Nursing Care Index

Oakwood Specialty Care

Albia, Monroe County, Iowa · CCN 165313 · Non-profit (Corporation) · part of Care Initiatives (43 facilities, chain average 2.9 stars)

CMS rates Oakwood Specialty Care 4 of 5 overall as of August 2026. 54 certified beds, 47 residents a day on average. 18 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★★★★☆ 4 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing3.26326 hours per resident per day
Registered nurses0.53633 hours per resident per day
Weekend total2.84421 hours per resident per day
Nursing staff turnover31.7% (registered nurses 28.6%)
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
2025-09-04 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
2025-09-05
2024-09-05 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-09-13
2024-09-05 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
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-09-13
2024-09-05 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
2024-09-13
2024-09-05 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
2024-09-13
2024-09-05 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
2024-09-13
2024-09-05 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
2024-09-13
2024-05-29
complaint survey
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies · tag F0809
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-06-15
2023-10-23
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
2023-11-03
2023-10-23
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-03
2023-06-15 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-07-03
2023-06-15 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
2023-07-03
2023-06-15 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
2023-07-03
2023-06-15 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · tag F0636
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-03
2023-06-15 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
2023-07-03
2023-06-15 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-03
2023-06-15 Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-03
2023-06-15 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
2023-07-03

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
Care Initiatives
Organization
5% or greater direct ownership interest100%2010-11-12
Computershare Corporate Trust Company, Na
Organization
5% or greater mortgage interest2025-01-01
Computershare Corporate Trust Company, Na
Organization
adp of the snf2025-04-15
Dufur, David
Individual
adp of the snf2025-08-01
Wei, Shipeng
Individual
adp of the snf2025-08-01
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
Volm, Johanna
Individual
corporate officer2021-01-01
Beal, Michael
Individual
individual is an owner, partner or trustee of any adp of the snf2025-09-15
Dufur, David
Individual
operational/managerial control2025-05-15
Mahler, Carla
Individual
operational/managerial control2024-01-01
Wei, Shipeng
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 Monroe County.