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Sheffield Care Center

Nursing Home, Assisted Living & Skilled Nursing · Sheffield, IA

CMS overall rating

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Sheffield Care Center

Nursing Home, Assisted Living & Skilled Nursing · Sheffield, IA

CMS overall rating

100 Bennett Drive, Sheffield, Ia 504750400 View map

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Sheffield Care Center accepts Medicare, Medicaid, and private pay.

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Sheffield Care Center accepts Medicare, Medicaid, and private pay.

Overview of Sheffield Care Center

Sheffield Care Center is a 45-bed nonprofit skilled nursing facility in Sheffield, Iowa, providing intermediate care, skilled nursing, and outpatient therapy services. The facility is owned by Bonnie Hubka and serves Franklin County. The center accepts Medicare, Medicaid, and private pay, with Medicare accounting for roughly half of new admissions.

CMS rates the facility 4 stars overall, driven by a strong Health Inspection sub-rating that runs 35.6% above the Iowa average. Staffing is the counterweight: a 2-star staffing rating reflects total nursing coverage of 4 hours and 31 minutes per resident per day — near the Iowa average — but RN staffing averages just 26 minutes per day, 41% below the state mean. Certified nurse aide coverage is the bright spot, running 16% above Iowa averages and providing much of the facility’s direct daily care coverage.

Across 15 inspections since 2020, the facility recorded 35 deficiencies — about 30% above the Iowa average of 27. The most recent standard inspection, in August 2025, cited nine deficiencies across care planning, fall prevention, infection control, RN coverage, and abuse-prevention training. A follow-up visit in November 2025 found zero deficiencies and resulted in certification of compliance.

Six civil money penalties, all issued in 2023, totaled roughly $26,000 — 45% below the Iowa average for penalized facilities; no fines have been issued since. One substantiated complaint involving incomplete assessments of outpatient dialysis was addressed. No Immediate Jeopardy findings or license actions appear in the record.

Short-stay rehabilitation outcomes are a clear strength: re-hospitalization rates are 64% below the Iowa average, and emergency department visits are 69% below — both meaningful for post-acute patients and their families. The facility’s occupancy at 82% exceeds the Iowa average of 75%, signaling steady local demand.

Services available are Meals-on-Wheels, and restorative services extend the facility’s reach beyond its walls.

Sheffield Care Center is best studied for residents seeking short-term Medicare rehabilitation and transitional post-acute care in rural Franklin County, with capacity for longer private-pay stays in a small, community-operated setting.

Facility Direct Line (641) 892-4691 admin@sheffieldcc.com

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

4h 31m per day

vs avg

5 of 6 metrics below state avg

Standout metric Nurse Aide is +13% 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.	30m per day	▼ 31% 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.	23m per day	▼ 31% 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 52m per day	▲ 13% 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 15m per day	▼ 3% 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.	1m per day	▼ 61% 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.	26m per day	▼ 14% State avg: 30m per day · National avg: 28m per day

Capacity and availability

213 days

45-bed community

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

Walk Score: 25 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

82%

Higher than the Iowa average: 75.4%

Occupied beds

37 / 45

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationOctober 23, 2026

CountyFranklin

License Number350857

CMS Certification Number165384

Certification TypeFALSE

Sheffield Care Center is administered by Katie Watters.

Rehabilitation Services

24-Hour Staffing

Email kwatters@sheffieldcc.com

Fax6418924451

Touring HoursMonday through Friday: 8:30 AM - 4:30 PM; Saturday and Sunday: No Office Personnel

Get floorplan photos & videos Schedule a home tour Get detailed pricing Check availability Get brochure

Since 2020 · 6 years of data 35 deficiencies 15 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 4, 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.	35	27	This facility has 30% more total deficiencies than a typical Iowa assisted living residence (35 vs. IA avg 27).↑ 30% worse
Deficiencies per year Average deficiencies per year since 2020.	5.8	4.5	This facility has 29% more deficiencies per year than a typical Iowa assisted living residence (5.8 vs. IA avg 4.5).↑ 29% worse
Deficiencies per inspection Average deficiencies per inspection.	2.3	1.8	This facility has 28% more deficiencies per inspection than a typical Iowa assisted living residence (2.3 vs. IA avg 1.8).↑ 28% worse

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.	15	15	This facility has total inspections in line with the Iowa average (15 vs. IA avg 15).— At avg

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

The November 4, 2025 plan of correction was accepted, certifying compliance effective August 27, 2025, with no deficiencies detailed in that document.
The August 21, 2025 annual inspection found 7 deficiencies including failure to update care plans, inadequate fall prevention, catheter care issues, insufficient RN staffing, unlocked medication cart, infection control lapses, and missing abuse training.
The September 26, 2024 annual inspection cited 3 deficiencies for failure to submit staffing data, lack of enhanced barrier precautions for infection control, and incomplete mandatory adult abuse training for staff.

Show Inspection Reports

Inspections since 2023

Total health inspections 4

State average N/A

Last Health inspection on Aug 2025

Total health citations

State average N/A

Citations per inspection

3.5

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

13 of 14 citations resulted from standard inspections; and 1 of 14 resulted from complaint investigations.

