Lamoni Specialty Care

Nursing Home & Skilled Nursing · Lamoni, IA

CMS overall rating

215 South Oak Street, Lamoni, Ia 501400460 View map

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Lamoni Specialty Care accepts Medicare, Medicaid, and private pay.

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Lamoni Specialty Care accepts Medicare, Medicaid, and private pay.

Overview of Lamoni Specialty Care

Lamoni Specialty Care operates a 43-bed senior living campus under the direction of administrator Sarah Carr at 215 South Oak Street in Lamoni, Iowa. As part of the statewide Care Initiatives nonprofit network, this local building maintains a standard census of 31 occupied beds, reflecting a 72 percent occupancy baseline. Resident programs are funded through a combination of private payments, Medicare credits, and state Medicaid allocations. Typical residential placements average roughly 341 days, creating a setting that regularly handles complex physical recovery stays alongside standard long-term nursing assistance.

An average of 3 hours and 51 minutes of direct clinical care is delivered to each resident during the daily routine. Registered nurses, licensed practical nurses, and nurse aides distribute this 24-hour floor schedule to manage physical therapies, basic assisted living services, and dedicated memory care tasks. The property is located in a residential area that holds a walkability score of 60 out of 100, which means out-of-town guests and visiting family members can easily complete standard errands on foot without needing a vehicle for every trip.

Recent inspection surveys from state oversight agencies focused on standard medication distribution records and inventory management protocols, verifying that clinical administrative tasks meet current safety codes. The management uses these routine state logs to refine internal clinical guidelines and maintain baseline training protocols across the nursing shifts.

Interested individuals can reach out to the intake office to verify current apartment availability, request a breakdown of the recovery therapies, or arrange an afternoon to walk through the common rooms.

Facility Direct Line (641) 784-3388

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 51m per day

vs avg

3 of 6 metrics below state avg

Standout metric Physical Therapist is +172% above state avg

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.	38m per day	▼ 14% 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.	35m per day	▲ 3% 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 18m per day	▼ 9% 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 7m per day	▼ 7% 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.	5m per day	▲ 172% 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.	30m per day	■ Avg State avg: 30m per day · National avg: 28m per day

Capacity and availability

341 days

43-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 60 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

72%

Similar to the Iowa average: 75.4%

Occupied beds

31 / 43

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationAugust 1, 2026 Expires in 19 days

CountyDecatur

License Number270594

CMS Certification Number165314

Certification TypeFALSE

Lamoni Specialty Care is administered by Sarah Carr.

Rehabilitation Services

24-Hour Staffing

Email lamoniadministrator@careinitiatives.org

Fax6417843567

Pets not allowed

Operating Hours24 hours a day, seven days a week

Since 2020 · 6 years of data 17 deficiencies 17 inspections

Inspection Scorecard 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

Latest Inspection November 7, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	17	27	This facility has 37% fewer total deficiencies than a typical Iowa assisted living residence (17 vs. IA avg 27).↓ 37% better
Deficiencies per year Average deficiencies per year since 2020.	2.8	4.5	This facility has 38% fewer deficiencies per year than a typical Iowa assisted living residence (2.8 vs. IA avg 4.5).↓ 38% better
Deficiencies per inspection Average deficiencies per inspection.	1	1.8	This facility has 44% fewer deficiencies per inspection than a typical Iowa assisted living residence (1 vs. IA avg 1.8).↓ 44% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	17	15	This facility has had 13% more total inspections than the Iowa average (17 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 13% more

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

The most recent inspection on November 7, 2025 found the facility in substantial compliance with no deficiencies.
The April 30, 2025 inspection cited three deficiencies for failing to report missing morphine, inaccurate narcotic reconciliation, and falsified documentation.
Medication transcription errors were substantiated in 2025 inspections, with corrective actions implemented after errors contributed to incomplete medication administration and hospitalization.

