Sibley Specialty Care

Nursing Home & Skilled Nursing · Sibley, IA

CMS overall rating

700 9Th Avenue North, Sibley, Ia 512491050 View map

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

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

Overview of Sibley Specialty Care

Sibley Specialty Care is a 46-bed rehabilitation and skilled nursing community in Sibley, Iowa. Owned and operated by David Bronner under the Care Initiatives nonprofit network, the facility keeps about 87 percent of its beds filled. They take Medicare, Medicaid, and private pay, and with stays averaging 239 days, the daily mix balances short-term recovery patients with individuals who live there for long-term care.

The nursing team delivers about 4 hours and 3 minutes of direct, hands-on attention to each resident daily. This round-the-clock clinical schedule is split down into 53 minutes from registered nurses, 2 hours and 10 minutes from nurse aides, and 19 minutes from licensed practical nurses to handle rehabilitation needs after injuries, illnesses, or surgeries. Outside the facility, the local neighborhood has a walkability score of 64 out of 100, meaning you can check off a reasonable number of basic daily errands on foot.

State inspectors noted a few operational areas that need attention during recent facility surveys. The review outlined documentation gaps regarding infection control, kitchen food service setups, nursing supervision routines, and general resident safety rules, which the management uses to adjust staff workflows and guidelines.

Representatives can call the main office to verify current bed availability, ask about the tailored physical therapy options, or schedule a tour of the building. The business staff is also ready to discuss payment choices and explain how insurance plans or state aid programs fit into the monthly billing.

Facility Direct Line (712) 754-3629

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 3m per day

vs avg

4 of 6 metrics below state avg

Standout metric Weekend RN is +26% 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.	53m per day	▲ 20% 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.	19m per day	▼ 43% 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 10m per day	▼ 15% 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.	2h 53m per day	▼ 14% 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	▼ 37% 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.	38m per day	▲ 26% State avg: 30m per day · National avg: 28m per day

Capacity and availability

239 days

46-bed community

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

Walk Score: 64 / 100

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

About this community

Occupancy

Occupancy rate

87%

Higher than the Iowa average: 75.4%

Occupied beds

40 / 46

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationAugust 1, 2026 Expires in 18 days

CountyOsceola

License Number720763

CMS Certification Number165401

Certification TypeFALSE

Sibley Specialty Care is administered by David Bronner.

Rehabilitation Services

24-Hour Staffing

Email sibleyadministrator@careinitiatives.org

Fax7127542367

Pets not allowed

Operating Hours24 hours a day, seven days a week

Since 2020 · 6 years of data 23 deficiencies 14 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 October 22, 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.	23	27	This facility has 15% fewer total deficiencies than a typical Iowa assisted living residence (23 vs. IA avg 27).↓ 15% better
Deficiencies per year Average deficiencies per year since 2020.	3.8	4.5	This facility has 16% fewer deficiencies per year than a typical Iowa assisted living residence (3.8 vs. IA avg 4.5).↓ 16% better
Deficiencies per inspection Average deficiencies per inspection.	1.6	1.8	This facility has 11% fewer deficiencies per inspection than a typical Iowa assisted living residence (1.6 vs. IA avg 1.8).↓ 11% 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.	14	15	This facility has had 7% fewer total inspections than the Iowa average (14 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 7% fewer

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

The most recent inspection on October 22, 2025, substantiated one deficiency for failure to provide adequate nursing supervision to prevent a resident from exiting unsupervised.
The facility had a substantiated complaint on June 28, 2024, for failure to protect a resident from physical abuse by a nurse aide striking the resident.
The May 8, 2025, annual inspection found three deficiencies related to food service portioning, kitchen sanitation, and infection control during wound care.

Show Inspection Reports

Inspections since 2023

Total health inspections 5

State average N/A

Last Health inspection on Oct 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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

8 of 10 citations resulted from standard inspections; and 2 of 10 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

10 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Quality of Care moderate citation Oct 22, 2025

Infection Control moderate citation May 08, 2025

Corrected

Nutrition moderate citation May 08, 2025

Corrected

Nutrition moderate citation May 08, 2025

Corrected

Total staff 67

Employees 53

Contractors 14

Staff to resident ratio 1.72 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 23