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

14 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Abuse/Neglect moderate citation Aug 21, 2025

Corrected

Administration moderate citation Aug 21, 2025

Corrected

Infection Control moderate citation Aug 21, 2025

Corrected

Nursing Services moderate citation Aug 21, 2025

Corrected

Top deficiency categories

Infection Control 3 deficiencies (21%)

Quality of Life & Care 3 deficiencies (21%)

Administration 2 deficiencies (14%)

Abuse, Neglect & Exploitation 2 deficiencies (14%)

Pharmacy Services 1 deficiency (7%)

Total staff 65

Employees 36

Contractors 29

Staff to resident ratio 1.76 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 22

Average shift 6.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 13,749

Nursing staff breakdown

7 hours

6.7 hours

7 hours

Contractor staffing

1,192 contractor hours this quarter

Certified Nursing Assistant: 21 Speech Language Pathologist: 2 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 1 Registered Nurse: 1 Qualified Social Worker: 1 Physical Therapy Aide: 1

Staff by category


Certified Nursing Assistant	27	21	48	9,219	92	100%	7
Licensed Practical Nurse	4	0	4	1,253	89	97%	6.7
Registered Nurse	2	1	3	1,018	86	93%	7
Nurse Practitioner	1	0	1	608	66	72%	9.2
Administrator	1	0	1	512	64	70%	8
Dental Services Staff	1	0	1	450	57	62%	7.9
Speech Language Pathologist	0	2	2	386	65	71%	5.8
Physical Therapy Assistant	0	1	1	231	62	67%	3.7
Respiratory Therapy Technician	0	2	2	42	33	36%	1.2
Qualified Social Worker	0	1	1	27	11	12%	2.5
Physical Therapy Aide	0	1	1	3	1	1%	3.1

48 Certified Nursing Assistant

% of Days 100%

4 Licensed Practical Nurse

% of Days 97%

3 Registered Nurse

% of Days 93%

1 Nurse Practitioner

% of Days 72%

1 Administrator

% of Days 70%

1 Dental Services Staff

% of Days 62%

2 Speech Language Pathologist

% of Days 71%

1 Physical Therapy Assistant

% of Days 67%

2 Respiratory Therapy Technician

% of Days 36%

1 Qualified Social Worker

% of Days 12%

1 Physical Therapy Aide

% of Days 1%

View All Staffing Data

Total fines amount $26K

45% lower than State average

State average: $48K

Number of fines 6

253% more fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.5

Fines amount comparison

This facility $26K

State average $48K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Aug 14, 2023

$4K

Civil Money Penalty Aug 7, 2023

$4K

Civil Money Penalty Jul 17, 2023

$10K

Last updated: Jan 2026

High-risk clinical events score 10.1

In line with State average

State average: 10.2

Functional decline score 20.6

In line with State average

State average: 21.6

Long-stay resident measures

Significantly below average State avg: 3.3

Need for Help with Daily Activities Increased 24.8%

32% worse than State average

State average: 18.8%

Walking Ability Worsened 16.1%

18% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 20.8%

21% better than State average

State average: 26.2%

Falls with Major Injury 5.8%

61% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 0.0%

100% better than State average

State average: 4.4%

Urinary Tract Infection 6.8%

175% worse than State average

State average: 2.5%

Lost Too Much Weight 3.9%

21% better than State average

State average: 5.0%

Depressive Symptoms 0.0%

100% better than State average

State average: 3.9%

Antipsychotic Use 32.6%

72% worse 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%

Hospitalizations per 1,000 days 2.01

36% worse than State average

State average: 1.48

ED visits per 1,000 days 2.03

In line with State average

State average: 2.09

Short-stay resident measures

Significantly above average State avg: 2.6

Pneumococcal Vaccine 100.0%

18% better than State average

State average: 85.1%

Re-hospitalized after SNF stay 7.6%

64% better than State average

State average: 21.3%

Emergency department visits 4.0%

69% better than State average

State average: 13.1%

Falls with major injury 8.3%

982% worse than State average

State average: 0.8%

Ability to care for self at discharge 36.4%

32% worse than State average

State average: 53.7%

Successful return to home or community 48.6%

In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

51% 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 1 - 2 years

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 4 years

Total residents 37

Medicare

5.4% of residents

Medicaid

21.6% of residents

Private pay or other

73% 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 Sheffield Care Center from 2011–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 104.8% ↑ 35.9pp vs 2022

