Occupancy rate
83%
In line with Iowa averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home
Centerville Specialty Care
Centerville Specialty Care is a skilled nursing and long-term care community located in Centerville, Iowa. It provides compassionate, individualized care for residents and promotes their well-being through various programs and activities. The facility is licensed to care for up to 46 residents, offering services 24/7.
Quality ratings
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.
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.
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.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
46
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
82.6%
Residents per day (avg)
39
Occupancy rate
82.6%
Residents per day (avg)
39
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
24% of new residents, usually for short-term rehab.
Typical stay
28 days
Private pay
50% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
26% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Voluntary non-profit community
Home revenue
$6.8M
Operating deficit
-$385.4K
Voluntary non-profit community
Home revenue
$6,755,951.00
Operating deficit
$-385,441.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.8M
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Iowa averageOccupied beds
38 / 46
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
County:
Appanoose
Additional licensing details
License number:
40578
CMS Certification Number:
165225
Certification type:
FALSE
Ownership & operating entity
Centerville Specialty Care is administrated by Jason Van Der Veer.
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Contact Information
Email:
[email protected]
Fax:
6418566430
Programs & Activities
Specific Programs
Skilled Nursing Care, Long-Term Care, Rehabilitation Services, Hospice Care
Operating Hours
24/7
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.
26 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:December 31, 2025
39 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Centerville Specialty Care
The most recent inspection on December 31, 2025, noted one deficiency but accepted the facility’s plan of correction and certified substantial compliance. Earlier inspections showed multiple deficiencies related to residents’ rights, quality of care including blood sugar management, accident hazards, menu adequacy, and infection prevention. Complaint investigations revealed some substantiated issues, including failure to ensure respectful treatment of a resident and inadequate catheter management, but most complaints were found unsubstantiated or resulted in substantial compliance findings. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges with care quality and safety, with some corrective actions accepted but no clear pattern of sustained improvement.
Health Inspection History
Inspections
Total health inspections
6
Iowa average 4.9
Last Health inspection on Oct 2024
Total health citations
35
Iowa average 21.7
Citations per inspection
5.83
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
28 of 35 citations resulted from standard inspections; and 7 of 35 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
3
3
233% worse than Iowa averageIowa average: 0.9
0 critical citations
3 serious citations
32 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 17, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 17, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 17, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 17, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 22, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 22, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 01, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 01, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. 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.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Centerville Specialty Care
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Centerville
67
65.3%
-13%
3.94
-8%
1
35
3
39
Wall, Miriam
$6,7M
$2,1M
31.1%
165225
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Centerville Specialty Care
Centerville, IA 525443599
Centerville, IA 525443599
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
77
Employees
60
Contractors
17
Staff to resident ratio
2.14:1
7% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
22
Average shift
7.1 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
14,274
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
5%
708 contractor hours this quarter
Speech Language Pathologist: 4
Respiratory Therapy Technician: 4
Physical Therapy Assistant: 4
Physical Therapy Aide: 3
Qualified Social Worker: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 27 | 0 | 27 | 6,678 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 11 | 0 | 11 | 3,009 | 91 | 100% | 8.9 |
| Registered Nurse | 11 | 0 | 11 | 1,066 | 75 | 82% | 7.6 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,059 | 83 | 91% | 8.9 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Dietitian | 1 | 0 | 1 | 405 | 61 | 67% | 6.6 |
| Speech Language Pathologist | 0 | 4 | 4 | 398 | 65 | 71% | 6 |
| Mental Health Service Worker | 1 | 0 | 1 | 373 | 55 | 60% | 6.8 |
| Physical Therapy Aide | 0 | 3 | 3 | 172 | 65 | 71% | 2 |
| Medical Director | 0 | 1 | 1 | 42 | 3 | 3% | 14 |
| Physical Therapy Assistant | 0 | 4 | 4 | 39 | 32 | 35% | 1.1 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 39 | 39 | 43% | 1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 34 | 5 | 5% | 6.7 |
| Qualified Social Worker | 0 | 1 | 1 | 19 | 10 | 11% | 1.9 |
27 Certified Nursing Assistant
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
11 Registered Nurse
% of Days
82%
5 Medication Aide/Technician
% of Days
91%
1 Administrator
% of Days
65%
1 Nurse Practitioner
% of Days
65%
1 Dietitian
% of Days
67%
4 Speech Language Pathologist
% of Days
71%
1 Mental Health Service Worker
% of Days
60%
3 Physical Therapy Aide
% of Days
71%
1 Medical Director
% of Days
3%
4 Physical Therapy Assistant
% of Days
35%
4 Respiratory Therapy Technician
% of Days
43%
2 Clinical Nurse Specialist
% of Days
5%
1 Qualified Social Worker
% of Days
11%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
36 residents
Residents by payment source
Medicare
1 resident (2.8%)
Medicaid
17 residents (47.2%)
Private pay or other
18 residents (50%)
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.0
21% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.2
6% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
38% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
21.3%
Percent of long-stay residents whose ability to move independently worsened
21.3%
8% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.6%
5% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
42% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.7%
Percent of long-stay residents with a urinary tract infection
0.7%
72% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.1%
Percent of long-stay residents who lose too much weight
5.1%
In line with Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.6%
Percent of long-stay residents who received an antipsychotic medication
14.6%
23% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.1%
In line with Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
75% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.3%
In line with Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$57K
18% higher than Iowa averageIowa average: $48K
Number of fines
1
41% fewer fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$57K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 16, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 16, 2023
$57K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Centerville Specialty Care based on CMS SNF Cost Reports.
Occupancy Rate
65.3%
↓ 7.2pp vs 2022
Net Income
-$385,441
↑ ~$70K vs 2022
Total Payroll
$2,328,425
↓ ~$89K vs 2022
Profit Margin
-5.7%
↑ 2.9pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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