State Center Specialty Care
State Center Specialty Care – Medicare Certified Since 1998
State Center Specialty Care is a Medicare and Medicaid certified skilled nursing facility located in State Center, Iowa. This facility has been serving the community for 28 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.
This facility has 39 certified beds with a current occupancy rate of 82% (averaging 32 residents per day), which is moderate. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.
Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.29 hours of total nursing care per resident per day (2.12 hours from CNAs, 0.42 hours from LPNs, 0.75 hours from RNs). Physical therapy staffing is 0.01 hours per resident per day.
Medicare Quality Ratings: According to CMS, State Center Specialty Care has an overall quality rating of 3 out of 5 stars, which is average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 3 stars, staffing: 4 stars, quality measures: 4 stars.
Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.
Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.
Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.
Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.
Local Comparison Snapshot
How State Center Specialty Care compares to 251 facilities in Rural IA
Click a measure name to jump to details • Hover over ⓘ for definitions
Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 251 facilities in Rural IA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 251 other nursing homes in Rural IA
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.
Agency Staff Trends
Historical agency/contract staff usage by role
Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.
Direct Care Staffing
Average minutes of direct nursing care per resident per day
Data as of December 2025
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.
Staff Turnover History
Annual percentage of nursing staff who left the facility
Data as of December 2025
Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.
Average Daily Rate
Average daily charge for care at this facility
Based on CMS Cost Report data (inpatient revenue ÷ total patient days)
Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.
Financial Health
Comprehensive financial indicators from CMS Cost Reports
Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.
Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.
Who Stays Here
Breakdown of residents by payment type
Based on fiscal year 2023 cost report data
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in STATE CENTER
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Find Jobs Near MeReviews
My husbands clothes keep coming up missing as well as other things. I told the nurse about it. She wrote it down but nothing has been done. I left my husband in their care hoping to get the help I needed, and now Im constantly worrying about him!
The incompetence, negligence, unlawful and unethical employees of this horrifyingly foul and filthy facility, now has their business license in question by the Iowa Department of Inspections, Appeals & Licensing. My father suffered in agony for eight days before the Dr, that was “afraid” to prescribe an opioid for “fear of constipation”, ordered an Rx for pain management. These people will do anything to make your loved one as miserable, pain ridden, and lonely, as is sub-humanly possible. They’ll defiantly ignore and dismiss any Durable Power of Attorney’s instructions and / or legality. They’re everyone’s worst nightmare come true—they guarantee it. They refused to allow an employee to visit her own grandmother, at her own place of employment, due to a “conflict of interest.” The brazen chutzpah of denying their own staff to visit their own grandmother, who is now a victim, at the mercy of these heartless, incompetent, unaccountable and abusive staff, says it all. They want no witnesses and nothing that anyone should ever have to experience. RUN!!!
The staff members are very nice and friendly and also will help with anything you need in a timely matter.
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