Stratford Specialty Care: Staffing, Turnover, and Inspection Record
Stratford Specialty Care is a 53-bed nonprofit nursing home in Stratford, Iowa, part of Care Initiatives. In the CMS August 2026 release it reported 1.99 nurse aide hours per resident per day, 21% below the Iowa average of 2.51, and 55.0% nursing staff turnover (Iowa average 44.0%).
Stratford Specialty Care
1200 Highway 175 EastStratford, IA 50249
Hamilton 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 Stratford Specialty Care, nurse aides logged 1.99 hours per resident per day, 21% below the Iowa average. With about 38 residents a day, that works out to roughly 75 aide hours a day, or about 9 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.99 | 2.51 | 2.32 |
| Licensed practical nurses | 0.55 | 0.56 | 0.86 |
| Registered nurses | 0.79 | 0.74 | 0.69 |
| All nursing staff | 3.32 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.00 | 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
55.0% of nursing staff at Stratford 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 70.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 21, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 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. Stratford Specialty Care holds 2 of 5 overall; the Iowa average is 3.1.
About Stratford Specialty Care
- Ownership: Non profit - Corporation
- Chain: Care Initiatives, 43 homes
- Legal name: Care Initiatives
- Medicare and Medicaid certified since: May 1, 1996
- Area: rural
Nursing homes near Stratford Specialty Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Grandview Healthcare Center Dayton | 5.4 | 40 | 1.62 | 2.84 | 52.0% | 2 | $33,598 |
| Eastern Star Masonic Home Boone | 14.6 | 76 | 2.77 | 4.13 | 39.5% | 3 | None |
| Westhaven Community Boone | 14.6 | 100 | 2.71 | 4.10 | 96.1% | 3 | None |
| Crestview Nursing and Rehabilitation Webster City | 14.7 | 70 | 3.07 | 3.95 | 28.6% | 2 | $25,136 |
| Southfield Wellness Community Webster City | 14.8 | 65 | 2.61 | 3.71 | 53.6% | 1 | $71,897 |
| Accura Healthcare of Ogden, LLC Ogden | 16.1 | 46 | 2.02 | 3.21 | 29.0% | 4 | None |
| Friendship Haven, Inc Fort Dodge | 18.5 | 155 | 2.87 | 4.41 | 40.1% | 4 | None |
| Bethany Life Story City | 19.7 | 126 | 2.99 | 4.11 | 38.5% | 2 | $52,329 |
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.
Explore next
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.