Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Nursing home

Centerville Specialty Care

Centerville, Iowa · Appanoose County

  • 1208 East Cross Street, Centerville, IA 52544 · Directions
  • (641) 856‑8651
  • Medicare overall rating: 3 of 5 starsMedicare overall rating
  • Ownership: Non-profit – corporation
  • 15 health citations in its last 3 inspection cycles (most serious: level E). See the inspection record

Summary

Centerville Specialty Care is a Medicare-certified nursing home in Centerville, Iowa, with 46 certified beds. Medicare overall rating: 3 of 5 stars. Most recent standard health inspection: 2025-12-04, with 6 health deficiencies. Ownership: non-profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 3 of 5 starsMedicare overall rating
46Certified beds
Health inspections: 3 of 5 starsHealth inspections

Quick answers

Where is Centerville Specialty Care?
1208 East Cross Street, Centerville, IA 52544, in Appanoose County, Iowa.
What is the phone number of Centerville Specialty Care?
(641) 856-8651, as listed by Medicare (CMS).
What is the Medicare star rating of Centerville Specialty Care?
Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
Has Centerville Specialty Care been fined?
Medicare lists no fines for Centerville Specialty Care.
What did inspectors find at Centerville Specialty Care?
In its last three inspection cycles (September 18, 2023 to March 25, 2026), Medicare lists 15 health citations; the most serious was level E. 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.

Overall rating
Overall rating: 3 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 3 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 4 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 4 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Not rated
Quality rating for people who stay a short time, usually to recover after a hospital stay. Medicare (CMS) does not show this rating for this provider. This happens, for example, when a provider is new or has too few patients or survey answers.
Long-stay residents
Long-stay residents: 4 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (September 18, 2023 to March 25, 2026), Centerville Specialty Care had 15 health citations; the most serious was level E (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 3.56 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
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: December 4, 2025 — 6 health citations

Inspections in this cycle: December 4, 2025 (standard health inspection); March 25, 2026 (complaint investigation).

Show 6 citations (levels A to F, no actual harm)
  • F0880 Level D March 25, 2026 · from a complaint · corrected April 2, 2026

    “Provide and implement an infection prevention and control program.”

  • F0552 Level D December 4, 2025 · corrected December 19, 2025

    “Ensure that residents are fully informed and understand their health status, care and treatments.”

  • F0684 Level D December 4, 2025 · corrected December 19, 2025

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

  • F0689 Level D December 4, 2025 · corrected December 19, 2025

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

  • F0803 Level D December 4, 2025 · corrected December 19, 2025

    “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.”

  • F0880 Level D December 4, 2025 · corrected December 19, 2025

    “Provide and implement an infection prevention and control program.”

Previous cycle: October 17, 2024 — 2 health citations

Inspections in this cycle: October 17, 2024 (standard health inspection).

Show 2 citations (levels A to F, no actual harm)
  • F0812 Level E October 17, 2024 · corrected October 31, 2024

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0803 Level D October 17, 2024 · corrected October 31, 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.”

Earlier cycle: September 18, 2023 — 7 health citations

Inspections in this cycle: September 18, 2023 (standard health inspection); August 1, 2024 (complaint investigation); August 22, 2024 (complaint investigation).

Show 7 citations (levels A to F, no actual harm)
  • F0584 Level E September 18, 2023 · corrected October 9, 2023

    “Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”

  • F0550 Level D August 22, 2024 · from a complaint · past non-compliance (already fixed before the inspection) (August 2, 2024)

    “Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”

  • F0684 Level D August 1, 2024 · from a complaint · corrected August 2, 2024

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

  • F0658 Level D September 18, 2023 · corrected October 9, 2023

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0677 Level D September 18, 2023 · corrected October 9, 2023

    “Provide care and assistance to perform activities of daily living for any resident who is unable.”

  • F0689 Level D September 18, 2023 · corrected October 9, 2023

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

  • F0919 Level D September 18, 2023 · corrected October 9, 2023

    “Make sure that a working call system is available in each resident's bathroom and bathing area.”

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 (38)
  • K0291 Level F October 17, 2024 · corrected November 6, 2024

    “Install emergency lighting that can last at least 1 1/2 hours.”

  • K0353 Level F October 17, 2024 · corrected November 6, 2024

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0712 Level F October 17, 2024 · corrected November 24, 2024

    “Have simulated fire drills held at unexpected times.”

  • K0914 Level F October 17, 2024 · corrected October 25, 2024

    “Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”

  • K0918 Level F October 17, 2024 · corrected November 24, 2024

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0161 Level D October 17, 2024 · corrected October 25, 2024

    “Use approved construction type or materials.”

