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Nursing homeFAID #4183

Panora Specialty Care

805 EAST MAIN, PANORA, IA, 50216

(641) 219-4335

46 licensed beds

CMS rates Panora Specialty Care 4 out of 5 overall. Federal inspectors issued 31 citations across 10 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall3/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

805 East Main

Panora, IA 50216

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

165253

Care type

Nursing home

County

Guthrie

Facility name

Panora Specialty Care

Street address

805 EAST MAIN

City / state / ZIP

Panora, IA 50216

Phone

(641) 219-4335

About this facility — Panora Specialty Care

Panora Specialty Care is a Medicare/Medicaid-certified skilled nursing facility in Panora, Iowa. It is licensed for 46 beds — below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 4 senior care facilities in Panora and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Care Initiatives, a group of 43 facilities on this site.

Federal inspectors have cited Panora Specialty Care 31 times across 10 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Care Initiatives

Ownership type

Non profit - Corporation

Registered owners & officers

Care Initiatives

Direct owner — 100% stake — since 2009

Beal, Michael

Director · Officer — since 2020

Boeve, Destiny

Operational control — since 2024

Bowen, Lane

Director — since 2021

Carothers, Mary Jane

Director — since 2023

Childs, Kevin

Director — since 2023

Computershare Corporate Trust Company, Na

Mortgage holder · Additional disclosable party — since 2025

Corless, Peter

Director — since 2025

Dixon, David

Officer — since 2016

Drake, Emily

Officer — since 2023

Gilyard, Tanya

Officer — since 2025

Jasek, Jacquelyne

Operational control · Additional disclosable party — since 2023

Krein, Keith

Director — since 2022

Kuhn, Jeramy

Officer — since 2008

Mcdyer, Jessica

Officer — since 2023

Rust, Elizabeth

Director — since 2023

Strehle, Joshua

Additional disclosable party — since 2024

Sturm, Denise

Director — since 2021

Upmeyer, Linda

Director — since 2022

Regulatory standing

Federal court records

18 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1995-04-01

CMS overall rating

4 of 5 stars

Health deficiencies

3 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-01-05

Nurse staffing

2.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$481 per day (≈ $14,620/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

84% Medicaid · 5% Medicare · 11% private/other

Occupancy

81% (fiscal year 2023)

Vs. state median

41% above the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-01-05Health inspection3 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-01-13

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-13

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-01-13

2025-05-14Health inspectionComplaint-triggered2 citations

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-05-30

F-0757

D · No harm foundFrom a complaint

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-05-30

6 earlier / fire-safety inspections (26 citations)

2025-01-15Health inspectionComplaint-triggered3 citations

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-07

F-0725

E · No harm foundFrom a complaint

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-02-07

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-02-07

2024-04-11Health inspectionComplaint-triggered3 citations

F-0584

E · No harm foundFrom a complaint

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.

Corrected 2024-05-10

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-10

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-05-10

2024-02-06Health inspectionComplaint-triggered1 citation

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-02-27

2026-01-05Fire-safety inspection4 citations

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2026-01-02

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2026-01-05

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-01-12

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-01-09

2025-01-15Fire-safety inspection5 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2025-02-05

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2025-01-30

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2025-01-27

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-01-24

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-27

2024-04-11Fire-safety inspection10 citations

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-04-22

K-0343

D · No harm found

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-04-22

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-04-30

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-25

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-04-26

K-0522

D · No harm found

Have an externally vented heating system.

Corrected 2024-04-25

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-04-24

K-0761

D · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-04-30

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-24

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-04-17

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165253.

Quality of care & staffing

How it compares in Iowa.

Inspection citations, 3 years

More than 57% of nursing homes in the state

State median: 27

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

2.9

Among the lowest of nursing homes in the state

State median: 3.8

Nursing staff turnover, annual

47%

Higher than 63% of nursing homes in the state

State median: 42%

Resident outcomes

On 17 federal quality measures, this facility does better than the Iowa average on 7 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	8.9%	16.6%	13.5%	Better than state
Lose too much weight	5.6%	4.4%	5.1%	Worse than state
With a catheter inserted and left in their bladder	1.0%	1.4%	0.7%	Better than state
With a urinary tract infection	0.7%	2.4%	1.5%	Better than state
Have depressive symptoms	1.5%	4.2%	13.5%	Better than state
Were physically restrained	0.0%	0.2%	0.1%	Better than state
Experiencing one or more falls with major injury	2.8%	3.9%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	94.2%	93.7%	Near state average
Ability to walk independently worsened	10.3%	15.2%	12.7%	Better than state
Received an antianxiety or hypnotic medication	31.7%	21.0%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	86.8%	95.8%	95.3%	Near state average
With pressure ulcers	9.4%	4.1%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	22.9%	25.0%	18.3%	Near state average
Received an antipsychotic medication	28.3%	19.8%	15.4%	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	89.9%	84.0%	82.3%	Near state average
Newly received an antipsychotic medication	2.7%	2.1%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	69.2%	74.4%	80.1%	Near state average

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K-0222 2 inspections. Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K-0324 2 inspections. Provide properly protected cooking facilities.
K-0712 2 inspections. Have simulated fire drills held at unexpected times.
F-0657 2 inspections. Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

What its owners also hold

Care Initiatives has an ownership stake on file at 43 nursing homes, averaging 3 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Iowa

Licensing: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities Division
File a complaint: 877-686-0027 · Online
Long-Term Care Ombudsman: 866-236-1430. A free advocate for residents and families.
Adult Protective Services: 800-362-2178. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Guthrie County Hospital, about 7.3 miles.
Dallas County Hospital, about 17 miles.
Greene County Medical Center, about 22 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

The New Homestead Care Center, Guthrie Center, about 6.8 miles. CMS rating 3 of 5.
Community Care Center, Stuart, about 14 miles. CMS rating 3 of 5.
Perry Lutheran Home, Perry, about 17 miles. CMS rating 1 of 5.
Adel Acres, Adel, about 17 miles. CMS rating 1 of 5.
Perry Lutheran Homes Eden Acres Campus, Perry, about 18 miles. CMS rating 2 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 31 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered