Nursing homeActive
Stratford Specialty Care
1200 Highway 175 East, Stratford, IA 50249515612154253 certified beds · 38 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
9
since 2023
Deficiencies
31
● 0● 31● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-12-04
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-12-04 | Complaint | 050 | CMS-2567 (Care Compare) | — |
| 2025-05-21 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2025-01-06 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-25 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-06-17 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-21 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-01-04 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-11-06 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2023-05-24 | Standard | 060 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 165270-20251204-F550
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 165270-20251204-F580
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 165270-20251204-F604
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 165270-20251204-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 165270-20251204-F610
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 165270-20250521-F582
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 165270-20250521-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 165270-20250521-F689
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 165270-20250521-F693
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 165270-20250521-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 165270-20250521-F725
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 165270-20250521-F865
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 165270-20250521-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-16Record 165270-20250106-F550
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-05Record 165270-20240725-F688
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-05Record 165270-20240725-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-05Record 165270-20240725-F725
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-05Record 165270-20240725-F812
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-28Record 165270-20240617-F725
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 165270-20240321-F558
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 165270-20240321-F677
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-05Record 165270-20240104-F880
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 165270-20231106-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 165270-20231106-F689
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 165270-20231106-F760
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-20Record 165270-20230524-F550
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-20Record 165270-20230524-F578
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-20Record 165270-20230524-F582
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-20Record 165270-20230524-F638
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-20Record 165270-20230524-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-20Record 165270-20230524-F658
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.79
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.32
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.00
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover55%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover70%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.7% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.7% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 30.9% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.7% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.6% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.1% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 17.3% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Care Initiatives Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Boeve, Destiny Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Castro, Amy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Oben, Patrick Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Beal, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Beal, Michael Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Bowen, Lane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Carothers, Mary Jane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Castro, Amy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Childs, Kevin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Computershare Corporate Trust Company, Na Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Computershare Corporate Trust Company, Na Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Corless, Peter Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dixon, David Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Drake, Emily Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gilyard, Tanya Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Krein, Keith Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kuhn, Jeramy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mcdyer, Jessica Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Oben, Patrick Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rust, Elizabeth Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sturm, Denise Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Upmeyer, Linda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Volm, Johanna Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Care Initiatives — 43 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Hamilton.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Grandview Healthcare Center Dayton | 5.4 mi | 2025-12-11 | 1101 |
| Eastern Star Masonic Home Boone | 14.6 mi | 2026-05-21 | 0150 |
| Westhaven Community Boone | 14.6 mi | 2026-04-30 | 0150 |
| Crestview Nursing and Rehabilitation Webster City | 14.7 mi | 2025-11-17 | 082 |
| Southfield Wellness Community Webster City | 14.8 mi | 2026-02-19 | 0544 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |