Lyon Specialty Care
1010 South Union · Rock Rapids, IA · 51246 · 7124723748
45 certified beds Non profit - Corporation Chain: Care Initiatives
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Total nurse staffing below 3.0 hours per resident-day
2.83 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
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-day | 2.83 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 2.65 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (18 in the current record)
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Potential for harm · E February 2, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 2, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 2, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D July 25, 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 August 8, 2024 · Resident Rights
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Potential for harm · D July 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 8, 2024 · Quality of Life and Care
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Potential for harm · E July 25, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected August 8, 2024 · Nutrition and Dietary
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Potential for harm · D July 25, 2024
Provide and implement an infection prevention and control program.
Corrected August 8, 2024 · Infection Control
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Potential for harm · D March 5, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 22, 2024 · Quality of Life and Care
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Potential for harm · D May 24, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 16, 2023 · Resident Rights
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Potential for harm · D May 24, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 16, 2023 · Resident Rights
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Potential for harm · D May 24, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 16, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 24, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 16, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 24, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 16, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 24, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 16, 2023 · Resident Assessment and Care Planning
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Potential for harm · E May 24, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected June 16, 2023 · Nursing and Physician Services
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Potential for harm · D May 24, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected June 16, 2023 · Pharmacy Service
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Potential for harm · E May 24, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 16, 2023 · Nutrition and Dietary
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Potential for harm · E May 24, 2023
Provide and implement an infection prevention and control program.
Corrected June 16, 2023 · Infection Control
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165215 · certified since April 18, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.