Bedford Specialty Care

1005 West Pearl · Bedford, IA · 50833 · 7125232161

39 certified beds Non profit - Corporation Chain: Care Initiatives

  • Cleaner inspection record than most facilities nationally.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 83
Serious harm & abuse 20% 100
Staffing 20% 71
Federal penalties 15% 100
Trend 10% 91
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.733.48 min · 4.1 strong
RN hours / resident-day0.390.55–0.75
Weekend hours / resident-day3.68≈ weekday level
Nursing turnover / year22%median 45%
Fines (3-yr window)none

Inspection citations (14 in the current record)

  • Potential for harm · D July 31, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected August 15, 2025 · Pharmacy Service

  • Potential for harm · D September 19, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 2, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 19, 2024

    Provide and implement an infection prevention and control program.

    Corrected October 2, 2024 · Infection Control

  • Potential for harm · D May 2, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected May 17, 2024 · Resident Rights

  • Potential for harm · D May 2, 2024

    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 May 17, 2024 · Resident Rights

  • Potential for harm · D May 2, 2024

    Assess the resident when there is a significant change in condition

    Corrected May 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 2, 2024

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected May 17, 2024 · Nursing and Physician Services

  • Potential for harm · D May 2, 2024

    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 May 17, 2024 · Administration

  • Potential for harm · E May 2, 2024

    Provide and implement an infection prevention and control program.

    Corrected May 17, 2024 · Infection Control

  • Potential for harm · D March 14, 2024 · found via complaint

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

    Corrected April 2, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 14, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 2, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 14, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected April 2, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 14, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 2, 2024 · Quality of Life and Care

  • Potential for harm · D March 14, 2024 · found via complaint

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

    Corrected April 2, 2024 · Quality of Life and Care

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165292 · certified since August 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.