State Center Specialty Care: Staffing, Turnover, and Inspection Record
State Center Specialty Care is a 39-bed nonprofit nursing home in State Center, Iowa, part of Care Initiatives. In the CMS August 2026 release it reported 2.34 nurse aide hours per resident per day, 7% below the Iowa average of 2.51, and 40.0% nursing staff turnover (Iowa average 44.0%).
State Center Specialty Care
702 Third Street NWState Center, IA 50247
Marshall 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 State Center Specialty Care, nurse aides logged 2.34 hours per resident per day, 7% below the Iowa average. With about 33 residents a day, that works out to roughly 77 aide hours a day, or about 10 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) | 2.34 | 2.51 | 2.32 |
| Licensed practical nurses | 0.22 | 0.56 | 0.86 |
| Registered nurses | 0.85 | 0.74 | 0.69 |
| All nursing staff | 3.41 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.18 | 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
40.0% of nursing staff at State Center Specialty Care left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 22, 2026. 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 no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. State Center Specialty Care holds 5 of 5 overall; the Iowa average is 3.1.
About State Center Specialty Care
- Ownership: Non profit - Corporation
- Chain: Care Initiatives, 43 homes
- Legal name: Care Initiatives
- Medicare and Medicaid certified since: Apr 1, 1998
- Councils: resident council
- Area: rural
Nursing homes near State Center Specialty Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Zearing Health Care, LLC Zearing | 11.7 | 40 | 2.30 | 3.68 | — | 2 | $22,205 |
| Iowa Veterans Home Marshalltown | 12.4 | 702 | 3.34 | 4.74 | 24.7% | 5 | None |
| Southridge Specialty Care Marshalltown | 13.1 | 82 | 2.46 | 3.65 | 29.2% | 2 | $45,406 |
| Accura Healthcare of Marshalltown Marshalltown · abuse citation · many days without an RN | 13.1 | 84 | 2.59 | 3.60 | 42.3% | 1 | $9,350 |
| Story Medical Senior Care Nevada | 13.5 | 60 | 3.34 | 4.79 | 29.3% | 5 | None |
| Harmony Marshalltown Marshalltown | 14.1 | 72 | 2.97 | 4.01 | 50.7% | 1 | $78,878 |
| Rolling Green Village Care Center Nevada | 14.4 | 58 | 3.02 | 4.23 | 65.0% | 3 | $9,347 |
| Hubbard Care Center Hubbard | 20.4 | 60 | 2.38 | 3.84 | 50.0% | 5 | $46,101 |
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.