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Holy Spirit Retirement Home
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Sioux City, IA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Holy Spirit Retirement Home, Nursing Home in Sioux City, IA — Residents enjoying a group activity with staff Holy Spirit Retirement Home, Nursing Home in Sioux City, IA — Staff member engaging with a resident in a cozy setting Holy Spirit Retirement Home, Nursing Home in Sioux City, IA — A happy senior woman with two smiling children outdoors Holy Spirit Retirement Home, Nursing Home in Sioux City, IA — Elderly man and caregiver smiling by a window Holy Spirit Retirement Home, Nursing Home in Sioux City, IA — A senior woman smiling in her living room Holy Spirit Retirement Home, Nursing Home in Sioux City, IA — A smiling senior woman with two young girls in a garden Holy Spirit Retirement Home, Nursing Home in Sioux City, IA — Nurse checking blood pressure of a resident in a room Holy Spirit Retirement Home, Nursing Home in Sioux City, IA — Sign for Holy Spirit Retirement Home surrounded by greenery Holy Spirit Retirement Home, Nursing Home in Sioux City, IA — Holiday event banner for Holy Spirit Retirement Home Holy Spirit Retirement Home, Nursing Home in Sioux City, IA — Colorful autumn leaves covering the ground Holy Spirit Retirement Home, Nursing Home in Sioux City, IA — Conceptual image of a virus and syringe

Holy Spirit Retirement Home

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Sioux City, IA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1701 W 25Th St, Sioux City, IA 51103-1705 View map Calculator: See prices in your area
Holy Spirit Retirement Home accepts Medicare, Medicaid, and private pay.
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Holy Spirit Retirement Home accepts Medicare, Medicaid, and private pay.

Overview of Holy Spirit Retirement Home

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Serving the Sioux City community for nearly three decades, Holy Spirit Retirement Home is a small nursing home owned and operated by The Diocese of Sioux City. The home provides skilled nursing care and rehabilitation support. Pastoral attention to spiritual needs is also available. Medicare, Medicaid, and private pay are accepted, so families have different ways to arrange care coverage.

Residents receive an average of 3 hours and 57 minutes of total nursing support each day. Registered nurses, nurse aides, and licensed practical nurses are all part of the care team. Daily hands-on support is a central part of the nursing model, and residents have access to consistent clinical care throughout their stay.

The facility has 52 beds, which maintains a smaller, residential feel while supporting a dedicated rehabilitation program. Residents stay an average of 190 days, including those recovering through post-acute rehabilitation and receiving longer-term care. The neighborhood has a Walk Score of 91. Many nearby services and destinations are within walking distance, which can make visits easier for family members.

Spiritual care is part of daily life through the home’s Spiritual Life program. The program exists because of the facility’s religious identity and the values associated with Diocese ownership. The community also offers independent apartment-style housing, so residents have an option as their care needs change over time.

State inspections focused on documentation practices, staff training in areas such as dementia care, and the completeness of resident agreements and care plans. The facility continues to address and monitor these areas as part of its daily operations. Families touring the home may want to ask how these matters are monitored daily.

Facility Direct Line (712) 252-2726
Facility Direct Line (712) 252-2726
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 2.1% Below IA avg. ▼ 2.1% Below IA avg.IA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 29.9% Below IA avg. ▼ 29.9% Below IA avg.IA average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 12.8% Above IA avg. ▲ 12.8% Above IA avg.IA average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 52.7% Above IA avg. ▲ 52.7% Above IA avg.IA average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Iowa averages

Rank #70 / 231Nurse hours — State benchmarkedThis home is ranked 70th out of 231 homes we track in Iowa for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 231 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 70th out of 231 homes we track in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

4h 41m

9% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
50m
−3% State avg: 51m per day · National avg: 42m per day
LPN / LVN Info 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.
58m
+51% State avg: 39m per day · National avg: 52m per day
Nurse Aide Info 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 53m
Avg State avg: 2h 52m per day · National avg: 2h 24m per day
Weekend Total Nursing Info 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.
4h 12m
+8% State avg: 3h 52m per day · National avg: 3h 30m per day
Physical Therapist Info 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
−36% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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
+13% State avg: 31m per day · National avg: 29m per day

2 of 6 metrics below state avg

Standout metric: LPN / LVN is +51% above Iowa average

Capacity and availability

Residents per day
13
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
190 days
Bed community size
52-bed community Rank #250 / 403Bed count — State benchmarkedThis home is ranked 250th out of 403 homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
27 years in operation Rank #62 / 285Years in operation — State benchmarkedThis home is ranked 62nd out of 285 homes we track in Iowa for years in operation. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 91 / 100 Rank #2 / 504Walk Score — State benchmarkedThis home is ranked 2nd out of 504 homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

