Titonka Care Center
312 First Avenue Nw · Titonka, IA · 50480 · 5159282600
26 certified beds Non profit - Corporation
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- 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
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
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.20 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (11 in the current record)
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Potential for harm · D April 17, 2025
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 April 29, 2025 · Resident Rights
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Potential for harm · D April 17, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025
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 April 29, 2025 · Pharmacy Service
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Potential for harm · F April 17, 2025
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 April 29, 2025 · Administration
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Potential for harm · F April 17, 2025
Provide and implement an infection prevention and control program.
Corrected April 29, 2025 · Infection Control
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Potential for harm · F May 2, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected May 17, 2024 · Administration
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Potential for harm · F May 2, 2024
Provide and implement an infection prevention and control program.
Corrected May 17, 2024 · Infection Control
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Potential for harm · D February 16, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 16, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 16, 2023
Ensure staff are vaccinated for COVID-19
Corrected March 16, 2023 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165431 · certified since December 12, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.