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Happy Siesta Healthcare Center is a 62-bed skilled nursing facility at 423 Roosevelt Street in Remsen, Iowa. Administered by Jennifer Kuiken and operated as a non-profit corporation, the center serves Plymouth County with long-term care, memory care, and outpatient therapy. The facility maintains an occupancy rate of 81%, reflecting steady demand in its rural northwest Iowa community.
State regulators currently assign the facility a 3-star overall rating, which signifies an “Average” performance level according to CMS benchmarks. Historical data shows a citations-per-inspection rate that is consistently below state averages, though a June 2025 standard survey identified four administrative and clinical deficiencies.
While these findings were corrected, the record includes a 2023 elopement risk incident that led to an Immediate Jeopardy tag, which was cleared following physical security upgrades. A more recent October 2025 complaint investigation concluded with zero citations.
Professional care is guided by a staffing model that provides 3 hours 48 minutes of nursing time per resident daily. Registered Nurse (RN) presence is a notable metric, as daily hours exceed state averages, though weekend coverage levels are lower. Medical services coordinate skilled nursing and a 17-bed enclosed Alzheimer’s wing, supplemented by the “Dreams Program” which addresses resident quality of life. Clinical quality measures carry a high 4-star rating, supported by strong outcomes in physical function for long-stay residents.
The campus provides a residential atmosphere where residents have access to both private suites and specialized common areas. Unique to this facility is the Willoway Pool and Fitness Center, which supports both resident rehabilitation and community exercise. Social life involves 24-hour medical support, nutritional meal plans, and a seasonal “Diners Club” that facilitates outings to local restaurants. For mobility beyond the campus, the facility utilizes a handicapped-accessible bus for regional excursions.
Interested individuals should assess the current safety and training protocols during a facility tour. It is advisable to ask the administrator for specific details on the staff training updates implemented following the 2024 transportation incident and to confirm that the door security enhancements for the memory care unit remain in full compliance for 202
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.
| 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.
| 49m per day | ▲ 11% 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.
| 21m per day | ▼ 38% 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 41m per day | ▲ 6% 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 22m per day | ■ Avg 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 | ▲ 17% State avg: 30m per day · National avg: 28m per day |
Higher than the Iowa average: 75.4%Happy Siesta Healthcare Center is administrated by Jennifer Kuiken.
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.
This scorecard compares key inspection, citation, 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
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 10 | 27 | This facility has 63% fewer total deficiencies than a typical Iowa nursing home (10 vs. IA avg 27).↓ 63% better |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 1.7 | 4.5 | This facility has 62% fewer deficiencies per year than a typical Iowa nursing home (1.7 vs. IA avg 4.5).↓ 62% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 0.6 | 1.8 | This facility has 67% fewer deficiencies per inspection than a typical Iowa nursing home (0.6 vs. IA avg 1.8).↓ 67% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 18 | 15 | This facility has 20% more total inspections than a typical Iowa nursing home (18 vs. IA avg 15).↑ 20% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
0.91
39% better than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.77
15% better than Iowa averageIowa average: 2.09
Percentage of SNF residents who experience falls with major injury during their stay.
4.8%
518% worse than Iowa averageIowa average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
38.8%
23% worse than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
0.0 miles from city center
Estimated distance in miles from Remsen's city center to Happy Siesta Healthcare Center's address, calculated via Google Maps.
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Happy Siesta Healthcare Center is located in Remsen, Iowa.
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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Oaknoll Retirement Residence |
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. | Iowa City (Roosevelt) | 70
Facility
70
IA AVG
73
Rank
#163 / 407 | 81.4% | +8% | 6.02 | +8% | +40% | $0 | 7 | 3.5 | - | 54 | - |
33
Facility
33
IA AVG
45
Rank
#344 / 528 | Stephen Roe | $31.2M | $12.7M | 40.7% | 165030 | ||||
| Cedar Ridge Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | West Des Moines (Heritage Bend) | 40
Facility
40
IA AVG
73
Rank
#326 / 407 | 95.0% | +26% | 5.14 | +11% | +20% | $0 | 20 | 5.0 | - | 36 | A+ |
5
Facility
5
IA AVG
45
Rank
#488 / 528 | Central Iowa Hospital Corporation | $8.5M | $4.3M | 50.6% | 165790 | ||||
| Rotary Senior Living |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Eagle Grove | 40
Facility
40
IA AVG
73
Rank
#326 / 407 | 77.5% | +3% | 3.73 | +45% | -13% | $56.1k | 22 | 4.4 | 2 | 32 | - |
24
Facility
24
IA AVG
45
Rank
#403 / 528 | James Christ | $5.6M | $3.6M | 64% | 165500 | ||||
| Ramsey Village Continuing 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Des Moines (Drake) | 78
Facility
78
IA AVG
73
Rank
#128 / 407 | - | - | 4.04 | -46% | -6% | $0 | 31 | 4.4 | 1 | 61 | - |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Claremont House Inc. | $12.4M | $8.5M | 68.5% | 165514 |
Happy Siesta Healthcare Center has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to IA state health department records, Happy Siesta Healthcare Center's license number is 750380.
According to IA state health department records, Happy Siesta Healthcare Center's license expires on April 1, 2027.
Happy Siesta Healthcare Center's occupancy is 81%.
The team at Happy Siesta Healthcare Center can be reached at [email protected].
Jennifer Kuiken is the administrator of Happy Siesta Healthcare Center.
Happy Siesta Healthcare Center has 62 beds.
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