Nursing Care Index

Chariton Specialty Care

Chariton, Lucas County, Iowa · CCN 165305 · For-profit (Corporation) · part of Care Initiatives (43 facilities, chain average 2.9 stars)

CMS rates Chariton Specialty Care 2 of 5 overall as of August 2026. 60 certified beds, 34 residents a day on average. 18 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $15,134.

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★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay4 / — of 5

Staffing

Total nurse staffing3.80682 hours per resident per day
Registered nurses0.98632 hours per resident per day
Weekend total3.31703 hours per resident per day
Nursing staff turnover58.1% (registered nurses 50%)
Administrators who left1

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
2026-01-14 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
2026-01-30
2026-01-14 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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-30
2025-09-18
complaint survey
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
2025-09-30
2025-01-30 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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-11
2025-01-30 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
2025-02-11
2025-01-30 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-11
2025-01-30 Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · tag F0637
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-11
2025-01-30 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
2025-02-11
2025-01-30 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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-11
2025-01-30 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
2025-02-11
2024-03-07 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
2024-03-19
2024-03-07 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-19
2024-03-07
complaint survey
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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-19
2024-03-07
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-19
2024-03-07
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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-19
2023-09-14
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2023-09-15
2023-09-14
complaint survey
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · tag F0726
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-09-15
2023-09-14
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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-15

Fines and payment denials

DatePenaltyAmount
2023-09-14Fine$15,134

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%2010-11-12
Computershare Corporate Trust Company, Na
Organization
5% or greater mortgage interest2024-01-01
Computershare Corporate Trust Company, Na
Organization
adp of the snf2025-04-07
Oben, Patrick
Individual
adp of the snf2025-07-28
Young, Vanessa
Individual
adp of the snf2025-04-07
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 officer2008-06-25
Mcdyer, Jessica
Individual
corporate officer2023-02-22
Mahler, Carla
Individual
operational/managerial control2025-01-01
Oben, Patrick
Individual
operational/managerial control2024-01-01
Young, Vanessa
Individual
operational/managerial control2022-03-16

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 Lucas County.