Show Inspection Reports

Inspections since 2023

Total health inspections 4

State average N/A

Last Health inspection on Apr 2025

Total health citations

State average N/A

Citations per inspection

1.5

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

6 moderate citations State average: N/A

0 minor citations State average: N/A

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

Total staff 64

Employees 55

Contractors 9

Staff to resident ratio 1.83 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 18

Average shift 7.1 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 11,807

Nursing staff breakdown

7 hours

7.8 hours

7.4 hours

Contractor staffing

544 contractor hours this quarter

Physical Therapy Assistant: 4 Physical Therapy Aide: 2 Respiratory Therapy Technician: 1 Qualified Social Worker: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	27	0	27	4,945	92	100%	7.4
Medication Aide/Technician	9	0	9	1,622	90	98%	7.4
Registered Nurse	6	0	6	1,314	92	100%	7
Licensed Practical Nurse	5	0	5	1,286	90	98%	7.8
Administrator	1	0	1	480	60	65%	8
Nurse Practitioner	1	0	1	464	58	63%	8
Dental Services Staff	1	0	1	429	59	64%	7.3
RN Director of Nursing	1	0	1	389	43	47%	9.1
Dietitian	1	0	1	310	45	49%	6.9
Respiratory Therapy Technician	0	1	1	259	61	66%	4.2
Physical Therapy Aide	0	2	2	194	70	76%	2.7
Medical Director	0	1	1	45	3	3%	15
Physical Therapy Assistant	0	4	4	27	26	28%	0.9
Clinical Nurse Specialist	3	0	3	23	5	5%	4.6
Qualified Social Worker	0	1	1	19	15	16%	1.3

27 Certified Nursing Assistant

% of Days 100%

9 Medication Aide/Technician

% of Days 98%

6 Registered Nurse

% of Days 100%

5 Licensed Practical Nurse

% of Days 98%

1 Administrator

% of Days 65%

1 Nurse Practitioner

% of Days 63%

1 Dental Services Staff

% of Days 64%

1 RN Director of Nursing

% of Days 47%

1 Dietitian

% of Days 49%

1 Respiratory Therapy Technician

% of Days 66%

2 Physical Therapy Aide

% of Days 76%

1 Medical Director

% of Days 3%

4 Physical Therapy Assistant

% of Days 28%

3 Clinical Nurse Specialist

% of Days 5%

1 Qualified Social Worker

% of Days 16%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 8.3

19% better than State average

State average: 10.2

Functional decline score 20.4

6% better than State average

State average: 21.6

Long-stay resident measures

Average State avg: 3.3

Need for Help with Daily Activities Increased 13.5%

28% better than State average

State average: 18.8%

Walking Ability Worsened 18.1%

8% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 29.4%

12% worse than State average

State average: 26.2%

Falls with Major Injury 4.5%

25% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 2.2%

50% better than State average

State average: 4.4%

Urinary Tract Infection 4.5%

81% worse than State average

State average: 2.5%

Lost Too Much Weight 3.0%

41% better than State average

State average: 5.0%

Depressive Symptoms 2.9%

26% better than State average

State average: 3.9%

Antipsychotic Use 16.2%

15% better than State average

State average: 19.0%

Pneumococcal Vaccine 100.0%

6% better than State average

State average: 94.4%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.3%

Short-stay resident measures

Pneumococcal Vaccine 98.0%

15% better than State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

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

Total residents 35

Medicare

11.4% of residents

Medicaid

65.7% of residents

Private pay or other

22.9% of residents

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.

Financial Trends

Historical financial and operational data for Lamoni Specialty Care from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 67.3% ↓ 3.8pp vs 2022

