Southern Hills Specialty Care: Staffing, Turnover, and Inspection Record
Southern Hills Specialty Care is a 90-bed nonprofit nursing home in Osceola, Iowa, part of Care Initiatives. In the CMS August 2026 release it reported 2.18 nurse aide hours per resident per day, 13% below the Iowa average of 2.51, and 40.4% nursing staff turnover (Iowa average 44.0%).
Southern Hills Specialty Care
444 North West View DriveOsceola, IA 50213
Clarke 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 Southern Hills Specialty Care, nurse aides logged 2.18 hours per resident per day, 13% below the Iowa average. With about 84 residents a day, that works out to roughly 183 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.18 | 2.51 | 2.32 |
| Licensed practical nurses | 0.61 | 0.56 | 0.86 |
| Registered nurses | 0.60 | 0.74 | 0.69 |
| All nursing staff | 3.38 | 3.82 | 3.86 |
| All nursing staff, weekends | 2.97 | 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
40.4% of nursing staff at Southern Hills 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 55.6%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 21, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $36,865 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 18, 2024 | Fine | $36,865 |
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. Southern Hills Specialty Care holds 3 of 5 overall; the Iowa average is 3.1.
About Southern Hills Specialty Care
- Ownership: Non profit - Corporation
- Chain: Care Initiatives, 43 homes
- Legal name: Care Initiatives
- Medicare and Medicaid certified since: Aug 9, 1996
- Councils: resident council
- Area: rural
Nursing homes near Southern Hills Specialty Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Westview Acres Care Center Leon | 20.5 | 46 | 2.21 | 3.62 | 55.8% | 4 | None |
| Chariton Specialty Care Chariton | 24.0 | 60 | 2.21 | 3.81 | 58.1% | 2 | $15,134 |
| Westview of Indianola Care Center Indianola | 24.0 | 71 | 2.93 | 4.00 | 27.8% | 5 | None |
| Good Samaritan - Indianola Indianola | 24.4 | 105 | 2.26 | 3.19 | 60.5% | 1 | $20,316 |
| Azria Health Winterset Winterset | 24.4 | 65 | 2.31 | 3.45 | 42.9% | 2 | None |
| The Village Indianola | 25.3 | 54 | 2.42 | 4.10 | 45.9% | 5 | None |
| Norwalk Nursing and Rehabilitation Center Norwalk · staffing data not validated | 29.8 | 45 | — | — | 95.3% | 3 | None |
| Lamoni Specialty Care Lamoni | 30.3 | 43 | 2.25 | 3.63 | 32.3% | 5 | 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.