About this community

Occupancy

Occupancy rate
25%
Rank #356 / 362Occupancy rate — State benchmarkedThis home is ranked 356th out of 362 homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 362. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Iowa average: 75.4%
Occupied beds
13 / 52
Average occupied beds in Iowa homes 51 beds

License Details

Facility TypeAssisted Living Programs For People With Dementia
StatusActive
IssuanceMarch 8, 1999
ExpirationMarch 7, 2028
CountyWoodbury
License NumberS0038
CMS Certification Number165266

Ownership & Operating Entity

Holy Spirit Retirement Home is administered by Becky Duncan.

Owner Name| Holy Spirit Retirement Home (Alp) | S0504 | View

Therapy & Rehabilitation

1 service
Rehabilitation Services

Contact Information

Email beckyd@hsrh.org
Fax7122931953

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsIndependent Apartments, Spiritual Life
Religious Services

Contact Holy Spirit Retirement Home

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

Since 2004 · 22 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 39 deficiencies 7 inspections

Inspection Scorecard Info 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 2004 vs. Iowa state average
Overall vs. IA average 1 Worse Metrics worse than Iowa average:
• Total deficiencies (44% above) 0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIA Averagevs. IA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 3927 This facility has 44% more total deficiencies than a typical Iowa nursing home (39 vs. IA avg 27).↑ 44% worse

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

This FacilityIA Averagevs. IA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 715 This facility has had 53% fewer total inspections than the Iowa average (7 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 53% fewer
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2023 · 3 years of data
Total health inspections 5

Iowa average 4.9

Last Health inspection on Oct 2025

Total health citations
28 Rank #168 / 232Health citations — State benchmarkedThis home is ranked 168th out of 232 homes we track in Iowa for health citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 232 IA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Iowa average 21.7

Citations per inspection
5.6 Rank #177 / 232Citations per inspection — State benchmarkedThis home is ranked 177th out of 232 homes we track in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 232 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Iowa average 4.11

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

23 of 28 citations resulted from standard inspections; 4 of 28 resulted from complaint investigations; and 1 of 28 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than Iowa average

Iowa average: 0.6

Serious health citations
0
100% better than Iowa average

Iowa average: 0.9

0 critical citations Iowa average: 0.6
0 serious citations Iowa average: 0.9
28 moderate citations Iowa average: 19.7
0 minor citations Iowa average: 0.5
Citations history (last 3 years)
Care Planning moderate citation Oct 07, 2025
Corrected
Administration moderate citation May 15, 2025
Corrected
Infection Control moderate citation May 15, 2025
Corrected
Nutrition moderate citation May 15, 2025
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 168
Employees 67
Contractors 101
Staff to resident ratio 2.71 : 1
32% more staff per resident than Iowa average
Iowa average ratio: 2.05 : 1 Iowa average ratio: 2.05 : 1See full Iowa ranking
Avg staff/day 41
Average shift 7.1 hours
0% compared with Iowa average
Iowa average: 7.4 hours Iowa average shift: 7.4 hoursSee full Iowa ranking
Total staff hours (quarter) 26,948

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 9 RN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 27 total: 11 full-time employees and 16 contractors. 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 98 total: 39 full-time employees and 59 contractors. 98
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

17.4%

4,677 contractor hours this quarter

Certified Nursing Assistant: 59 Licensed Practical Nurse: 16 Speech Language Pathologist: 9 Physical Therapy Aide: 4 Respiratory Therapy Technician: 4 Qualified Social Worker: 3 Physical Therapy Assistant: 3 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant39599814,01492100%7.2
Licensed Practical Nurse1116274,78892100%8
Registered Nurse9093,14792100%9
Speech Language Pathologist0999308592%5.7
Clinical Nurse Specialist1014966267%8
Nurse Practitioner1014886166%8
Dietitian1014806065%8
Mental Health Service Worker1014766065%7.9
Administrator1014485661%8
Physical Therapy Aide0444457076%5.6
Other Dietary Services Staff2023636065%4.4
Medication Aide/Technician1013585257%6.9
Physical Therapy Assistant0332675560%4.8
Respiratory Therapy Technician0441114650%2.3
Occupational Therapy Aide011811516%5.4
Qualified Social Worker033282729%1
Occupational Therapy Assistant0112767%4.5
Medical Director011122%0.5
98 Certified Nursing Assistant
% of Days 100%
27 Licensed Practical Nurse
% of Days 100%
9 Registered Nurse
% of Days 100%
9 Speech Language Pathologist
% of Days 92%
View All Staffing Data in Sioux City

