Titonka Care Center: Staffing, Turnover, and Inspection Record
Titonka Care Center is a 26-bed nonprofit nursing home in Titonka, Iowa. In the CMS August 2026 release it reported 2.53 nurse aide hours per resident per day, about the same as the Iowa average of 2.51, and 25.0% nursing staff turnover (Iowa average 44.0%).
Titonka Care Center
312 First Avenue NWTitonka, IA 50480
Kossuth 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 Titonka Care Center, nurse aides logged 2.53 hours per resident per day, about the same as the Iowa average. With about 20 residents a day, that works out to roughly 51 aide hours a day, or about 6 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 22% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.53 | 2.51 | 2.32 |
| Licensed practical nurses | 0.58 | 0.56 | 0.86 |
| Registered nurses | 1.04 | 0.74 | 0.69 |
| All nursing staff | 4.15 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.23 | 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
25.0% of nursing staff at Titonka Care Center left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 20.0%.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 30, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 0 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. Titonka Care Center holds 5 of 5 overall; the Iowa average is 3.1.
About Titonka Care Center
- Ownership: Non profit - Corporation
- Legal name: Titonka Community Rest Home, Inc.
- Medicare and Medicaid certified since: Dec 12, 2000
- Councils: resident council
- Area: rural
Nursing homes near Titonka Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Accura Healthcare of Bancroft Bancroft | 9.1 | 25 | 2.75 | 4.61 | 39.3% | 5 | None |
| Timely Mission Nursing Home Buffalo Center | 11.5 | 42 | 1.98 | 3.09 | 36.0% | 5 | None |
| Algona Manor Care Center Algona | 14.3 | 46 | 2.64 | 3.62 | 33.3% | 5 | None |
| Westview Care Center Britt | 15.4 | 67 | 2.38 | 3.56 | 34.4% | 5 | None |
| Good Samaritan - Algona Algona | 15.4 | 72 | 2.00 | 3.06 | 41.8% | 3 | $7,070 |
| Good Samaritan - Forest City Forest City | 20.4 | 43 | 2.12 | 3.49 | 31.0% | 4 | $25,945 |
| Kanawha Community Home, INC. Kanawha | 24.1 | 26 | 2.47 | 4.52 | 38.5% | 5 | None |
| Concord Care Center Garner | 24.2 | 46 | 2.35 | 3.50 | 53.2% | 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.