Average shift 6.6 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 13,964

Nursing staff breakdown

8.3 hours

8 hours

7.1 hours

Contractor staffing

603 contractor hours this quarter

Respiratory Therapy Technician: 4 Physical Therapy Assistant: 4 Speech Language Pathologist: 3 Qualified Social Worker: 2 Medical Director: 1

Staff by category


Certified Nursing Assistant	31	0	31	7,334	92	100%	7.1
Registered Nurse	6	0	6	2,045	92	100%	8.3
Licensed Practical Nurse	4	0	4	1,175	88	96%	8
Clinical Nurse Specialist	3	0	3	1,003	72	78%	8.6
Medication Aide/Technician	1	0	1	498	66	72%	7.5
Mental Health Service Worker	2	0	2	443	66	72%	6.6
Administrator	1	0	1	336	43	47%	7.8
Dietitian	2	0	2	285	38	41%	7.5
Speech Language Pathologist	0	3	3	249	69	75%	3.2
Physical Therapy Assistant	0	4	4	202	66	72%	2.9
Nurse Practitioner	1	0	1	140	20	22%	7
Other Dietary Services Staff	1	0	1	94	22	24%	4.3
Respiratory Therapy Technician	0	4	4	76	46	50%	0.9
Qualified Social Worker	0	2	2	40	33	36%	1.2
Medical Director	0	1	1	36	3	3%	12
Occupational Therapy Aide	1	0	1	7	4	4%	1.9

31 Certified Nursing Assistant

% of Days 100%

6 Registered Nurse

% of Days 100%

4 Licensed Practical Nurse

% of Days 96%

3 Clinical Nurse Specialist

% of Days 78%

1 Medication Aide/Technician

% of Days 72%

2 Mental Health Service Worker

% of Days 72%

1 Administrator

% of Days 47%

2 Dietitian

% of Days 41%

3 Speech Language Pathologist

% of Days 75%

4 Physical Therapy Assistant

% of Days 72%

1 Nurse Practitioner

% of Days 22%

1 Other Dietary Services Staff

% of Days 24%

4 Respiratory Therapy Technician

% of Days 50%

2 Qualified Social Worker

% of Days 36%

1 Medical Director

% of Days 3%

1 Occupational Therapy Aide

% of Days 4%

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 8.9

13% better than State average

State average: 10.2

Functional decline score 21.2

In line with State average

State average: 21.6

Long-stay resident measures

Significantly above average State avg: 3.3

Need for Help with Daily Activities Increased 14.9%

21% better than State average

State average: 18.8%

Walking Ability Worsened 20.0%

In line with State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 28.9%

10% worse than State average

State average: 26.2%

Falls with Major Injury 3.1%

16% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 2.0%

54% better than State average

State average: 4.4%

Urinary Tract Infection 0.8%

69% better than State average

State average: 2.5%

Lost Too Much Weight 4.4%

13% better than State average

State average: 5.0%

Depressive Symptoms 0.0%

100% better than State average

State average: 3.9%

Antipsychotic Use 10.4%

45% 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%

Hospitalizations per 1,000 days 0.63

57% better than State average

State average: 1.48

ED visits per 1,000 days 1.08

48% better than 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%

Antipsychotic medication increase 5.0%

169% worse than State average

State average: 1.8%

Influenza Vaccine 67.5%

8% worse than State average

State average: 73.3%

Re-hospitalized after SNF stay 13.4%

37% better than State average

State average: 21.3%

Emergency department visits 8.3%

37% better than State average

State average: 13.1%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 54.8%

In line with State average

State average: 53.7%

Successful return to home or community 56.3%

11% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

56% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

36% of new residents, often for short stays.

Typical stay 9 - 10 months

Medicaid

8% of new residents, often for long-term daily care.

Typical stay 4 years

Total residents 39

Medicare

20.5% of residents

Medicaid

30.8% of residents

Private pay or other

48.7% 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 Sibley Specialty Care from 2011–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 79.5% ↑ 7.7pp vs 2022

