Quick answers
- Where is Atlantic Specialty Care?
- 1300 East 19th Street, Atlantic, IA 50022, in Cass County, Iowa.
- What is the phone number of Atlantic Specialty Care?
- (712) 243-3952, as listed by Medicare (CMS).
- What is the Medicare star rating of Atlantic Specialty Care?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Atlantic Specialty Care been fined?
- Medicare lists no fines for Atlantic Specialty Care.
- What did inspectors find at Atlantic Specialty Care?
- In its last three inspection cycles (December 12, 2023 to April 9, 2026), Medicare lists 42 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (December 12, 2023 to April 9, 2026), Atlantic Specialty Care had 42 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.39 hours per resident per day; the Iowa average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: April 9, 2026 — 6 health citations
Inspections in this cycle: April 9, 2026 (standard health inspection).
Show 6 citations (levels A to F, no actual harm)
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
Previous cycle: March 27, 2025 — 11 health citations
Inspections in this cycle: October 24, 2024 (complaint investigation); March 27, 2025 (standard health inspection).
Show 11 citations (levels A to F, no actual harm)
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0803 Level D
“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.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0725 Level D
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
Earlier cycle: June 6, 2024 — 25 health citations
Inspections in this cycle: December 12, 2023 (complaint investigation); March 7, 2024 (complaint investigation); June 6, 2024 (complaint investigation); June 6, 2024 (standard health inspection); August 13, 2024 (complaint investigation).
Show 25 citations (levels A to F, no actual harm)
F0851 Level F
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0688 Level D
“Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”
F0693 Level D
“Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0725 Level D
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (20)
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0511 Level E
“Have properly installed electrical wiring and gas equipment.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0291 Level E
“Install emergency lighting that can last at least 1 1/2 hours.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0761 Level E
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0761 Level E
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0741 Level D
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0921 Level D
“Ensure that testing and maintenance of electrical equipment is performed.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Iowa | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.52 | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.35 | 0.56 | 0.86 |
| Nurse aide hours per resident per day | 2.52 | 2.56 | 2.35 |
| Total nurse staff hours per resident per day | 3.39 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.91 | 3.38 | 3.43 |
| RN hours per resident per day on the weekend | 0.44 | 0.51 | 0.48 |
| Nursing staff turnover (per year) | 30.8% | 44.1% | 45.3% |
| RN turnover (per year) | 44.4% | 42.1% | 42.5% |
| Administrators who left in the last year | 2.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 43 nursing homes: Care Initiatives.
Legal business name: Care Initiatives.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Care Initiatives | Direct owner | 100% | June 1, 2013 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 90 |
| Average residents per day | 70 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Group or chain (affiliated entity) | Care Initiatives |
| Legal business name | Care Initiatives |
| First approved by Medicare/Medicaid | 1996-08-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1300 East 19th Street, Atlantic, IA 50022 |
| County | Cass County |
| State | Iowa |
| Phone | (712) 243‑3952 |
| CMS Certification Number | 165288 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Heritage House0.5 mi · Atlantic, IA · 4 of 5 stars
- Caring Acres Nursing and Rehab Center12 mi · Anita, IA · 1 of 5 stars
- Salem Lutheran Home14 mi · Elk Horn, IA · 2 of 5 stars
- Exira Care Center15 mi · Exira, IA · 2 of 5 stars
- Oakland Manor21 mi · Oakland, IA · 1 of 5 stars
Nearest hospital emergency rooms
- Cass County Memorial Hospital0.7 mi · Atlantic, IA · Critical Access Hospital
- Audubon County Memorial Hospital22 mi · Audubon, IA · Critical Access Hospital
- Myrtue Medical Center25 mi · Harlan, IA · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13