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.
Assisted Living Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
$9,928,011.00
Operating deficit
$-244,335.00
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
License details
Facility type
Assisted Living Programs For People With Dementia
Status
Active
Issuance
March 8, 1999
County:
Woodbury
Additional licensing details
License number:
S0038
CMS Certification Number:
165266
Ownership & operating entity
Holy Spirit Retirement Home is administrated by Becky Duncan.
Owner name:
| Holy Spirit Retirement Home (ALP) | S0504 | VIEW
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
7122931953
Programs & Activities
Specific Programs
Nursing Care, Assisted Living, Assisted Living Memory Care, Independent Apartments, Spiritual Life, Activities, Dining
Religious Services
Yes
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.
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
Citations per inspection
5.6
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
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. 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.
Sunrise Retirement Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Sioux City
234
Yes
A+
22
Studio
CountrysideHealth Care Center
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SNF
Nursing Homes 24/7 care needed
Sioux City
101
Yes
-
8
-
Holy Spirit Retirement Home
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 511031705
78
No
-
-
-
Floyd Senior Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Sergeant Bluff
47
Yes
-
60
Studio / 1 Bed
Bickford of Sioux City
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Sioux City
41
Yes
B-
40
-
Places of interest near Holy Spirit Retirement Home
0.0 miles from city center
Sioux City, IA 511031705
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
89
Total Staff
69
Employees
20
Contractors
24,052
Total Hours (Quarter)
36
Avg Staff/Day
7.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 9.2 | No |
| Licensed Practical Nurse | 10 | 8 | No |
| Certified Nursing Assistant | 40 | 7.5 | No |
Staff by Category
Administration ⓘ
3 staff
7.9hs shift avg
Nursing Staff ⓘ
59 staff
7.9hs shift avg
Physicians & Practitioners ⓘ
3 staff
7.9hs shift avg
Therapy Services ⓘ
15 staff
5.1hs shift avg
Activities & Recreation ⓘ
1 staff
2hs shift avg
Social Services ⓘ
3 staff
1.7hs shift avg
Dietary Services ⓘ
4 staff
5.6hs shift avg
Other Services ⓘ
1 staff
7.8hs shift avg
Contractor Analysis
9%
of total hours from contractors
2,171 contractor hours this quarter
Speech Language Pathologist: 4
Physical Therapy Aide: 3
Physical Therapy Assistant: 3
Qualified Social Worker: 3
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Therapeutic Recreation Specialist: 1
Respiratory Therapy Technician: 3
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
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
-$244,335
↑ ~$610K vs 2022
Total Payroll
$4,937,366
↑ ~$223K vs 2022
Profit Margin
-2.5%
↑ 7.8pp vs 2022
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