Occupancy rate
84%
In line with Iowa averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Sunny Hill Care Center
Sunny Hill Care Center is a nursing home and rehabilitation care center located in Tama, Iowa. It offers skilled nursing, rehabilitation therapy, hospice care, respite care, dietary services, and outpatient care. The facility is dedicated to providing the highest level of care to its residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
57
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
84.2%
Residents per day (avg)
47
Occupancy rate
84.2%
Residents per day (avg)
47
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
65% of new residents, usually for short-term rehab.
Typical stay
23 days
Private pay
21% of new residents, often for short stays.
Typical stay
1 - 2 years
Medicaid
14% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.0M
Profit
$367.0K
Privately-owned community
Operated by a business corporation.
Home revenue
$4,956,136.00
Profit
$367,043.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.1M
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.
$2.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.6M
57-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
48 / 57
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
County:
Tama
Additional licensing details
License number:
860470
CMS Certification Number:
165462
Certification type:
FALSE
Ownership & operating entity
Sunny Hill Care Center is administrated by Megan Thiessen.
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
Contact Information
Email:
[email protected]
Fax:
6414843103
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation Therapy, Hospice Care, Respite Care, Dietary Services, Outpatient, Resident Activities
Pricing & Financial Information
Dining & Nutrition
Food Description
Our residents enjoy a superb dining experience that offers a number of options and caters to a variety of needs.
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
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.
18 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:December 23, 2025
21 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Sunny Hill Care Center
The most recent inspection on December 22, 2025 found the facility in substantial compliance with no deficiencies. Earlier inspections showed a pattern of deficiencies related mainly to resident supervision and accident hazard prevention, including incidents of resident falls during transfers. Prior reports also noted issues with care planning, notification procedures, and failure to follow physician orders, with some substantiated complaints involving inadequate monitoring and abuse reporting. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have made improvements over time, correcting previous deficiencies and achieving substantial compliance in recent surveys.
Health Inspection History
Inspections
Total health inspections
6
Iowa average 4.9
Last Health inspection on Aug 2025
Total health citations
15
Iowa average 21.7
Citations per inspection
2.5
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 15 citations resulted from standard inspections; 5 of 15 resulted from complaint investigations; and 4 of 15 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
233% worse than Iowa averageIowa average: 0.6
Serious Health citations
2
2
122% worse than Iowa averageIowa average: 0.9
2 critical citations
2 serious citations
9 moderate citations
2 minor citations
Citations history (last 3 years)
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 21, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 21, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Feb 06, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Feb 06, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 06, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 06, 2025
Corrected
Resident Rights minor citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Feb 06, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Feb 06, 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
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Sunny Hill Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Tama
68
76.6%
+2%
3.78
-12%
2
15
4
47
Premier Senior Management Llc
$5,0M
$2,1M
43.3%
165462
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Sunny Hill Care Center
Tama, IA 523391098
Tama, IA 523391098
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
63
Employees
57
Contractors
6
Staff to resident ratio
1.34:1
33% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
21
Average shift
7.8 hours
5% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
14,866
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
1
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
3.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
3.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
37
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
3.9%
580 contractor hours this quarter
Certified Nursing Assistant: 3
Registered Nurse: 2
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 34 | 3 | 37 | 8,926 | 91 | 100% | 7.7 |
| Registered Nurse | 7 | 2 | 9 | 2,824 | 91 | 100% | 9.9 |
| Dietitian | 1 | 0 | 1 | 560 | 63 | 69% | 8.9 |
| RN Director of Nursing | 1 | 0 | 1 | 495 | 63 | 69% | 7.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 422 | 56 | 62% | 7.5 |
| Medication Aide/Technician | 2 | 0 | 2 | 418 | 42 | 46% | 9.8 |
| Administrator | 1 | 0 | 1 | 320 | 40 | 44% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 316 | 42 | 46% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 277 | 35 | 38% | 7.9 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 119 | 45 | 49% | 2.6 |
| Physical Therapy Assistant | 2 | 0 | 2 | 80 | 28 | 31% | 2.8 |
| Physical Therapy Aide | 1 | 0 | 1 | 65 | 33 | 36% | 2 |
| Qualified Social Worker | 1 | 0 | 1 | 17 | 9 | 10% | 1.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 11 | 2 | 2% | 5.5 |
| Respiratory Therapist | 1 | 0 | 1 | 10 | 7 | 8% | 1.4 |
| Licensed Practical Nurse | 1 | 0 | 1 | 7 | 2 | 2% | 3.3 |
37 Certified Nursing Assistant
% of Days
100%
9 Registered Nurse
% of Days
100%
1 Dietitian
% of Days
69%
1 RN Director of Nursing
% of Days
69%
1 Clinical Nurse Specialist
% of Days
62%
2 Medication Aide/Technician
% of Days
46%
1 Administrator
% of Days
44%
1 Other Dietary Services Staff
% of Days
46%
1 Nurse Practitioner
% of Days
38%
2 Respiratory Therapy Technician
% of Days
49%
2 Physical Therapy Assistant
% of Days
31%
1 Physical Therapy Aide
% of Days
36%
1 Qualified Social Worker
% of Days
10%
1 Occupational Therapy Assistant
% of Days
2%
1 Respiratory Therapist
% of Days
8%
1 Licensed Practical Nurse
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
47 residents
Residents by payment source
Medicare
3 residents (6.4%)
Medicaid
22 residents (46.8%)
Private pay or other
22 residents (46.8%)
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.
12.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.8
25% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.4
In line with 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
20.8%
Percent of long-stay residents whose need for help with daily activities has increased
20.8%
11% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
31.1%
Percent of long-stay residents whose ability to move independently worsened
31.1%
58% worse 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
12.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.3%
53% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.9%
Percent of long-stay residents experiencing one or more falls with major injury
5.9%
63% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.0%
Percent of long-stay high risk residents with pressure ulcers
2.0%
55% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.2%
Percent of long-stay residents with a urinary tract infection
2.2%
13% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.4%
Percent of long-stay residents who lose too much weight
4.4%
11% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.9%
Percent of long-stay residents who have depressive symptoms
5.9%
51% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.9%
Percent of long-stay residents who received an antipsychotic medication
4.9%
74% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
5% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
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
95.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
12% 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%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.0%
25% better 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.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$25K
48% lower than Iowa averageIowa average: $48K
Number of fines
2
18% more fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$25K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 8, 2024
$14K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 3, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 3, 2023
$11K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Sunny Hill Care Center based on CMS SNF Cost Reports.
Occupancy Rate
76.6%
↑ 7.1pp vs 2022
Net Income
$367,043
↓ ~$18K vs 2022
Total Payroll
$2,418,902
↑ ~$404K vs 2022
Profit Margin
7.4%
↓ 1.8pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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