Care Initiatives

PBJ Takeaway: Care Initiatives

43 Facilities1 States14% For-ProfitAvg. Overall Rating: 2.9Avg. Staffing Rating: 3.6Staffing Rating: 3.6

Care Initiatives operates 43 nursing homes across 1 state, with 14% classified as for-profit. Its average CMS overall rating is 2.9 stars.

Across the portfolio, facilities report an average of 3.30 total nurse HPRD, including 0.70 RN hours, below the national ratio of 3.77 HPRD.

16% of Care Initiatives facilities meet PBJ320 high-risk criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 31 fines ($997,412) for the chain's nursing homes.

320 Consulting

Care Initiatives Key Metrics

Providers

States

Avg. Rating

2.9

Total Fines

$997,412

– Care Initiatives

Special Focus Facilities (SFFs)

SFF Candidates

1-Star Overall

Cited for Abuse

Avg. CMS 5-Star Rating – Care Initiatives

Overall

2.9

Health Inspection

2.6

Staffing

3.6

Quality Measures

3.6

Care Initiatives Facilities

Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.

State	Provider	City	Total HPRD	RN HPRD	Overall Rating	Staffing Rating
IA	Northcrest Specialty Care	Waterloo	3.51	0.70	2	4
IA	Lamoni Specialty Care	Lamoni	3.62	0.50	4	4
IA	Montezuma Specialty Care	Montezuma	3.15	0.65	4	3
IA	Pinnacle Specialty Care	Cedar Falls	3.47	0.58	3	4
IA	Laporte City Specialty Care	La Porte City	3.21	0.61	4	4
IA	Chariton Specialty Care	Chariton	3.15	0.72	3	3
IA	West Ridge Specialty Care	Knoxville	3.24	0.74	4	3
IA	Heritage Specialty Care ⚠	Cedar Rapids	3.59	0.46	1	4
IA	Fonda Specialty Care	Fonda	3.07	0.42	4	4
IA	Oakwood Specialty Care	Albia	3.22	0.58	4	3
IA	Eldora Specialty Care	Eldora	3.49	0.61	5	4
IA	Southern Hills Specialty Care	Osceola	3.42	0.66	3	4
IA	Correctionville Specialty Care ⚠	Correctionville	3.21	0.52	1	3
IA	Kingsley Specialty Care	Kingsley	3.08	1.12	2	2
IA	Cherokee Specialty Care	Cherokee	3.49	0.34	2	2
IA	Parkridge Specialty Care ⚠	Pleasant Hill	3.20	0.58	1	3
IA	Belle Plaine Specialty Care	Belle Plaine	3.25	0.76	2	3
IA	State Center Specialty Care	State Center	3.25	0.81	4	4
IA	Sibley Specialty Care	Sibley	3.33	0.90	4	4
IA	New London Specialty Care	New London	3.22	0.53	5	4
IA	Avoca Specialty Care ⚠	Avoca	3.34	0.74	1	3
IA	Bedford Specialty Care	Bedford	3.71	0.53	4	4
IA	Odebolt Specialty Care	Odebolt	3.64	0.85	4	5
IA	Manly Specialty Care	Manly	3.37	0.92	3	5
IA	Dunlap Specialty Care	Dunlap	3.55	0.81	2	5
IA	Creston Specialty Care	Creston	3.10	0.55	3	3
IA	Southridge Specialty Care	Marshalltown	3.46	0.61	2	4
IA	Lantern Park Specialty Care ⚠	Coralville	3.60	0.69	1	3
IA	Lyon Specialty Care	Rock Rapids	3.02	0.48	5	4
IA	Corydon Specialty Care	Corydon	3.41	0.62	3	3
IA	Ridgewood Specialty Care	Ottumwa	3.19	0.66	4	3
IA	Centerville Specialty Care	Centerville	3.58	0.47	5	4
IA	Dubuque Specialty Care	Dubuque	3.16	0.57	2	3
IA	Atlantic Specialty Care	Atlantic	3.25	0.58	3	4
IA	Ravenwood Specialty Care	Waterloo	3.26	0.67	3	4
IA	Panora Specialty Care	Panora	3.44	0.71	3	4
IA	Mechanicsville Specialty Care	Mechanicsville	3.50	0.56	5	4
IA	Stratford Specialty Care	Stratford	3.39	0.70	2	4
IA	Westwood Specialty Care ⚠	Sioux City	3.29	0.69	1	3
IA	Northern Mahaska Specialty Care	Oskaloosa	3.19	0.42	2	3
IA	Corning Specialty Care	Corning	3.07	0.68	3	3
IA	Crestview Specialty Care ⚠	West Branch	3.15	0.74	1	2
IA	Wapello Specialty Care	Wapello	3.38	1.03	4	4

1–20 of 43

Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

Metrics

Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
Contract Staff %: Share of hours provided by contract staff.
Census: Average number of residents during the period.

Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.

Data transparency

The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.

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