Nursing Care Index

Holy Spirit Retirement Home

Sioux City, Woodbury County, Iowa · CCN 165266 · Non-profit (Corporation) · not part of a chain

CMS rates Holy Spirit Retirement Home 3 of 5 overall as of August 2026. 78 certified beds, 61 residents a day on average. 30 citations on record from the current inspection cycles; no fines on record.

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★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay4 / 5 of 5

Staffing

Total nurse staffing4.09312 hours per resident per day
Registered nurses0.72055 hours per resident per day
Weekend total3.66171 hours per resident per day
Nursing staff turnover44.4% (registered nurses 40%)
Administrators who left2

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
2026-04-30 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
2026-05-28
2026-04-30 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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-05-28
2026-04-30 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-05-28
2026-04-30
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-28
2026-04-30 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
2026-05-28
2026-04-30 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-28
2026-04-30
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
2026-05-28
2025-10-07
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-10-08
2025-05-15 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · tag F0676
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-06-13
2025-05-15 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
2025-06-13
2025-05-15 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · tag F0868
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-06-13
2025-05-15 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
2025-06-13
2025-05-15 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-13
2025-05-15 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
2025-06-13
2025-05-15 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-13
2025-05-15 Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
Quality of Life and Care Deficiencies · tag F0826
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-13
2025-05-15 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
2025-06-13
2024-05-22 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-06-22
2024-05-22 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-06-22
2024-05-22 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · tag F0805
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-06-22
2024-05-22 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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-06-22
2024-05-22 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-22
2024-05-22 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
2024-06-22
2024-05-22 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
2024-06-22
2024-05-22 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-22
2024-05-22 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-22
2024-05-22 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-22
2024-02-08
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-11
2024-02-08
complaint survey
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
2024-03-11
2024-02-08
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-11

Fines and payment denials

No fines or payment denials on record since 2023.

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
The Diocese Of Sioux City
Organization
5% or greater direct ownership interest100%1984-12-03
Bcg Holdings Inc.
Organization
adp of the snf2025-12-26
Blue Stone Therapy Inc.
Organization
adp of the snf2025-11-01
Brighton Consulting Group LLC
Organization
adp of the snf2024-10-01
Cfo Next Inc.
Organization
adp of the snf2025-01-01
Citrin Cooperman Advisors LLC
Organization
adp of the snf2025-01-01
Forge Financial & Management Consulting, Inc.
Organization
adp of the snf2015-10-31
Healthcare Of Iowa Inc.
Organization
adp of the snf2025-10-01
Redlers Long Term Care Pharmacy
Organization
adp of the snf2025-01-01
Thompson Solutions Group Co
Organization
adp of the snf2025-01-01
The Diocese Of Sioux City
Organization
operational/managerial control1984-12-03
Jung, Michael
Individual
adp of the snf2025-12-26
Kreber, Jacqueline
Individual
adp of the snf2025-12-26
Patton, Roxanne
Individual
adp of the snf2025-01-01
Ranniger, Kathryn
Individual
adp of the snf2025-01-01
Berger, Patrick
Individual
corporate director2017-12-01
Bloch, Amy
Individual
corporate director2019-01-01
Feste, Krage
Individual
corporate director2018-01-01
Harrington, Lawrence
Individual
corporate director2001-01-01
Kayl, Christine
Individual
corporate director2023-01-01
Larson, Tracy
Individual
corporate director2020-01-01
Lawler, Matthew
Individual
corporate director2024-01-01
Waldschmitt, Karen
Individual
corporate director2017-01-01
Hanno, John
Individual
corporate officer2023-01-01
Keehner, John
Individual
corporate officer2025-05-01
Ranniger, Royce
Individual
corporate officer2010-01-01
Baker, Alan
Individual
operational/managerial control2023-05-22
Jung, Michael
Individual
operational/managerial control2022-09-30
Kreber, Jacqueline
Individual
operational/managerial control2025-04-07
Mendez-Avalos, Jacalynn
Individual
operational/managerial control2023-03-13
Mess, Jennifer
Individual
operational/managerial control2021-03-16
Pranschke, Sharlene
Individual
operational/managerial control2021-06-07
Quade, Stacey
Individual
operational/managerial control2019-05-20

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 Woodbury County.