Nursing Home

Titonka Care Center

312 First Avenue NW, Titonka, IA 50480

Part of Continuum Health Care Services Llcsee all 3 affiliated facilities

26 certified beds 20 residents per day on average

CMS Five-Star Quality Rating

5 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
4.1 hours

IA average: 3.8 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
1.0 hours

IA average: 0.7 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
3.2 hours

IA average: 3.4 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
25.0%

IA average: 44.0% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Ownership

Ownership type
Non profit - Corporation
Who owns this facility — 11 entries in CMS's ownership records expand ↓
  • Rasch, Corey Individual
    Managing employee (contracted) since 10/04/2021
  • Anderson Post, Sherri Individual
    Corporate director since 06/04/2018
  • Gerzema, Dean Individual
    Corporate director since 06/04/2018
  • Rasch, Corey Individual
    Corporate director since 10/04/2021
  • Anderson Post, Sherri Individual
    Corporate officer since 06/04/2018
  • Buffington-Missman, Tammy Individual
    Corporate officer since 06/04/2018
  • Christensen, Wendell Individual
    Corporate officer since 06/04/2018
  • Heyer, Steven Individual
    Corporate officer since 06/04/2018
  • Larsen, Paul Individual
    Corporate officer since 06/04/2018
  • Phelps, Laura Individual
    Corporate officer since 06/04/2018

…and 1 more entry in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 0 health (IA avg 6.5) · 12 fire (IA avg 3.6) Details

9 deficiencies cited across recent inspection cycles. Most recent survey: April 17, 2025.

Most recent inspection cycle: 0 health deficiencies · IA average: 6.5 · National: 9.3

12 fire-safety deficiencies cited — most often emergency preparedness (12).

Most recent fire-safety inspection (2025-04-17): 12 deficiencies · IA average: 3.6 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Titonka Care Center compares nearby

Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 25 miles, Titonka Care Center's overall star rating is 5★; the median among the 8 peers reporting it is 5★.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 5★ 5★ 5★
Health inspections reported by 8 of 8 nearby peers 4★ 4★ 5★
Staffing reported by 8 of 8 nearby peers 5★ 3.5★ 5★
Quality measures reported by 8 of 8 nearby peers 4★ 3.5★ 5★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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