Stacyville Community Nursing Home
Stacyville, Iowa · CCN 165438
18 surveys since 2011. The first finding at harm level was recorded in 2024.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 72
- Surveys
- 18
- Harm or worse
- 2
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 34
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Mitchell · rural
- Medicare-certified since
- 2001
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 5
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 102 not-for-profit facilities with fewer than 66 beds in Iowa.
Last survey on record
Aug 6, 2026
95 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.90 | 3.76 |
| Registered-nurse hours per resident day | 1.12 | — |
| Annual nurse turnover | 56.8% | 40.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $21,986 across 1 penalty
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G24.9% | H— | I— |
| No harm, potential for more than minimal | D2765.9% | E37.3% | F717.1% |
| No harm, potential for minimal | A— | B12.4% | C12.4% |
Most frequently cited here
In CMS’s current monthly file.
- F5503×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6413×
Ensure each resident receives an accurate assessment.
- F7553×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6442×
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
In the surveyor’s words
From the most serious findings on record at Stacyville Community Nursing Home, in the surveyor’s own words.
- Actual harm, isolatedF760Jul 17, 2024
Based on record review, facility provided education, policy review, staff and Pharmacist interviews the facility failed to provide 1 of 6 residents (Resident #1) their prescribed medications. After Resident #1 received another resident's medications, she went to the local hospital. Due to Resident #1's level of sedation, the hospital admitted her. The facility reported a census of 31 residents. Findings include: Resident #1's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview of Mental Status (BIMS) of 13, indicating intact cognition. The MDS lacked documentation of neurological, psychiatric, or mood disorders. An untitled statement, dated 4/11/24 reflected on 4/11/24, Resident #1 received another resident's medications consisting of: a. […]
- Actual harm, isolatedF689Feb 15, 2024
Based on clinical record review, staff and provider interviews, facility investigation records, and policy review the facility failed to implement root cause analysis and provide interventions for 1 of 3 residents reviewed (Resident #8) to prevent future falls. Resident #8 had a Fall on [DATE] that resulted in admission to the hospital for a subdural hematoma (brain bleed) that may have been an injury caused from the fall or the reason the fall occurred, Resident #8 passed away on [DATE]. The facility reported a census of 22 residents. Findings include: The Minimum Data Set (MDS) for Resident #8 dated, [DATE] revealed she was rarely/never understood and had short-term and long-term memory problems. […]
- No harm, potential for more than minimal, widespreadF865Apr 1, 2025
Based on facility record review and staff interviews, the facility failed to have an effective quality assurance (QA) program in place to assist in the provision of quality care for residents. The facility identified a census of 27 residents. Findings include: Review of the facilities Department of Health and Human Services Centers For Medicare & Medicaid Services form (also known as a 2567 form) with the completed complaint survey dated 2/7/25 reflected the facility received deficiencies for Resident Rights, Pharmacy Services, and Quality Assurance and Performance Improvement (QAPI). The survey investigation determined deficient practices again on the complaint and revisit investigation concluded 4/1/25. […]
- No harm, potential for more than minimal, widespreadF725Feb 7, 2025
Based on staff provide photograph, resident, and staff interviews, the facility failed to have a licensed nurse awake and capable of rendering nursing service for 1 day reviewed. On 1/22/24, residents and the facility saw observed Staff C, Licensed Practical Nurse (LPN), sleeping in the front lounge. The facility reported a census of 28 residents. Findings include: 1. Resident #12's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. A photo, (not time stamped) revealed Staff C as she sat reclined in a chair in the front lounge of the facility with her eyes closed. The view out the front picture window revealed it as dark outside. […]
- No harm, potential for more than minimal, widespreadF726Feb 7, 2025
Based on clinical record reviews, staff interviews, the Iowa Nursing Board Chapter 6 regarding the Nursing Practice For Registered Nurses (RN)/Licensed Practical Nurses (LPN), the Iowa Department of Inspections, Appeals, and Licensing (DIAL) website page related to the RN/LPN Role & Scope, audio of a submitted video, and employee records, the facility failed to have competent staff to work at the facility. The facility had an LPN perform intravenous (IV) medications via a peripherally-inserted central catheter (a IV that provide medications into a large vein that can stay in for multiple months) for 1 of 1 residents reviewed (Resident #15) without an Iowa approved certification. […]
Read 22 findings in full →The most serious and the most recent: 22 of 72 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 6, 2026Standard2 findings
- Apr 22, 2026Complaint2 findings
- Jun 5, 2025Standard4 findings
- Apr 1, 2025Complaint5 findings
- Feb 7, 2025Complaint11 findings
- Jul 17, 2024Standard and complaint12 findings · 1 harm
- Feb 15, 2024Complaint2 findings · 1 harm
- May 18, 2023Standard3 findings
Show the 10 earlier surveys
- Nov 18, 2021Standard and complaint4 findings
- Dec 5, 2019Standard3 findings
- Oct 18, 2018Standard3 findings
- Aug 10, 2017Standard2 findings
- Jul 14, 2016Standard2 findings
- Sep 10, 2015Standard2 findings
- Jul 9, 2014Standard and complaint4 findings
- Apr 4, 2013—5 findings
- Mar 2, 2012—2 findings
- Jan 7, 2011—4 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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