Dunlap Specialty Care: Staffing, Turnover, and Inspection Record
Dunlap Specialty Care is a 46-bed nonprofit nursing home in Dunlap, Iowa, part of Care Initiatives. In the CMS August 2026 release it reported 2.58 nurse aide hours per resident per day, 3% above the Iowa average of 2.51, and 35.5% nursing staff turnover (Iowa average 44.0%).
Dunlap Specialty Care
1403 Harrison RoadDunlap, IA 51529
Harrison County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Dunlap Specialty Care, nurse aides logged 2.58 hours per resident per day, 3% above the Iowa average. With about 33 residents a day, that works out to roughly 85 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.58 | 2.51 | 2.32 |
| Licensed practical nurses | 0.26 | 0.56 | 0.86 |
| Registered nurses | 0.73 | 0.74 | 0.69 |
| All nursing staff | 3.58 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.34 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
35.5% of nursing staff at Dunlap Specialty Care left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 14.3%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 22, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $10,062 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 9, 2023 | Fine | $10,062 |
| Nov 9, 2023 | Payment Denial | 55 days from Dec 6, 2023 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Dunlap Specialty Care holds 4 of 5 overall; the Iowa average is 3.1.
About Dunlap Specialty Care
- Ownership: Non profit - Corporation
- Chain: Care Initiatives, 43 homes
- Legal name: Care Initiatives
- Medicare and Medicaid certified since: Dec 1, 1993
- Councils: resident council
- Area: urban
Nursing homes near Dunlap Specialty Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Azria Health Rose Vista Woodbine | 9.5 | 76 | 2.55 | 3.60 | 42.6% | 1 | None |
| Gracewell, An Eventide Community Denison | 17.0 | 84 | 2.32 | 3.64 | 18.5% | 5 | None |
| Denison Care Center Denison | 18.1 | 46 | 2.16 | 3.63 | 28.6% | 4 | None |
| Elm Crest Retirement Community Harlan | 19.3 | 50 | 2.69 | 3.99 | 71.7% | 2 | None |
| Maple Heights Mapleton | 24.3 | 58 | 3.14 | 4.36 | 28.4% | 5 | None |
| Azria Health Longview Missouri Valley | 24.8 | 100 | 2.39 | 3.81 | 60.9% | 1 | None |
| Avoca Specialty Care Avoca | 25.9 | 46 | 1.87 | 3.01 | 63.9% | 1 | None |
| Accura Healthcare of Onawa Onawa | 29.5 | 46 | 2.20 | 3.22 | 50.0% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.