16.8%

10% better than State average

State average: 18.8%

Walking Ability Worsened 11.8%

40% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 24.0%

9% better than State average

State average: 26.2%

Falls with Major Injury 7.6%

109% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 0.0%

100% better than State average

State average: 4.4%

Urinary Tract Infection 0.9%

66% better than State average

State average: 2.5%

Lost Too Much Weight 2.1%

58% better than State average

State average: 5.0%

Depressive Symptoms 4.6%

18% worse than State average

State average: 3.9%

Antipsychotic Use 37.5%

97% worse than State average

State average: 19.0%

Pneumococcal Vaccine 96.6%

In line with State average

State average: 94.4%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.3%

Short-stay resident measures

Pneumococcal Vaccine 83.3%

In line with State average

State average: 85.1%

Antipsychotic medication increase 8.7%

372% worse than State average

State average: 1.8%

Breakdown by payment type

Medicare

40% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

38% of new residents, often for short stays.

Typical stay 5 - 6 months

Medicaid

22% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 33

Medicare

3% of residents

Medicaid

75.8% of residents

Private pay or other

21.2% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Odebolt Specialty Care from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 81.3% ↑ 5.2pp vs 2022

Net Patient Income $15.9K ↓ ~$117.7K vs 2022

Payroll Costs $1.7M ↑ ~$255.5K vs 2022

Operating Margin 0.5% ↓ 4.0pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	72.3%	67.2%	69.9%	64.2%	61.7%	64.8%	69.9%	51.9%	60.4%	61.4%	67.6%	76.1%	81.3%
Beds	46	46	46	46	46	46	46	46	38	38	38	38	38
Net Income	-$92,598	-$279,758	-$79,923	-$253,371	-$158,766	-$291,297	-$121,318	-$386,875	-$197,846	-$157,432	$95,197	$134,366	-$18,343
Gross Revenue	$1,839,121	$1,652,816	$1,898,328	$2,238,628	$2,286,009	$2,278,685	$2,488,633	$2,080,303	$2,230,746	$2,826,844	$3,186,118	$4,025,544	$5,371,163
Operating Expenses	$1,928,814	$1,915,297	$2,148,049	$2,476,792	$2,467,778	$2,593,496	$2,586,010	$2,285,087	$2,252,702	$2,571,680	$2,487,991	$2,859,183	$3,138,138
Net Patient Income	-$109,850	-$262,481	-$103,157	-$275,082	-$182,697	-$314,811	-$150,934	-$406,329	-$206,210	-$335,041	$76,570	$133,601	$15,898
Net Patient Revenue	$1,818,964	$1,652,816	$2,044,892	$2,201,710	$2,285,081	$2,278,685	$2,435,076	$1,878,758	$2,046,492	$2,236,639	$2,564,561	$2,992,784	$3,154,036
Payroll Costs	$984,407	$984,329	$1,028,894	$1,145,749	$1,278,459	$1,406,615	$1,418,559	$1,198,639	$1,243,351	$1,299,073	$1,269,939	$1,488,435	$1,743,940
Operating Margin %	-6.0%	-15.9%	-5.0%	-12.5%	-8.0%	-13.8%	-6.2%	-21.6%	-10.1%	-15.0%	3.0%	4.5%	0.5%
Medicare %	6.4%	3.6%	9.1%	10.2%	13.1%	6.6%	7.2%	11.2%	7.2%	15.9%	13.3%	14.9%	7.8%
Medicaid %	44.3%	47.8%	36.9%	41.9%	33.4%	31.3%	52.2%	52.3%	57.6%	52.3%	46.2%	48.4%	61.4%
Private %	49.3%	48.6%	54.0%	47.9%	53.5%	62.1%	40.6%	36.5%	35.2%	31.8%	40.5%	36.6%	30.7%
Net Patient Revenue/Day	$150	$146	$174	$204	$220	$209	$207	$215	$244	$262	$273	$284	$280
Cost/Day	$159	$169	$183	$230	$238	$238	$220	$262	$269	$301	$265	$271	$278
Avg Length of Stay	505.5 days	342.8 days	293.3 days	308.0 days	259.1 days	272.7 days	309.0 days	218.0 days	349.1 days	258.9 days	223.3 days	195.4 days	197.8 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.2M

Net patient income

$15.9K

Nonprofit Nonprofit Corporation

Net patient revenue

$3.2M

Net patient income

$15.9K

Other income

$20.4K

Payroll costs

$1.7M 55.3% of net patient revenue

Other operating costs

$1.4M

Total costs

$3.1M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (40% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 40%

Private pay 38%

Medicaid 22%

Coverage residents most often leave under.

Medicare 35%

Private pay 42%

Medicaid 23%

0.0 miles from city center Estimated distance in miles from Odebolt's city center to Odebolt Specialty Care's address, calculated via Google Maps.

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
Sunrise Retirement Community	NH AL IL MC RC SNF	Sioux City	-	74	A+	22	Studio
Green Hills Retirement Community	NH AL IL MC SNF	Ames (Hamilton Drive)	-	56	-	18	1 Bed / 2 Bed
Meth Wick Community	NH AL IL MC RC SNF	Cedar Rapids (The Meth-Wick Community)	-	69	-	23	-
Odebolt Specialty Care	NH SNF	Odebolt	-	38	-	27	-

Nursing Home Explorer

Is Odebolt Specialty Care in a walkable area?

Odebolt Specialty Care has a walk score of 27. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Odebolt Specialty Care?

According to IA state health department records, Odebolt Specialty Care's license number is 810297.

When does Odebolt Specialty Care's license expire?

According to IA state health department records, Odebolt Specialty Care's license expires on August 1, 2026.

What is the occupancy rate at Odebolt Specialty Care?

Odebolt Specialty Care's occupancy is 87%.

Are pets allowed at Odebolt Specialty Care?

No, Odebolt Specialty Care has a no-pet policy.

What is the best email address for Odebolt Specialty Care?

The team at Odebolt Specialty Care can be reached at OdeboltAdministrator@careinitiatives.org.

Does Odebolt Specialty Care operate as a for-profit or non-profit?

Odebolt Specialty Care is registered as a non-profit in IA.

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Odebolt Specialty Care

Overview of Odebolt Specialty Care

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Odebolt Specialty Care

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

14 Certified Nursing Assistant

4 Licensed Practical Nurse

7 Registered Nurse

3 Medication Aide/Technician

3 Clinical Nurse Specialist

1 Administrator

3 Nurse Practitioner

2 Speech Language Pathologist

1 Dental Services Staff

3 Other Dietary Services Staff

2 Dietitian

1 Physical Therapy Aide

1 Medical Director

2 Respiratory Therapy Technician

3 Physical Therapy Assistant

1 Occupational Therapy Assistant

2 Qualified Social Worker

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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