Deficiency Index

Sibley Specialty Care

Sibley, Iowa · CCN 165401

14 surveys since 2012, and no finding has been recorded at harm level.

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

Citations on record
30
Surveys
14
Harm or worse
0
Immediate jeopardy
0
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file7/14

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

The facility

Certified beds
46
Ownership
Non profit - Corporation
Chain
CARE INITIATIVES
County
Osceola · rural
Medicare-certified since
1999

CMS ratings

Overall
5
Health inspection
4
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=15, floor 20).

Last survey on record

Jul 1, 2026

131 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 day3.403.76
Registered-nurse hours per resident day0.92—
Annual nurse turnover27.0%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 jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD969.2%E430.8%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 13 of the 30 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8042×

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  • F8122×

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

  • F5821×

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  • F6001×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6071×

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

In the surveyor’s words

From the most serious findings on record at Sibley Specialty Care, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF812Jul 1, 2026

    Based on observation, staff interviews, and policy review, the facility failed to maintain the kitchen in a sanitary condition. The facility reported a census of 39 residents.Findings include:During observation on 6/28/26 at 9:39 AM the initial kitchen tour revealed:a. Food debris scattered around small appliances on the shelving unit under the prep table and beneath the food warmer.b. Melted ice cream present on the drip tray of the ice cream machine.c. Food debris present within two refrigerator units and a freezer unit.d. Crumbling white lime buildup on the dishwashing unit.During the tour, the Certified Dietary Manager (CDM) acknowledged the refrigerator and shelving units should be free of food debris and that lime buildup should be sanitized prior to deterioration. […]

  • No harm, potential for more than minimal, patternF804May 8, 2025

    Based on review of the menu, observation, and staff interviews the facility failed to serve the full portions of food when preparing meals for residents (Residents #7, #16, #19, #22 and #28). The facility identified a census of 39 residents. Findings include: The facility's Cycle Day 4 Menu identified the following items as part of the planned menu for the lunch meal on 5/7/25 for residents on a regular diet: Pork chop Gravy Roasted Red Potatoes Squash (replaced with carrots) Wheat roll with Margarine The facility's Cycle Day 4 menu identified the following items as part of the planned menu for the lunch meal on 5/7/25 for residents on a mechanical diet: Pork chop chopped Gravy Mashed Potatoes Squash (replaced with carrots) blended Wheat roll with Margarine Observation on 5/7/25… […]

  • No harm, potential for more than minimal, patternF812May 8, 2025

    Based on observations, staff interviews, and facility policy review the facility failed to ensure proper sanitary conditions in the kitchen area where staff prepared food, and failed to keep utensils on a sanitary surface during meal service. The facility identified a census of 39 residents. Findings included: The initial kitchen walkthrough on 5/5/25 at 10:35 AM with the Dietary Manager (DM) revealed the following: a. The sugar bin showed a build up of debris around the opening and under the cover of the container. Hair present on the container. b. The flour bin showed a build up of debris around the opening and under the cover of the container. c. A snack cart contained a variety of scattered food debris at the bottom of the cart. d. […]

  • No harm, potential for more than minimal, patternF607Apr 18, 2024

    Based on personnel file reviews, staff interviews, and facility policy review, the facility failed to ensure all employees had an Iowa Criminal Background check and dependent adult/child abuse registry check completed prior to working in the facility for 1 out of 5 employees reviewed (Staff A). The facility reported a census of 40 residents. Findings include: Review of facility provided document titled Employee New Hire by Time Period dated 4/14/24 at 8:13 a.m., revealed Staff A, non-certified nursing assistant documented a hire date of 3/26/24. The personnel file for Staff A revealed documentation of a criminal background check through a third-party vendor with a completed date of 3/21/24. […]

  • No harm, potential for more than minimal, isolatedF804Jul 1, 2026

    Based on observation, resident and staff interviews, and a review of facility policy, the facility failed to ensure room trays were served at an appetizing temperature for 2 of 12 residents reviewed (Residents #1 and #6). The facility reported a census of 39 residents.Findings include: During an interview on 06/29/2026 at 10:50 AM, Resident #6 reported inconsistent meal temperatures, stating that food served in their room was frequently cold. During an interview on 6/30/26 at 8:51 AM, Resident #1 reported that meals served in their room were frequently cold. On 06/30/2026 at 12:13 PM, the Certified Dietary Manager (CDM) measured the temperature of the final room tray delivered. […]

Read 20 findings in full →The most serious and the most recent: 20 of 30 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 1, 2026Standard2 findings
  • Jun 3, 2026Complaint1 finding
  • Oct 22, 2025Complaint1 finding
  • May 8, 2025Standard3 findings
  • Jun 28, 2024Complaint1 finding
  • Apr 18, 2024Standard3 findings
  • Mar 16, 2023Standard2 findings
  • Oct 14, 2021Standard2 findings
Show the 6 earlier surveys
  • Oct 10, 2019Standard1 finding
  • Apr 20, 2017Standard1 finding
  • Aug 26, 2015Complaint2 findings
  • Mar 19, 2015Standard and complaint1 finding
  • Dec 12, 2013—3 findings
  • Nov 1, 2012—7 findings

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.

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