Occupancy rate
25%
In line with Iowa averageMix 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.
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Assisted Living in Sioux City
CMS overall rating
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.
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.
Holy Spirit Retirement Home
Assisted Living in Sioux City
CMS overall rating
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.
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.
Holy Spirit Retirement Home
Holy Spirit Retirement Home is located in Sioux City, Iowa. It offers a continuum of care including independent living apartments, assisted living options, and skilled nursing care. The facility provides a nurturing environment with a focus on individual health goals and community engagement.
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
52
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
25%
Residents per day
13
Occupancy rate
25%
Residents per day
13
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Finances and operations
Voluntary non-profit community
Operated by a church.
Home revenue
$9.9M
Operating deficit
-$244.3K
Voluntary non-profit community
Operated by a church.
Home revenue
$9.9M
Operating deficit
-$244.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.3M
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.
$5.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.1M
52-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
27 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy
In line with Iowa averageOccupied beds
13 / 52
Average residents
51 per day
Facility TypeAssisted Living Programs For People With Dementia
StatusActive
IssuanceMarch 8, 1999
CountyWoodbury
License NumberS0038
CMS Certification Number165266
Holy Spirit Retirement Home is administrated by Becky Duncan.
Owner Name| Holy Spirit Retirement Home (ALP) | S0504 | VIEW
Rehabilitation Services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
Email
[email protected]
Fax7122931953
Specific ProgramsNursing Care, Assisted Living, Assisted Living Memory Care, Independent Apartments, Spiritual Life, Activities, Dining
Religious ServicesYes
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.
20 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
July 9, 2025
39 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Holy Spirit Retirement Home
The most recent inspection on July 9, 2025, found deficiencies related to inconsistent retention of tenant records for the required three years. Earlier inspections showed a pattern of documentation issues, including incomplete occupancy agreements, tenant evaluations, and service plans, as well as gaps in staff training and incident reporting. Complaint investigations have occasionally substantiated issues with recordkeeping and tenant rights, while many complaints were found unsubstantiated. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection history indicates ongoing challenges with documentation and procedural compliance, with some improvements noted in recent years but persistent areas needing attention.
Health Inspection History
Inspections
Total health inspections
5
Iowa average 4.9
Last Health inspection on Oct 2025
Total health citations
28
Iowa average 21.7
Citations per inspection
5.6
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
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
28 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 07, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 07, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 15, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 15, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 15, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 15, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 15, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 15, 2025
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 Assisted Living around Sioux City The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
Sunrise Retirement Community
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.
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).
Sioux City
234
Yes
22
Studio
-
90.5%
A+
25
3
6
CountrysideHealth Care Center
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.
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).
Sioux City
101
Yes
8
-
-
49.3%
-
0
0
0
Holy Spirit Retirement Home
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.
Sioux City
78
No
-
-
27
25.0%
-
20
11
0
Floyd Senior Living
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.
Sergeant Bluff
47
Yes
60
Studio / 1 Bed
11
-
-
10
3
2
Bickford of Sioux City
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.
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.
Sioux City
41
Yes
40
-
29
48.8%
B-
22
7
6
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
89
Employees
69
Contractors
20
Staff to resident ratio
1.44:1
28% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
36
Average shift
7.3 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
24,052
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
40
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
9%
2,171 contractor hours this quarter
Speech Language Pathologist: 4
Physical Therapy Aide: 3
Physical Therapy Assistant: 3
Qualified Social Worker: 3
Respiratory Therapy Technician: 3
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Therapeutic Recreation Specialist: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 40 | 0 | 40 | 11,496 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 10 | 0 | 10 | 4,012 | 91 | 100% | 8 |
| Registered Nurse | 9 | 0 | 9 | 3,794 | 91 | 100% | 9.2 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,170 | 90 | 99% | 6.8 |
| Physical Therapy Aide | 0 | 3 | 3 | 585 | 84 | 92% | 5.3 |
| Administrator | 2 | 0 | 2 | 528 | 62 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 477 | 61 | 67% | 7.8 |
| Nurse Practitioner | 2 | 0 | 2 | 433 | 55 | 60% | 7.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 230 | 54 | 59% | 3.4 |
| Physical Therapy Assistant | 0 | 3 | 3 | 146 | 53 | 58% | 2.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 106 | 53 | 58% | 1.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 82 | 14 | 15% | 5.8 |
| Qualified Social Worker | 0 | 3 | 3 | 44 | 26 | 29% | 1.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 25 | 4 | 4% | 6.3 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 12 | 6 | 7% | 2 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 0.5 |
40 Certified Nursing Assistant
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
9 Registered Nurse
% of Days
100%
4 Speech Language Pathologist
% of Days
99%
3 Physical Therapy Aide
% of Days
92%
2 Administrator
% of Days
68%
1 Dietitian
% of Days
68%
1 Mental Health Service Worker
% of Days
67%
2 Nurse Practitioner
% of Days
60%
1 Clinical Nurse Specialist
% of Days
57%
3 Other Dietary Services Staff
% of Days
59%
3 Physical Therapy Assistant
% of Days
58%
3 Respiratory Therapy Technician
% of Days
58%
1 Occupational Therapy Aide
% of Days
15%
3 Qualified Social Worker
% of Days
29%
1 Occupational Therapy Assistant
% of Days
4%
1 Therapeutic Recreation Specialist
% of Days
7%
1 Medical Director
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
62 residents
Residents by payment source
Medicare
10 residents (16.1%)
Medicaid
27 residents (43.5%)
Private pay or other
25 residents (40.3%)
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.
6.5
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 averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.3
24% 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
10.9%
Percent of long-stay residents whose need for help with daily activities has increased
10.9%
42% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
8.8%
Percent of long-stay residents whose ability to move independently worsened
8.8%
55% better 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
29.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.3%
12% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
13% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.1%
Percent of long-stay high risk residents with pressure ulcers
1.1%
75% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.9%
Percent of long-stay residents with a urinary tract infection
1.9%
24% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.4%
Percent of long-stay residents who lose too much weight
7.4%
48% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.5%
Percent of long-stay residents who have depressive symptoms
0.5%
87% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.8%
Percent of long-stay residents who received an antipsychotic medication
14.8%
22% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.8%
12% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
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
67.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
67.3%
21% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
67.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
67.2%
8% worse than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Holy Spirit Retirement Home based on CMS SNF Cost Reports.
Occupancy Rate
72.6%
↑ 12.4pp vs 2022
Net Income
-$244.3K
↑ ~$609.9K vs 2022
Total Payroll
$4.9M
↑ ~$222.8K vs 2022
Profit Margin
-2.5%
↑ 7.8pp vs 2022
Loading trend charts...
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