Nursing homeActive
Titonka Care Center
312 First Avenue NW, Titonka, IA 50480515928260026 certified beds · 20 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2024
Deficiencies
9
● 0● 9● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-30
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
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 |
|---|---|---|---|---|
| 2026-04-30 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2025-04-17 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-05-02 | Standard | 020 | 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.
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-29Record 165431-20250417-F625
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 2025-04-29Record 165431-20250417-F658
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 2025-04-29Record 165431-20250417-F684
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 2025-04-29Record 165431-20250417-F695
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-29Record 165431-20250417-F758
F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-29Record 165431-20250417-F836
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-29Record 165431-20250417-F880
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-17Record 165431-20240502-F851
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-17Record 165431-20240502-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.04
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day4.15
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.23
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover25%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover20%
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 | 3.5% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 9.2% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 14.5% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.0% | 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 | 14.5% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.9% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 32.9% | 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 |
|---|---|---|---|---|
| Continuum Health Care Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Anderson Post, Sherri Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Anderson Post, Sherri Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Buffington-Missman, Tammy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Christensen, Wendell Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gerzema, Dean Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Heyer, Steven Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Larsen, Paul Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Phelps, Laura Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Rasch, Corey Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Rasch, Corey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
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 Kossuth.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Accura Healthcare of Bancroft Bancroft | 9.1 mi | 2026-05-28 | 050 |
| Timely Mission Nursing Home Buffalo Center | 11.5 mi | 2025-11-17 | 030 |
| Algona Manor Care Center Algona | 14.3 mi | 2025-06-12 | 1110 |
| Good Samaritan - Algona Algona | 15.4 mi | 2025-12-04 | 0243 |
| Westview Care Center Britt | 15.4 mi | 2026-06-25 | 000 |
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 |