Happy Siesta Healthcare Center
Nursing Home, Assisted Living, Memory Care & Respite Care · Remsen, IA

Happy Siesta Healthcare Center

Nursing Home, Assisted Living, Memory Care & Respite Care · Remsen, IA

Overview of Happy Siesta Healthcare Center

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

Staffing hours breakdown

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 — compared to state averages

Staff typeHours / Day / Residentvs 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. 49m per day ▲ 11% State avg: 44m per day · National avg: 41m 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. 21m per day ▼ 38% State avg: 34m 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 41m per day ▲ 6% State avg: 2h 32m per day · National avg: 2h 20m 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. 3h 22m per day ■ Avg State avg: 3h 21m per day · National avg: 3h 26m 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 per day ▼ 50% 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 per day ▲ 17% State avg: 30m per day · National avg: 28m per day
Bed community size
62-bed community Rank #202 / 407Bed count — State benchmarkedThis home is ranked 202nd out of 407 homes in Iowa. 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.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.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
22 years in operation Rank #120 / 282Years in operation — State benchmarkedThis home is ranked 120th out of 282 homes in Iowa. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.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: 49 / 100 Rank #233 / 528Walk Score — State benchmarkedThis home is ranked 233rd out of 528 homes in Iowa. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
81%
Rank #120 / 407Occupancy rate — State benchmarkedThis home is ranked 120th out of 407 homes in Iowa. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Iowa average: 75.4%
Occupied beds
50 / 62
Average occupied beds in Iowa homes 51 beds

License Details

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility
StatusActive
IssuanceApril 1, 2004
ExpirationApril 1, 2027
CountyPlymouth
License Number750380
CMS Certification Number165405
Certification TypeFALSE

Ownership & Operating Entity

Happy Siesta Healthcare Center is administered by Jennifer Kuiken.

Therapy & Rehabilitation

1 service
Respite Care

Additional Services

1 service
Rehabilitation

Contact Information

Fax7127861119

Amenities & Lifestyle

Activities
Specific ProgramsOutpatient Therapy, Dreams Program, Pool & Fitness Center, Senior Apartments, Short Term Rental Apartments, Memorials & Donations

Contact Happy Siesta Healthcare Center

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 2020 · 6 years of data 10 deficiencies 18 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 2020 vs. Iowa state average
Overall vs. IA average 1 Worse Metrics worse than Iowa average:
• Total inspections (20% above)
3 Better Metrics better than Iowa average:
• Total deficiencies (63% below)
• Deficiencies per year (62% below)
• Deficiencies per inspection (67% below)
Latest Inspection October 27, 2025

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. 1027 This facility has 63% fewer total deficiencies than a typical Iowa assisted living residence (10 vs. IA avg 27).↓ 63% better
Deficiencies per year Info Average deficiencies per year since 2020. 1.74.5 This facility has 62% fewer deficiencies per year than a typical Iowa assisted living residence (1.7 vs. IA avg 4.5).↓ 62% better
Deficiencies per inspection Info Average deficiencies per inspection. 0.61.8 This facility has 67% fewer deficiencies per inspection than a typical Iowa assisted living residence (0.6 vs. IA avg 1.8).↓ 67% better

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 routine and focused inspections. Excludes complaint investigations. 1815 This facility has 20% more total inspections than a typical Iowa assisted living residence (18 vs. IA avg 15).↑ 20% worse

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

  • The most recent inspection on June 12, 2025 found four deficiencies related to timely physician notification, psychotropic medication interventions, incident assessments, and food safety.
  • On April 17, 2024, the facility was cited for failure to provide adequate nursing supervision and wheelchair securement, causing a resident’s fall with serious injury requiring surgery.
  • A July 2023 complaint investigation found Immediate Jeopardy for elopement risk due to door security and staff training failures, which was removed after corrective actions were implemented.

Quality of care over time

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

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.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.91
39% better than State average

State average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.77
15% better than State average

State average: 2.09

Short-stay resident measures
Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 4.8%
518% worse than State average

State average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 38.8%
23% worse than State average

State average: 50.6%

Places of interest near Happy Siesta Healthcare Center

Address 0.0 miles from city center Info Estimated distance in miles from Remsen's city center to Happy Siesta Healthcare Center's address, calculated via Google Maps.

Calculate Travel Distance to Happy Siesta Healthcare Center

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Address

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

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Frequently Asked Questions about Happy Siesta Healthcare Center

Is Happy Siesta Healthcare Center in a walkable area?

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.

What is the license number of Happy Siesta Healthcare Center?

According to IA state health department records, Happy Siesta Healthcare Center's license number is 750380.

When does Happy Siesta Healthcare Center's license expire?

According to IA state health department records, Happy Siesta Healthcare Center's license expires on April 1, 2027.

What is the occupancy rate at Happy Siesta Healthcare Center?

Happy Siesta Healthcare Center's occupancy is 81%.

What is the best email address for Happy Siesta Healthcare Center?

The team at Happy Siesta Healthcare Center can be reached at jkuiken@happysiesta.com.

Who is the administrator of Happy Siesta Healthcare Center?

Jennifer Kuiken is the administrator of Happy Siesta Healthcare Center.

How many beds does Happy Siesta Healthcare Center have?

Happy Siesta Healthcare Center has 62 beds.

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