Net Patient Income $231.9K ↑ ~$162.3K vs 2022

Payroll Costs $2.1M ↑ ~$175.1K vs 2022

Operating Margin 6.0% ↑ 4.0pp vs 2022

Financial Performance

Net patient revenue Operating expenses Net patient income

Salaries Wage Costs Contract Labor

Medicare Medicaid Private Pay/Other

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	78.8%	80.4%	85.7%	78.8%	76.5%	67.0%	69.5%	67.0%	71.0%	66.6%	63.5%	68.9%	104.8%
Beds	65	65	65	65	65	61	61	61	61	61	61	61	45
Net Income	-$189,040	-$148,538	-$150,788	-$90,200	-$223,300	-$409,724	-$196,814	$7,790	$33,700	$751,009	$77,400	$93,092	$243,762
Gross Revenue	$2,536,445	$2,664,928	$2,787,386	$2,655,594	$2,735,242	$2,367,335	$2,686,927	$2,837,596	$2,841,355	$3,221,746	$3,112,355	$3,440,555	$3,871,140
Operating Expenses	$2,769,055	$2,883,241	$3,027,146	$2,797,414	$3,001,320	$2,888,448	$2,957,386	$2,893,815	$2,886,238	$3,173,609	$3,182,057	$3,370,919	$3,639,251
Net Patient Income	-$232,610	-$218,313	-$239,760	-$141,820	-$266,078	-$521,113	-$270,459	-$56,219	-$44,883	$48,137	-$69,702	$69,636	$231,889
Net Patient Revenue	$2,536,445	$2,664,928	$2,787,386	$2,655,594	$2,735,242	$2,367,335	$2,686,927	$2,837,596	$2,841,355	$3,221,746	$3,112,355	$3,440,555	$3,871,140
Payroll Costs	$1,770,945	$1,815,536	$1,893,205	$1,768,058	$1,674,163	$1,674,274	$1,487,678	$1,568,135	$1,615,850	$1,839,928	$1,876,068	$1,931,835	$2,106,918
Operating Margin %	-9.2%	-8.2%	-8.6%	-5.3%	-9.7%	-22.0%	-10.1%	-2.0%	-1.6%	1.5%	-2.2%	2.0%	6.0%
Medicare %	1.9%	2.7%	3.1%	2.6%	2.4%	2.7%	6.4%	5.9%	3.6%	7.0%	10.0%	9.2%	6.7%
Medicaid %	32.4%	29.5%	27.0%	26.5%	25.9%	26.0%	22.5%	20.9%	24.9%	28.9%	20.7%	22.0%	18.4%
Private %	65.6%	67.8%	69.9%	70.9%	71.6%	71.3%	71.1%	73.2%	71.5%	64.1%	69.3%	68.8%	75.0%
Net Patient Revenue/Day	$136	$139	$137	$142	$151	$158	$174	$190	$180	$217	$220	$224	$225
Cost/Day	$148	$151	$149	$150	$165	$193	$191	$194	$183	$213	$225	$220	$211
Avg Length of Stay	114.1 days	120.3 days	266.4 days	212.3 days	244.0 days	156.0 days	139.8 days	135.8 days	193.9 days	198.2 days	167.5 days	172.7 days	212.9 days

Finances and operations

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

Net patient revenue

$3.9M

Net patient income

$231.9K

Nonprofit Nonprofit Corporation

Net patient revenue

$3.9M

Net patient income

$231.9K

Other income

$11.9K

Payroll costs

$2.1M 54.4% of net patient revenue

Other operating costs

$1.5M

Total costs

$3.6M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (51% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 51%

Private pay 45%

Medicaid 4%

Coverage residents most often leave under.

Medicare 46%

Private pay 41%

Medicaid 14%

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

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


Friendship Village	NH AL IL MC SNF	Waterloo	-	72	-	52	2 Bed / 3 Bed
Maple Ridge Assisted Living	NH AL	Mt Ayr (Mount Ayr)	-	24	-	13	Private / Shared Rooms
Calvin Community	NH AL IL MC	Des Moines (Beaverdale)	-	59	-	61	1 Bed
Thornton Heights Assisted Living	NH AL	Lansing (Main Street)	-	26	-	14	1 Bed / 2 Bed
Sheffield Care Center	NH AL SNF	Sheffield	-	45	-	25	-

Nursing Home Explorer

Is Sheffield Care Center in a walkable area?

Sheffield Care Center has a walk score of 25. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Sheffield Care Center?

According to IA state health department records, Sheffield Care Center's license number is 350857.

When does Sheffield Care Center's license expire?

According to IA state health department records, Sheffield Care Center's license expires on October 23, 2026.

What is the occupancy rate at Sheffield Care Center?

Sheffield Care Center's occupancy is 82%.

What is the best email address for Sheffield Care Center?

The team at Sheffield Care Center can be reached at kwatters@sheffieldcc.com.

Does Sheffield Care Center operate as a for-profit or non-profit?

Sheffield Care Center is registered as a non-profit in IA.

Who is the administrator of Sheffield Care Center?

Katie Watters is the administrator of Sheffield Care Center.

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Sheffield Care Center

Overview of Sheffield Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Amenities & Lifestyle

Contact Sheffield Care Center

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

48 Certified Nursing Assistant

4 Licensed Practical Nurse

3 Registered Nurse

1 Nurse Practitioner

1 Administrator

1 Dental Services Staff

2 Speech Language Pathologist

1 Physical Therapy Assistant

2 Respiratory Therapy Technician

1 Qualified Social Worker

1 Physical Therapy Aide

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

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 short-term rehab stays

Admissions

Discharges

Places of interest near Sheffield Care Center

Calculate Travel Distance to Sheffield Care Center

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