  • K0321 Level D October 17, 2024 · corrected October 25, 2024

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0324 Level D October 17, 2024 · corrected November 24, 2024

    “Provide properly protected cooking facilities.”

  • K0920 Level D October 17, 2024 · corrected October 24, 2024

    “Ensure proper usage of power strips and extension cords.”

  • K0291 Level F September 18, 2023 · corrected September 27, 2023

    “Install emergency lighting that can last at least 1 1/2 hours.”

  • K0712 Level F September 18, 2023 · corrected September 26, 2023

    “Have simulated fire drills held at unexpected times.”

  • K0914 Level F September 18, 2023 · corrected September 28, 2023

    “Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”

  • K0918 Level F September 18, 2023 · corrected September 27, 2023

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0363 Level E September 18, 2023 · corrected September 28, 2023

    “Install corridor and hallway doors that block smoke.”

  • K0372 Level E September 18, 2023 · corrected September 19, 2023

    “Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”

  • K0161 Level D September 18, 2023 · corrected September 19, 2023

    “Use approved construction type or materials.”

  • K0321 Level D September 18, 2023 · corrected September 19, 2023

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0351 Level D September 18, 2023 · corrected September 25, 2023

    “Install an approved automatic sprinkler system.”

  • K0353 Level D September 18, 2023 · corrected September 18, 2023

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0511 Level D September 18, 2023 · corrected September 19, 2023

    “Have properly installed electrical wiring and gas equipment.”

  • K0922 Level D September 18, 2023 · corrected September 26, 2023

    “Meet requirements for the use and maintenance of medical gas equipment.”

  • K0929 Level D September 18, 2023 · corrected September 26, 2023

    “Ensure precautions for handling oxygen cylinders and equipment are correctly followed.”

  • E0030 Level F July 9, 2022 · corrected July 8, 2022

    “List the names and contact information of those in the facility.”

  • K0324 Level F July 9, 2022 · corrected July 21, 2022

    “Provide properly protected cooking facilities.”

  • K0345 Level F July 9, 2022 · corrected July 12, 2022

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0346 Level F July 9, 2022 · corrected July 14, 2022

    “Follow proper procedures when the fire alarm was out of service for more than 4 hours.”

  • K0353 Level F July 9, 2022 · corrected July 21, 2022

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0914 Level F July 9, 2022 · corrected July 22, 2022

    “Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”

  • K0918 Level F July 9, 2022 · corrected August 7, 2022

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0291 Level E July 9, 2022 · corrected July 12, 2022

    “Install emergency lighting that can last at least 1 1/2 hours.”

  • K0321 Level E July 9, 2022 · corrected July 20, 2022

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0362 Level E July 9, 2022 · corrected July 12, 2022

    “Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.”

  • K0161 Level D July 9, 2022 · corrected July 21, 2022

    “Use approved construction type or materials.”

  • K0293 Level D July 9, 2022 · corrected July 11, 2022

    “Have properly located and lighted "Exit" signs.”

  • K0355 Level D July 9, 2022 · corrected July 7, 2022

    “Properly select, install, inspect, or maintain portable fire extinguishes.”

  • K0363 Level D July 9, 2022 · corrected July 21, 2022

    “Install corridor and hallway doors that block smoke.”

  • K0511 Level D July 9, 2022 · corrected July 20, 2022

    “Have properly installed electrical wiring and gas equipment.”

  • K0741 Level D July 9, 2022 · corrected July 8, 2022

    “Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”

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.

MeasureThis homeIowaNational
Registered nurse (RN) hours per resident per day0.530.740.69
Licensed practical nurse (LPN) hours per resident per day0.960.560.86
Nurse aide hours per resident per day2.062.562.35
Total nurse staff hours per resident per day3.563.863.90
Total nurse staff hours per resident per day on the weekend3.083.383.43
RN hours per resident per day on the weekend0.480.510.48
Nursing staff turnover (per year)43.9%44.1%45.3%
RN turnover (per year)20.0%42.1%42.5%
Administrators who left in the last year1.00.40.5

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)
NameRoleShareSince
Care InitiativesDirect owner100%August 1, 1989

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

TypeNursing home
Certified beds46
Average residents per day38.1
Takes part inMedicare and Medicaid
OwnershipNon-profit – corporation
Group or chain (affiliated entity)Care Initiatives
Legal business nameCare Initiatives
First approved by Medicare/Medicaid1994-07-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address1208 East Cross Street, Centerville, IA 52544
CountyAppanoose County
StateIowa
Phone(641) 856‑8651
CMS Certification Number165225
CorrectionsReport 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).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13