Titonka Care Center
312 First Avenue NW, Titonka, IA 50480
Titonka Care Center is a nursing home in Titonka, Iowa. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (515) 928-2600
- Last standard health inspection
- April 30, 2026 (6 months ago)
- Certified beds
- 26
- Residents per day, on average
- 20.4
- Ownership type
- Non profit - Corporation
- Legal business name
- Titonka Community Rest Home, INC.
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Iowa average (9 vs 21).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of November 20, 2025
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 3 of 5 to 5 of 5.
Ownership
CMS ownership records list new owners for this home.
Fire safety citation
CMS removed citation K0232 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0291 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0293 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0343 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0345 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0353 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0355 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0363 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0372 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0374 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0711 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0712 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0741 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0761 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0914 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0918 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0920 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0921 from the fire safety inspection on April 14, 2025.
Fire safety citation
CMS removed citation K0321 from the fire safety inspection on May 7, 2024.
Fire safety citation
CMS removed citation K0353 from the fire safety inspection on May 7, 2024.
Fire safety citation
CMS removed citation K0374 from the fire safety inspection on May 7, 2024.
Fire safety citation
CMS removed citation K0918 from the fire safety inspection on May 7, 2024.
Fire safety citation
CMS removed citation K0921 from the fire safety inspection on May 7, 2024.
CMS update of June 25, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
7 citations
Health inspection on April 17, 2025
CMS lists this as a standard inspection.
Citation F0836. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure 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.
CMS lists it as corrected on April 29, 2025.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 29, 2025.
CMS has cited this home for F0880 2 times since 2024.
Citation F0625. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Notify 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.
CMS lists it as corrected on April 29, 2025.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on April 29, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on April 29, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on April 29, 2025.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement 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.
CMS lists it as corrected on April 29, 2025.
12 citations
Fire safety inspection on April 17, 2025
CMS lists this as a standard inspection.
Citation E0004. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on May 14, 2025.
Citation E0006. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct risk assessment and an All-Hazards approach.
CMS lists it as corrected on April 24, 2025.
Citation E0007. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Address patient/client population and determine types of services needed.
CMS lists it as corrected on April 25, 2025.
Citation E0018. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish procedures for tracking staff and patients during an emergency.
CMS lists it as corrected on April 25, 2025.
Citation E0022. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish policies and procedures for sheltering.
CMS lists it as corrected on April 25, 2025.
Citation E0025. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Create arrangements with other facilities to receive patients.
CMS lists it as corrected on May 14, 2025.
Citation E0026. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish roles under a Waiver declared by secretary.
CMS lists it as corrected on May 14, 2025.
Citation E0030. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
List the names and contact information of those in the facility.
CMS lists it as corrected on May 14, 2025.
Citation E0031. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide emergency officials' contact information.
CMS lists it as corrected on April 24, 2025.
Citation E0032. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide primary/alternate means for communication.
CMS lists it as corrected on April 25, 2025.
Citation E0035. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide family notifications of emergency plan.
CMS lists it as corrected on April 25, 2025.
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on April 25, 2025.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 5.6 to 4.1 hours per resident per day.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
2 citations
Health inspection on May 2, 2024
CMS lists this as a standard inspection.
Citation F0851. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS lists it as corrected on May 17, 2024.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 17, 2024.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 5 of 5 to 3 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 3 of 5.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CONTINUUM HEALTH CARE SERVICES LLCOperational/managerial control · not applicable · since 08/01/2006
Questions
When was Titonka Care Center last inspected?
CMS lists April 30, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Titonka Care Center have?
CMS lists 9 health citations since May 2, 2024. CMS also calls these deficiencies.
Has Titonka Care Center been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Titonka Care Center?
Its CMS overall star rating is 5 of 5.
Is Titonka Care Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.