Sunny Hill Care Center
Tama, Tama County, Iowa · CCN 165462 · For-profit (LLC) · not part of a chain
CMS rates Sunny Hill Care Center 1 of 5 overall as of August 2026. 57 certified beds, 52 residents a day on average. 14 citations on record from the current inspection cycles, 2 at immediate jeopardy; 2 fines totalling $24,756.
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 | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 2 / 4 of 5 |
Staffing
| Total nurse staffing | 2.99918 hours per resident per day |
|---|---|
| Registered nurses | 0.78884 hours per resident per day |
| Weekend total | 2.70223 hours per resident per day |
| Administrators who left | 0 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-05 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-20 |
| 2026-03-05 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-20 |
| 2025-08-21 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 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-09-08 |
| 2025-02-06 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · tag F0865 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-17 |
| 2025-02-06 | 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 2025-02-17 |
| 2025-02-06 | 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 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2025-02-17 |
| 2024-11-26 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 2024-12-06 |
| 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 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-02-23 |
| 2024-02-08 complaint survey |
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 2024-02-23 |
| 2024-02-08 complaint survey |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-23 |
| 2024-02-08 complaint survey |
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 2024-02-23 |
| 2023-10-03 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 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2023-10-19 |
| 2023-10-03 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2023-10-19 |
| 2023-10-03 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 2023-10-19 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-08 | Fine | $13,787 |
| 2023-10-03 | Fine | $10,969 |
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.
| Name | Role | Share | Since |
|---|---|---|---|
| Ltc Accounting Services, LLC Organization | adp of the snf | — | 2025-06-26 |
| Potter And Brant Plc Organization | adp of the snf | — | 2025-07-10 |
| Premier Senior Management LLC Organization | adp of the snf | — | 2025-07-10 |
| Ltc Accounting Services, LLC Organization | operational/managerial control | — | 2021-09-01 |
| Potter And Brant Plc Organization | operational/managerial control | — | 2001-08-01 |
| Premier Senior Management LLC Organization | operational/managerial control | — | 2005-01-01 |
| Hineman, Polly Individual | adp of the snf | — | 2020-01-01 |
| Kilian, Mark Individual | adp of the snf | — | 2001-08-01 |
| Osthus, David Individual | adp of the snf | — | 2001-08-01 |
| Thiessen, Megan Individual | adp of the snf | — | 2012-03-19 |
| Walton, Caleb Individual | adp of the snf | — | 2016-01-01 |
| Kilian, Mark Individual | direct ownership interest | — | 2001-08-01 |
| Osthus, David Individual | direct ownership interest | — | 2001-08-01 |
| Walton, Caleb Individual | direct ownership interest | — | 2016-01-01 |
| Hineman, Polly Individual | operational/managerial control | — | 2020-01-01 |
| Osthus, David Individual | operational/managerial control | — | 2001-08-01 |
| Thiessen, Megan Individual | operational/managerial control | — | 2012-03-19 |
| Walton, Caleb Individual | operational/managerial control | — | 2016-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Sunny Hill Care Center.
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 Tama County.