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Nursing homeFAID #4320

Titonka Care Center

312 FIRST AVENUE NW, TITONKA, IA, 50480
(515) 928-2600
26 licensed beds
★★★★★5/5CMS Five-Star overall4/5 health inspections5/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
26
CMS facility ID
165431
Care type
Nursing home
County
Kossuth
Facility name
Titonka Care Center
Street address
312 FIRST AVENUE NW
City / state / ZIP
Titonka, IA 50480
Phone
(515) 928-2600

About this facility — Titonka Care Center

Titonka Care Center is a Medicare/Medicaid-certified skilled nursing facility in Titonka, Iowa. It is licensed for 26 beds — well below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 1 senior care facility in Titonka and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Titonka Care Center 21 times across 6 inspections in the last three years; 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 August 31, 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

Ownership type
Non profit - Corporation

Registered owners & officers

Anderson Post, Sherri
Director · Officer — since 2018
Buffington-missman, Tammy
Officer — since 2018
Christensen, Wendell
Officer — since 2018
Continuum Health Care Services Llc
Operational control — since 2006
Gerzema, Dean
Director — since 2018
Heyer, Steven
Officer — since 2018
Larsen, Paul
Officer — since 2018
Phelps, Laura
Officer — since 2018
Rasch, Corey
Managing employee · Director — since 2021

Regulatory standing

Licensed / certified since
2000-12-12
CMS overall rating
5 of 5 stars
Health deficiencies
0 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-04-30
Nurse staffing
4.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$274 per day (≈ $8,330/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
15% Medicaid · 4% Medicare · 81% private/other
Occupancy
53% (fiscal year 2023)
Vs. state median
20% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
26
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 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2025-04-17Health inspection7 citations
F-0625
D · No harm found
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-04-29
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-29
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-29
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-29
F-0758
D · No harm found
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.
Corrected 2025-04-29
F-0836
F · No harm found
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2025-04-29
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-04-29
2024-05-02Health inspection2 citations
F-0851
F · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-05-17
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-05-17
1 earlier / fire-safety inspection (12 citations)
2025-04-17Fire-safety inspection12 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-05-14
E-0006
F · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-04-24
E-0007
F · No harm found
Address patient/client population and determine types of services needed.
Corrected 2025-04-25
E-0018
F · No harm found
Establish procedures for tracking staff and patients during an emergency.
Corrected 2025-04-25
E-0022
F · No harm found
Establish policies and procedures for sheltering.
Corrected 2025-04-25
E-0025
F · No harm found
Create arrangements with other facilities to receive patients.
Corrected 2025-05-14
E-0026
F · No harm found
Establish roles under a Waiver declared by secretary.
Corrected 2025-05-14
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2025-05-14
E-0031
F · No harm found
Provide emergency officials' contact information.
Corrected 2025-04-24
E-0032
F · No harm found
Provide primary/alternate means for communication.
Corrected 2025-04-25
E-0035
F · No harm found
Provide family notifications of emergency plan.
Corrected 2025-04-25
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-04-25
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 165431.

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 21 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 2026-08-31
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