Occupancy rate
72%
In line with Iowa averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Nursing Home
Lamoni Specialty Care
Lamoni Specialty Care is a skilled nursing and long-term care community located in Lamoni, Iowa. It provides compassionate, individualized care for residents while also supporting their families. The facility is committed to enhancing the quality of life for its residents through various programs and services.
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
43
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
72.1%
Residents per day (avg)
33
Occupancy rate
72.1%
Residents per day (avg)
33
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
31% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
41% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
28% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Voluntary non-profit community
Home revenue
$4.6M
Operating deficit
-$375.4K
Voluntary non-profit community
Home revenue
$4,587,778.00
Operating deficit
$-375,429.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.7M
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.
$3.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.9M
43-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
31 / 43
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
County:
Decatur
Additional licensing details
License number:
270594
CMS Certification Number:
165314
Certification type:
FALSE
Ownership & operating entity
Lamoni Specialty Care is administrated by Sarah Carr.
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Contact Information
Email:
[email protected]
Fax:
6417843567
Programs & Activities
Specific Programs
Skilled Nursing Care, Long-Term Care, Rehabilitation Services, Hospice Care
Operating Hours
24 hours a day, seven days a week
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.
17 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:November 7, 2025
11 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Lamoni Specialty Care
The most recent inspection on November 7, 2025, found the facility to be in substantial compliance with no deficiencies. Earlier inspections showed some deficiencies primarily related to medication management, including issues with transcription errors and controlled substance documentation, as well as nutritional care and fall prevention. Complaint investigations were mostly unsubstantiated, though some substantiated complaints led to citations for medication transcription errors, failure to report missing narcotics, and inadequate fall risk interventions. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record shows improvement over time, with recent inspections demonstrating compliance following corrective actions.
Health Inspection History
Inspections
Total health inspections
4
Iowa average 4.9
Last Health inspection on Apr 2025
Total health citations
6
Citations per inspection
1.5
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
1 of 6 citations resulted from standard inspections; 4 of 6 resulted from complaint investigations; and 1 of 6 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
6 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Apr 30, 2025
Corrected
Pharmacy moderate citation
Apr 30, 2025
Corrected
Care Planning moderate citation
Apr 30, 2025
Corrected
Care Planning moderate citation
Feb 12, 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 Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Lamoni Specialty Care
-41%
-10%
-11%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 501400460
43
-
67.3%
$4,575,816.00
$1,693,330.00
37%
33
3.8540
-
6
-
-41%-10%-11%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
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AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Lamoni Specialty Care
Type of care:
SNF
AL
Community:
IA 501400460
Bed Count:
43
CCN:
165314
Occupancy:
67.3%
Home Revenue:
$4,575,816.00
Payroll Costs:
$1,693,330.00
Payroll %:
37%
Avg Residents/Day:
33
Overall Rating:
Adj Nurse Hours:
3.8540
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
6
RN share vs State Avg:
-41%
-41%
Staffing vs State Avg:
-10%
-10%
Occupancy vs State Avg:
-11%
-11%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near Lamoni Specialty Care
Lamoni, IA 501400460
Lamoni, IA 501400460
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
74
Total Staff
64
Employees
10
Contractors
11,665
Total Hours (Quarter)
18
Avg Staff/Day
7.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 5 | 7.2 | No |
| Licensed Practical Nurse | 7 | 7.9 | No |
| Certified Nursing Assistant | 30 | 7.8 | No |
Staff by Category
Administration ⓘ
3 staff
8.1hs shift avg
Nursing Staff ⓘ
56 staff
7.7hs shift avg
Physicians & Practitioners ⓘ
3 staff
7.7hs shift avg
Therapy Services ⓘ
9 staff
2.6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
0.5hs shift avg
Dietary Services ⓘ
1 staff
6.9hs shift avg
Other Services ⓘ
1 staff
7hs shift avg
Contractor Analysis
4.3%
of total hours from contractors
498 contractor hours this quarter
Respiratory Therapy Technician: 2
Physical Therapy Assistant: 2
Physical Therapy Aide: 2
Medical Director: 1
Qualified Social Worker: 1
Speech Language Pathologist: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 30 | 0 | 30 | 4,060 | 91 | 100% | 7.8 |
| Medication Aide/Technician | 14 | 0 | 14 | 2,253 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 7 | 0 | 7 | 2,147 | 91 | 100% | 7.9 |
| Registered Nurse | 5 | 0 | 5 | 937 | 86 | 95% | 7.2 |
| Administrator | 2 | 0 | 2 | 495 | 63 | 69% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 440 | 63 | 69% | 7 |
| Nurse Practitioner | 1 | 0 | 1 | 408 | 51 | 56% | 8 |
| Dietitian | 1 | 0 | 1 | 408 | 59 | 65% | 6.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 230 | 73 | 80% | 3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 172 | 65 | 71% | 2.6 |
| Medical Director | 0 | 1 | 1 | 42 | 3 | 3% | 14 |
| Physical Therapy Assistant | 0 | 2 | 2 | 31 | 24 | 26% | 1.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 16 | 4 | 4% | 4.1 |
| Speech Language Pathologist | 0 | 2 | 2 | 14 | 7 | 8% | 2.1 |
| Qualified Social Worker | 0 | 1 | 1 | 8 | 18 | 20% | 0.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 3 | 3 | 3% | 1.1 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
35 residents
Residents by payment source
Medicare
4 residents (11.4%)
Medicaid
23 residents (65.7%)
Private pay or other
8 residents (22.9%)
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.
8.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
19% 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.
20.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.4
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
13.5%
Percent of long-stay residents whose need for help with daily activities has increased
13.5%
28% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.1%
Percent of long-stay residents whose ability to move independently worsened
18.1%
8% 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
29.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.4%
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
4.5%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
25% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.2%
Percent of long-stay high risk residents with pressure ulcers
2.2%
50% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.5%
Percent of long-stay residents with a urinary tract infection
4.5%
81% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.0%
Percent of long-stay residents who lose too much weight
3.0%
41% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.9%
Percent of long-stay residents who have depressive symptoms
2.9%
26% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.2%
Percent of long-stay residents who received an antipsychotic medication
16.2%
15% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
15% better 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%
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 Lamoni Specialty Care based on CMS SNF Cost Reports.
Occupancy Rate
67.3%
↓ 3.8pp vs 2022
Net Income
-$375,429
↓ ~$16K vs 2022
Total Payroll
$2,182,601
↑ ~$307K vs 2022
Profit Margin
-8.2%
↑ 2.3pp vs 2022
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