Net Patient Income -$339.5K ↑ ~$12.9K vs 2022

Payroll Costs $2.2M ↑ ~$367.8K vs 2022

Operating Margin -11.5% ↑ 1.6pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	63.9%	58.4%	75.0%	69.1%	76.6%	72.9%	75.7%	72.4%	73.7%	63.5%	75.9%	71.2%	67.3%
Beds	43	43	43	43	43	43	43	43	43	43	43	43	43
Net Income	-$439,660	-$421,610	-$140,371	$59,794	$129,956	-$114,284	-$353,428	-$579,440	-$596,165	-$409,539	-$25,947	-$359,088	-$375,429
Gross Revenue	$1,473,157	$1,503,469	$2,060,693	$2,062,227	$2,403,653	$2,329,005	$2,463,960	$2,564,661	$2,653,654	$2,722,291	$3,863,052	$3,431,956	$4,575,816
Operating Expenses	$1,904,168	$1,910,336	$2,225,407	$2,182,736	$2,247,781	$2,351,349	$2,622,981	$2,765,235	$2,844,156	$2,716,824	$3,023,680	$3,056,647	$3,305,961
Net Patient Income	-$453,260	-$406,867	-$157,303	$45,967	$114,497	-$130,727	-$369,461	-$598,262	-$595,839	-$794,775	-$32,801	-$352,441	-$339,518
Net Patient Revenue	$1,450,908	$1,503,469	$2,068,104	$2,228,703	$2,362,278	$2,220,622	$2,253,520	$2,166,973	$2,248,317	$1,922,049	$2,990,879	$2,704,206	$2,966,443
Payroll Costs	$1,115,127	$1,105,952	$1,224,994	$1,199,546	$1,243,625	$1,375,774	$1,589,329	$1,757,239	$1,876,995	$1,646,243	$1,589,536	$1,810,277	$2,178,118
Operating Margin %	-31.2%	-27.1%	-7.6%	2.1%	4.9%	-5.9%	-16.4%	-27.6%	-26.5%	-41.4%	-1.1%	-13.0%	-11.5%
Medicare %	5.2%	4.6%	5.7%	8.0%	7.3%	7.4%	5.4%	4.5%	3.2%	6.9%	10.7%	4.6%	3.7%
Medicaid %	53.3%	52.9%	66.1%	69.9%	62.9%	46.2%	36.8%	35.0%	39.5%	45.0%	45.5%	58.5%	72.8%
Private %	41.4%	42.5%	28.2%	22.1%	29.7%	46.4%	57.8%	60.5%	57.3%	48.2%	43.8%	36.9%	23.4%
Net Patient Revenue/Day	$145	$164	$176	$205	$196	$194	$190	$191	$194	$192	$251	$242	$281
Cost/Day	$190	$208	$189	$201	$187	$205	$221	$243	$246	$272	$254	$274	$313
Avg Length of Stay	313.3 days	262.7 days	189.9 days	200.9 days	250.6 days	273.1 days	282.8 days	291.3 days	282.2 days	263.1 days	238.1 days	232.7 days	340.8 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.0M

Net patient income

-$339.5K

Nonprofit Nonprofit Corporation

Net patient revenue

$3.0M

Net patient income

-$339.5K

Other income

$12.0K

Payroll costs

$2.2M 73.4% of net patient revenue

Other operating costs

$1.1M

Total costs

$3.3M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under private pay (41% of admissions), and a typical private pay stay runs around 6 - 7 months.

Coverage residents most often arrive under.

Medicare 31%

Private pay 41%

Medicaid 28%

Coverage residents most often leave under.

Medicare 32%

Private pay 42%

Medicaid 26%

0.0 miles from city center Estimated distance in miles from Lamoni's city center to Lamoni Specialty Care's address, calculated via Google Maps.

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


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
Sunrise Retirement Community	NH AL IL MC RC SNF	Sioux City	-	74	A+	22	Studio
Green Hills Retirement Community	NH AL IL MC SNF	Ames (Hamilton Drive)	-	56	-	18	1 Bed / 2 Bed
Meth Wick Community	NH AL IL MC RC SNF	Cedar Rapids (The Meth-Wick Community)	-	69	-	23	-
Lamoni Specialty Care	NH SNF	Lamoni	-	43	-	60	-

Nursing Home Explorer

Is Lamoni Specialty Care in a walkable area?

Lamoni Specialty Care has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Lamoni Specialty Care?

According to IA state health department records, Lamoni Specialty Care's license number is 270594.

When does Lamoni Specialty Care's license expire?

According to IA state health department records, Lamoni Specialty Care's license expires on August 1, 2026.

What is the occupancy rate at Lamoni Specialty Care?

Lamoni Specialty Care's occupancy is 72%.

Are pets allowed at Lamoni Specialty Care?

No, Lamoni Specialty Care has a no-pet policy.

What is the best email address for Lamoni Specialty Care?

The team at Lamoni Specialty Care can be reached at LamoniAdministrator@careinitiatives.org.

Does Lamoni Specialty Care operate as a for-profit or non-profit?

Lamoni Specialty Care is registered as a non-profit in IA.

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Lamoni Specialty Care

Overview of Lamoni Specialty Care

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Lamoni Specialty Care

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

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

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

27 Certified Nursing Assistant

9 Medication Aide/Technician

6 Registered Nurse

5 Licensed Practical Nurse

1 Administrator

1 Nurse Practitioner

1 Dental Services Staff

1 RN Director of Nursing

1 Dietitian

1 Respiratory Therapy Technician

2 Physical Therapy Aide

1 Medical Director

4 Physical Therapy Assistant

3 Clinical Nurse Specialist

1 Qualified Social Worker

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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