Southern Hills Specialty Care

444 North West View Drive, Osceola, IA 50213

Operator

Provider number (CCN): 165293
Certification: Medicare and Medicaid
Ownership: Non profit - Corporation
Certified beds: 90
Phone: (641) 342-6061
CMS data as of: July 1, 2026

What the records show

CMS rates Southern Hills Specialty Care 3 out of 5 stars overall, with 3 of 5 for health inspections, 3 of 5 for staffing, 3 of 5 for quality measures. Federal inspectors cited 8 health deficiencies across the last three survey cycles, most recently surveyed in 2025. CMS enforcement records list 1 fine totalling $36,865.

Facility Assessment This facility is operated by CARE INITIATIVES, which scores 13 points above the national average.

Reviews, Ratings and Official Records

This page reviews Southern Hills Specialty Care using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.

At or above the 2024 benchmark — above average inspection record.

Ratings and Grade Breakdown

RN Staffing Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.	0.60 — At or above the repealed 0.55 hr benchmark
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why
Health Deficiencies (last 3 survey cycles) Violations found during federal inspections, with how many remain open and how many involved actual harm.	Total 8 Outstanding 0 Actual harm or worse (G–L) 0
CMS Ratings Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.	Overall: ★★★☆☆ (3/5) Health inspection: ★★★☆☆ (3/5) Quality: ★★★☆☆ (3/5) Staffing: ★★★☆☆ (3/5)
NursingHomeGrade Score	65/100

Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.

CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.

Staffing Compared With State and National Levels

Registered nurse hours per resident per day compared with state and national levels
This facility	0.60 hrs
IA median	0.69 hrs
National average	0.69 hrs

Registered nurse turnover: 55.6% · Total nursing staff turnover: 40.4%

Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.

Inspection Records Covered

Most recent standard health survey: August 21, 2025.
Citations shown below span 3 recorded inspection cycles.
Survey dates on file range from December 12, 2023 to August 21, 2025.

Source records: CMS Care Compare profile for provider 165293 ↗ · the federal files we load and when.

Inspection Deficiencies

Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).

8 deficiencies found. 8 corrected. None involved actual harm.

Most recent inspection (August 21, 2025)

F Potential harm — widespread F0865 Status: Corrected

Have a plan that describes the process for conducting QAPI and QAA activities.

Administration Deficiencies — Deficient, Provider has date of correction, corrected August 25, 2025

D Potential harm — isolated F0600 Status: Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected August 25, 2025

D Potential harm — isolated F0880 Status: Corrected

Provide and implement an infection prevention and control program.

Infection Control Deficiencies — Deficient, Provider has date of correction, corrected August 25, 2025

E Potential harm — pattern F0812 Status: Corrected

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected August 25, 2025

D Potential harm — isolated F0689 Status: Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected August 25, 2025

Inspection cycle 2 (April 10, 2025)

C No harm — widespread F0925 Status: Corrected

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies — Deficient, Provider has date of correction, corrected April 11, 2025

E Potential harm — pattern F0812 Status: Corrected

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected September 27, 2024

Inspection cycle 3 (December 12, 2023)

D Potential harm — isolated F0610 Status: Corrected

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected December 30, 2023

Fines and Enforcement Actions

Penalties CMS has imposed on this facility. A fine is a civil money penalty; a payment denial suspends Medicare or Medicaid payment for new admissions.

Date	Action	Amount or length
August 18, 2024	Fine	$36,865

1 fine totalling $36,865.

Source: CMS Penalties file (dataset g6vv-u9sr).

Ownership and Contact Information

Facility name: Southern Hills Specialty Care
Legal business name: CARE INITIATIVES
Address: 444 North West View Drive, Osceola, IA 50213
Phone: (641) 342-6061
Provider number (CCN): 165293
Ownership type: Non profit - Corporation
Operator: CARE INITIATIVES · 43 facilities
Medicare/Medicaid certified since: August 9, 1996
Official record: CMS Care Compare profile ↗
Details verified against CMS data dated: July 1, 2026

The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.

How We Stay Independent

NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.

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Sources and Methodology

CMS Provider Information (file processed July 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
CMS Penalties — fines and payment denials with the dates CMS recorded them. Dataset g6vv-u9sr ↗
CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗

The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.

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