Net Patient Income $396.9K ↑ ~$5.2K vs 2022

Payroll Costs $2.2M ↑ ~$401.1K vs 2022

Operating Margin 10.1% ↓ 1.7pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	90.6%	85.3%	88.2%	87.4%	72.8%	75.7%	67.8%	72.3%	74.8%	74.7%	76.4%	71.8%	79.5%
Beds	51	51	51	51	51	51	51	51	51	51	51	51	51
Net Income	-$133,873	$139,937	$190,728	$326,662	$18,747	-$159,124	-$250,181	$171,368	$118,549	$85,307	$206,170	$278,105	$64,148
Gross Revenue	$2,511,163	$2,394,432	$2,543,293	$2,635,239	$2,421,359	$2,542,090	$2,383,181	$2,714,551	$3,009,666	$3,540,548	$4,072,180	$4,289,025	$6,109,869
Operating Expenses	$2,419,322	$2,235,012	$2,238,699	$2,264,641	$2,284,343	$2,471,341	$2,360,563	$2,358,429	$2,537,976	$2,855,791	$2,952,599	$2,922,428	$3,530,959
Net Patient Income	-$138,784	$144,662	$188,436	$326,396	$11,230	-$159,505	-$248,402	$172,698	$244,949	$113,778	$311,825	$391,692	$396,936
Net Patient Revenue	$2,280,538	$2,379,674	$2,427,135	$2,591,037	$2,295,573	$2,311,836	$2,112,161	$2,531,127	$2,782,925	$2,969,569	$3,264,424	$3,314,120	$3,927,895
Payroll Costs	$1,562,314	$1,386,377	$1,359,747	$1,416,818	$1,393,400	$1,558,490	$1,488,018	$1,465,645	$1,664,766	$1,826,657	$1,867,240	$1,831,679	$2,232,817
Operating Margin %	-6.1%	6.1%	7.8%	12.6%	0.5%	-6.9%	-11.8%	6.8%	8.8%	3.8%	9.6%	11.8%	10.1%
Medicare %	4.3%	4.0%	5.0%	5.6%	8.4%	6.4%	7.8%	5.4%	6.9%	8.5%	10.7%	11.1%	7.8%
Medicaid %	50.0%	50.0%	45.8%	45.5%	45.2%	49.5%	49.1%	44.3%	42.2%	48.5%	42.3%	43.1%	50.8%
Private %	45.7%	46.0%	49.2%	48.9%	46.4%	44.0%	43.1%	50.3%	50.8%	43.0%	47.0%	45.8%	41.5%
Net Patient Revenue/Day	$135	$149	$148	$159	$169	$164	$167	$188	$200	$213	$230	$248	$266
Cost/Day	$143	$140	$136	$139	$169	$175	$187	$175	$182	$205	$208	$219	$239
Avg Length of Stay	562.3 days	549.2 days	390.8 days	417.3 days	215.1 days	256.8 days	274.2 days	298.9 days	348.0 days	324.1 days	302.4 days	151.9 days	238.5 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

$396.9K

Nonprofit Nonprofit Corporation

Net patient revenue

$3.9M

Net patient income

$396.9K

Other income

$11.8K

Payroll costs

$2.2M 56.8% of net patient revenue

Other operating costs

$1.3M

Total costs

$3.5M

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 (56% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 56%

Private pay 36%

Medicaid 8%

Coverage residents most often leave under.

Medicare 56%

Private pay 42%

Medicaid 2%

0.0 miles from city center Estimated distance in miles from Sibley's city center to Sibley 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
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Sibley Specialty Care	NH SNF	Sibley	-	46	-	64	-

Nursing Home Explorer

Is Sibley Specialty Care in a walkable area?

Sibley Specialty Care has a walk score of 64. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Sibley Specialty Care?

According to IA state health department records, Sibley Specialty Care's license number is 720763.

When does Sibley Specialty Care's license expire?

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

What is the occupancy rate at Sibley Specialty Care?

Sibley Specialty Care's occupancy is 87%.

Are pets allowed at Sibley Specialty Care?

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

What is the best email address for Sibley Specialty Care?

The team at Sibley Specialty Care can be reached at SibleyAdministrator@careinitiatives.org.

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

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

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Sibley Specialty Care

Overview of Sibley 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 Sibley 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

31 Certified Nursing Assistant

6 Registered Nurse

4 Licensed Practical Nurse

3 Clinical Nurse Specialist

1 Medication Aide/Technician

2 Mental Health Service Worker

1 Administrator

2 Dietitian

3 Speech Language Pathologist

4 Physical Therapy Assistant

1 Nurse Practitioner

1 Other Dietary Services Staff

4 Respiratory Therapy Technician

2 Qualified Social Worker

1 Medical Director

1 Occupational Therapy Aide

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 short-term rehab stays

Admissions

Discharges

Places of interest near Sibley Specialty Care

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