Deficiency Index

Happy Siesta Health Care Center

Remsen, Iowa · CCN 165405

21 surveys since 2011, 7 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
74
Surveys
21
Harm or worse
7
Immediate jeopardy
2
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file18/21

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
62
Ownership
Non profit - Corporation
Chain
Independent
County
Plymouth · rural
Medicare-certified since
1999

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=9, floor 20).

Last survey on record

Jun 12, 2025

515 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.303.76
Registered-nurse hours per resident day0.77—
Annual nurse turnover52.5%40.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ116.7%K—L—
Actual harmG116.7%H—I—
No harm, potential for more than minimalD350.0%E116.7%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 6 of the 74 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6893×

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

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6051×

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  • F8121×

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

In the surveyor’s words

From the most serious findings on record at Happy Siesta Health Care Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Jul 13, 2023

    Based on clinical record review, staff interviews, facility record review and facility policy review, the facility failed to ensure residents at risk for elopement were unable to exit the facility unattended for 1 of 1 residents reviewed for elopement (Resident #1). The facility failure resulted in an Immediate Jeopardy to the health, safety, and security of the residents. The facility reported a total census of 52 residents. The facility State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of June 27th, 2023 on July 11, 2023. The Facility Staff removed the Immediate Jeopardy on July 11, 2023 through the following actions: 1. […]

  • Actual harm, isolatedF689Apr 17, 2024

    Based on clinical record reviews, staff interviews, hospital record reviews, facility investigation and policy review the facility failed to provide adequate nursing supervision for 1 of 3 residents reviewed (Resident #1) for falls. Resident #1 had a fall while riding in the facility passenger van, resulting in his wheelchair tipping over backwards, hitting his head and sustaining three lacerations to the back of his head. The fall required a transfer to the emergency room three weeks later which resulted in admission to the hospital for a C2 cervical fracture that required surgical intervention and placement of a halo brace (an orthotic support that helps immobilize and protect bones in the neck following an injury). The facility reported a census of 54 residents. […]

  • No harm, potential for more than minimal, patternF803Jul 23, 2026

    Based on observation, staff interview, and policy review the facility failed to provide a well balanced diet that meets nutritional and special dietary needs by use of incorrect serving size portions for meals. The facility reported a census of 54 residents.Findings include:Observation on 7/22/26 at 9:30 AM Staff A cook placed 6 servings of blueberry crisp into a blender and added milk for the puree process. Staff A then added thickener to the puree mixture. Staff A was then observed to pour the pureed blueberry crisp into single serving bowls without measuring the amount that was pureed. Observation on 7/22/26 at 10:04 AM Staff A prepared 6 servings of Rueben casserole into the blender for the puree process. Staff A then added 2 cups of milk. […]

  • No harm, potential for more than minimal, patternF812Jun 12, 2025

    Based on observation and staff interview, the facility failed to prepare and serve food with professional standards for food service safety. The facility had a census of 50 residents. Findings include: During observation in the kitchen: a. On 6/11/25 at 9:45 a.m. Staff F, [NAME] wore gloves, handled utensils, obtained milk from the refrigerator, put her gloved hand in the bread bag, placed 4 slices of meat in the Robot coupe, and the 4 slices of bread tearing the bread with the gloved hands. b. At 10:30 a.m. Staff F started plating food for the special care unit. During the meal service Staff F wore gloves. She plated the hot food and the Dietary Manager (DM) who also wore gloves, picked up buttered bread and folded it with both hands and placed it on the plate. […]

  • No harm, potential for more than minimal, patternF812Mar 24, 2022

    Based on observations, facility policy, and staff interview, the facility failed to maintain a clean kitchen with white particles in drawers and black substance adhered to the range vent, ensure hygienic practices were followed in the kitchen to include wearing hairnets, hand hygiene, correct use of face masks, covering exposed kitchen utensils and storing scoops inside food containers. The facility reported a census of 51 residents. Findings include: Observations on 3/21/22 at 11:06 AM include the following: a. White particles in 5 of the drawers along counter below the 3 pane window, on the shelf above the range, and on the snack cart. b. Range vent hoods with black adhered substance and the tops of the sprinkler pipes for the range unit had white loose particles. c. […]

Read 25 findings in full →The most serious and the most recent: 25 of 74 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 23, 2026Standard1 finding
  • Jun 12, 2025Standard4 findings
  • Apr 17, 2024Complaint1 finding · 1 harm
  • Jul 13, 2023Complaint1 finding · 1 harm
  • Mar 24, 2022Standard2 findings
  • Mar 12, 2020Standard2 findings
  • Mar 13, 2019Standard11 findings
  • Aug 1, 2018Complaint2 findings
Show the 13 earlier surveys
  • Nov 9, 2017Standard1 finding
  • Jun 7, 2017Complaint1 finding · 1 harm
  • Sep 22, 2016Standard6 findings · 1 harm
  • Feb 23, 2016Complaint10 findings · 1 harm
  • Oct 15, 2015Standard and complaint7 findings
  • Dec 1, 2014Complaint2 findings · 1 harm
  • Sep 18, 2014Standard4 findings
  • Aug 13, 2014Complaint1 finding
  • Aug 14, 2013—1 finding
  • Jun 20, 2013—4 findings
  • Jun 15, 2012—5 findings
  • Jun 24, 2011—7 findings · 1 harm
  • Feb 18, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction