Nursing Care Index

Manly Specialty Care

Manly, Worth County, Iowa · CCN 165226 · Non-profit (Corporation) · part of Care Initiatives (43 facilities, chain average 2.9 stars)

CMS rates Manly Specialty Care 3 of 5 overall as of August 2026. 44 certified beds, 39 residents a day on average. 21 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $13,627.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay3 / 3 of 5

Staffing

Total nurse staffing3.60325 hours per resident per day
Registered nurses0.97828 hours per resident per day
Weekend total3.30456 hours per resident per day
Nursing staff turnover27% (registered nurses 11.1%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-05 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-05-14
2026-03-05 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-05-14
2026-03-05 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-05-14
2026-03-05 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 · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-14
2026-03-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-14
2025-02-27 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · tag F0801
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-03-21
2025-02-27 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-03-21
2025-02-27 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · tag F0803
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-03-21
2025-02-27 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-03-21
2025-02-27 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-21
2025-02-27 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-21
2025-02-27 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-21
2024-04-25 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · tag F0803
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-12
2024-04-25 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-12
2024-04-25 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · tag F0644
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-12
2024-04-25 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-12
2024-04-25 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-12
2024-04-25 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · tag F0868
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-12
2024-04-25 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-12
2024-01-17
complaint survey
Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning Deficiencies · tag F0660
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-01-25
2024-01-17
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-02

Fines and payment denials

DatePenaltyAmount
2024-01-17Fine$13,627

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Care Initiatives
Organization
5% or greater direct ownership interest100%2014-03-01
Computershare Corporate Trust Company, Na
Organization
5% or greater mortgage interest2025-02-01
Computershare Corporate Trust Company, Na
Organization
adp of the snf2025-04-14
Burkgren, Jeffery
Individual
adp of the snf2025-04-14
Oben, Patrick
Individual
adp of the snf2025-07-31
Beal, Michael
Individual
corporate director2020-06-01
Bowen, Lane
Individual
corporate director2021-01-01
Carothers, Mary Jane
Individual
corporate director2023-01-01
Childs, Kevin
Individual
corporate director2023-04-01
Corless, Peter
Individual
corporate director2025-01-01
Krein, Keith
Individual
corporate director2022-06-29
Rust, Elizabeth
Individual
corporate director2023-01-01
Sturm, Denise
Individual
corporate director2021-01-01
Upmeyer, Linda
Individual
corporate director2022-06-29
Beal, Michael
Individual
corporate officer2020-06-01
Dixon, David
Individual
corporate officer2016-06-01
Drake, Emily
Individual
corporate officer2023-01-04
Gilyard, Tanya
Individual
corporate officer2025-05-23
Kuhn, Jeramy
Individual
corporate officer2012-06-25
Mcdyer, Jessica
Individual
corporate officer2023-02-22
Volm, Johanna
Individual
corporate officer2021-01-01
Baedke, Charissa
Individual
operational/managerial control2024-01-01
Burkgren, Jeffery
Individual
operational/managerial control2023-07-19
Oben, Patrick
Individual
operational/managerial control2024-01-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Worth County.