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.5
37% better than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 16.3
24% better than Iowa average

Iowa average: 21.6

Long-stay resident measures
Above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 10.9%
42% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 8.8%
55% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.3%
12% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.1%
13% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.1%
75% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.9%
24% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.4%
48% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.5%
87% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.8%
22% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 82.8%
12% worse than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.4%
In line with Iowa average

Iowa average: 95.3%

Short-stay resident measures
Significantly above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 67.3%
21% worse than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 67.2%
8% worse than Iowa average

Iowa average: 73.3%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

35% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

45% of new residents, often for short stays.

Typical stay 5 - 6 months

Medicaid

19% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 62
Medicare
10
16.1% of residents
Medicaid
27
43.5% of residents
Private pay or other
25
40.3% 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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

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

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$347.9K
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.9M Rank #71 / 224Net patient revenue — State benchmarkedThis home is ranked 71st out of 224 homes we track in Iowa. Shows this facility's net patient revenue compared to the Iowa average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$347.9K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$184.5K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #54 / 224Payroll costs — State benchmarkedThis home is ranked 54th out of 224 homes we track in Iowa. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Iowa average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$4.9M 62.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #76 / 224Payroll % of net patient revenue — State benchmarkedThis home is ranked 76th out of 224 homes we track in Iowa. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.3M
How we calculate these figures

This home is administered by Becky Duncan.

This home is owned by The Diocese Of Sioux City

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 165266

Show certification details

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (45% of admissions), and a typical private pay stay runs around 5 - 6 months.

Admissions
113 total

Coverage residents most often arrive under.

Medicare 35%
Private pay 45%
Medicaid 19%
Discharges
109 total

Coverage residents most often leave under.

Medicare 32%
Private pay 49%
Medicaid 19%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Holy Spirit Retirement Home

Address 0.0 miles from city center Info Estimated distance in miles from Sioux City's city center to Holy Spirit Retirement Home's address, calculated via Google Maps.

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Compare Nursing Homes around Sioux City

Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Sunrise Retirement Community ★ ★ ★ ★ ★
NH
AL
IL
MC
RC
SNF
Sioux City
74
Facility 74
IA AVG 72
Rank #136 / 403
90.5%
Facility 90.5%
IA AVG 67
Rank #49 / 362
+35%
5.70
Facility 5.70
IA AVG 4.30
Rank #13 / 231
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ -23%+33%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
11
Facility 11
IA AVG 21.7
Rank #72 / 232
3.7
Facility 3.7
IA AVG 4.1
Rank #107 / 232
-67A+
22
Facility 22
IA AVG 47
Rank #410 / 504
Samantha Roth
$13.6MFiscal year ending 12/2023
Facility $13.6MFiscal year ending 12/2023
IA AVG $6.9M
Rank #11 / 224
$8.5MFiscal year ending 12/2023
Facility $8.5MFiscal year ending 12/2023
IA AVG $4.2M
Rank #14 / 224
62.2%Fiscal year ending 12/2023
Facility 62.2%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #80 / 224
165473
Holy Spirit Retirement Home ★ ★ ★ ☆ ☆
NH
AL
IL
MC
SNF
Sioux City
52
Facility 52
IA AVG 72
Rank #250 / 403
25.0%
Facility 25.0%
IA AVG 67
Rank #356 / 362
-63%
4.69
Facility 4.69
IA AVG 4.30
Rank #70 / 231
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ -54%+9%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
28
Facility 28
IA AVG 21.7
Rank #168 / 232
5.6
Facility 5.6
IA AVG 4.1
Rank #177 / 232
-13-
91
Facility 91
IA AVG 47
Rank #2 / 504
The Diocese Of Sioux City
$7.9MFiscal year ending 12/2023
Facility $7.9MFiscal year ending 12/2023
IA AVG $6.9M
Rank #71 / 224
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
IA AVG $4.2M
Rank #54 / 224
62.4%Fiscal year ending 12/2023
Facility 62.4%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #76 / 224
165266
Kingsley Specialty Care ★ ☆ ☆ ☆ ☆
NH
HOS
SNF
Kingsley
43
Facility 43
IA AVG 72
Rank #313 / 403
72.1%
Facility 72.1%
IA AVG 67
Rank #180 / 362
+8%
4.19
Facility 4.19
IA AVG 4.30
Rank #120 / 231
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ +67%-3%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
31
Facility 31
IA AVG 21.7
Rank #175 / 232
7.8
Facility 7.8
IA AVG 4.1
Rank #217 / 232
-31-
21
Facility 21
IA AVG 47
Rank #414 / 504
Jackie Loghry Pirner
$3.5MFiscal year ending 12/2023
Facility $3.5MFiscal year ending 12/2023
IA AVG $6.9M
Rank #196 / 224
$1.9MFiscal year ending 12/2023
Facility $1.9MFiscal year ending 12/2023
IA AVG $4.2M
Rank #202 / 224
55.3%Fiscal year ending 12/2023
Facility 55.3%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #138 / 224
165329
Westwood Specialty Care ★ ☆ ☆ ☆ ☆
NH
SNF
Sioux City
85
Facility 85
IA AVG 72
Rank #97 / 403
90.6%
Facility 90.6%
IA AVG 67
Rank #48 / 362
+35%
3.58
Facility 3.58
IA AVG 4.30
Rank #197 / 231
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ -19%-17%
$166.7k
Facility $166.7k
IA AVG $53.4k
Rank #233 / 239
91
Facility 91
IA AVG 21.7
Rank #231 / 232
11.4
Facility 11.4
IA AVG 4.1
Rank #225 / 232
377-
9
Facility 9
IA AVG 47
Rank #468 / 504
Michael Jurgens
$8.9MFiscal year ending 12/2023
Facility $8.9MFiscal year ending 12/2023
IA AVG $6.9M
Rank #49 / 224
$4.3MFiscal year ending 12/2023
Facility $4.3MFiscal year ending 12/2023
IA AVG $4.2M
Rank #81 / 224
48.4%Fiscal year ending 12/2023
Facility 48.4%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #193 / 224
165271
Countryside Health Care Center -
NH
Sioux City
101
Facility 101
IA AVG 72
Rank #66 / 403
--------------
9
Facility 9
IA AVG 47
Rank #468 / 504
$4.2M*Fiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$3.5M*Fiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.83.5%*Fiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.165540
Nursing Home Explorer

Financial Assistance for
Nursing Home in Iowa

Holy Spirit Retirement Home is located in Sioux City, Iowa.
Here are the financial assistance programs available to residents in Iowa.

Get Financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+
General Iowa resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Rural focus; waitlists possible.

Benefits
In-home care (5-7 hours/day) Meals ($6/meal) Respite (240 hours/year) Adult day care ($60/day)

Iowa Family Caregiver Support

IA NFCSP

Age Caregiver of someone 60+
General Iowa resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
IA

Limited slots; rural emphasis.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled
General Iowa resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
IA

Three tiers; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+
General Iowa resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR, Medicaid-eligible
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Iowa resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
IA

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Able Up Iowa

Able Up Iowa

Age 65+ or disabled
General Iowa resident, ability to repay loan, need for assistive tech or mods.
Income Limits (2025) No strict limit; must demonstrate repayment capacity.
Asset Limits Not specified; credit-based.
IA

Loans up to $25,000; statewide via Easterseals partnership.

Benefits
Loans for wheelchairs Ramps Walk-in tubs (~$500-$10,000 avg.) Reducing reliance on paid care

Frequently Asked Questions about Holy Spirit Retirement Home

Who is the owner of Holy Spirit Retirement Home?

Holy Spirit Retirement Home is legally operated by | Holy Spirit Retirement Home (ALP) | S0504 | VIEW, and administered by Becky Duncan.

Is Holy Spirit Retirement Home in a walkable area?

Holy Spirit Retirement Home has a walk score of 91. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

What is the license number of Holy Spirit Retirement Home?

According to IA state health department records, Holy Spirit Retirement Home's license number is S0038.

When does Holy Spirit Retirement Home's license expire?

According to IA state health department records, Holy Spirit Retirement Home's license expires on March 7, 2028.

What is the occupancy rate at Holy Spirit Retirement Home?

Holy Spirit Retirement Home's occupancy is 25%.

How long has Holy Spirit Retirement Home been in business?

Holy Spirit Retirement Home has been operating for approximately 27 years, based on available licensing and registration records.

Are pets allowed at Holy Spirit Retirement Home?

No, Holy Spirit Retirement Home has a no-pet policy.

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