Southern Hills Specialty Care

444 North West View Drive, Osceola, IA 50213 · CCN 165293 · 90 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections3 of 5CMS staffing3 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

8 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.

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Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

2.73

state median 3.10

Weekend staffing gap

−14%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.41

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

40%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $36,865 in fines.

Date	Type	Amount
2024-08-18	Fine	$36,865

Ownership

Ownership type: Non profit - Corporation. Part of the CARE INITIATIVES chain.

Other facilities under the same ownership, with their CMS overall ratings:

Northcrest Specialty Care (Waterloo, IA) — CMS overall2 of 5
Odebolt Specialty Care (Odebolt, IA) — CMS overall3 of 5
Dunlap Specialty Care (Dunlap, IA) — CMS overall4 of 5
Creston Specialty Care (Creston, IA) — CMS overall3 of 5
Southridge Specialty Care (Marshalltown, IA) — CMS overall2 of 5
Lantern Park Specialty Care (Coralville, IA) — CMS overall2 of 5
Lyon Specialty Care (Rock Rapids, IA) — CMS overall4 of 5
Corydon Specialty Care (Corydon, IA) — CMS overall4 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 7

Survey date	Tag	Category	Severity	Corrected
2025-08-21	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-08-21	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-08-21	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-08-21	F0865	Administration Deficiencies	F	not recorded
2025-08-21	F0880	Infection Control Deficiencies	D	not recorded
2025-04-10	F0925	Environmental Deficiencies	C	not recorded
2024-09-12	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-12-12	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Southern Hills Specialty Care, Osceola” at medicare.gov/care-compare.