Quick answers
- Where is Manly Specialty Care?
- 601 E South Street, Manly, IA 50456, in Worth County, Iowa.
- What is the phone number of Manly Specialty Care?
- (641) 454-2223, as listed by Medicare (CMS).
- What is the Medicare star rating of Manly Specialty Care?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Manly Specialty Care been fined?
- Medicare lists 1 fine totaling $13,627.
- What did inspectors find at Manly Specialty Care?
- In its last three inspection cycles (January 17, 2024 to March 5, 2026), Medicare lists 21 health citations; the most serious was level J. 1 was level G or higher (actual harm or immediate jeopardy). 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 (January 17, 2024 to March 5, 2026), Manly Specialty Care had 21 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $13,627 in total (1 fine, the latest on January 17, 2024). Nurse staffing is 3.76 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: March 5, 2026 — 5 health citations
Inspections in this cycle: March 5, 2026 (standard health inspection).
Show 5 citations (levels A to F, no actual harm)
F0605 Level E
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level E
“Respond appropriately to all alleged violations.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
Previous cycle: February 27, 2025 — 7 health citations
Inspections in this cycle: February 27, 2025 (standard health inspection).
Show 7 citations (levels A to F, no actual harm)
F0801 Level F
“Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”
F0760 Level E
“Ensure that residents are free from significant medication errors.”
F0803 Level E
“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.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
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.”
Earlier cycle: April 25, 2024 — 9 health citations
Inspections in this cycle: January 17, 2024 (complaint investigation); April 25, 2024 (standard health inspection).
F0660 Level J
“Plan the resident's discharge to meet the resident's goals and needs.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Resident Assessment and Care Planning Deficiencies
Show 8 less serious citations (levels A to F)
F0803 Level E
“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.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0758 Level D
“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.”
F0868 Level D
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
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 (4)
K0324 Level F
“Provide properly protected cooking facilities.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0921 Level E
“Ensure that testing and maintenance of electrical equipment is performed.”
Fines and payment denials
Total fines over about the last three years: $13,627 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| January 17, 2024 | Fine | $13,627 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
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 | 1.01 | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.30 | 0.56 | 0.86 |
| Nurse aide hours per resident per day | 2.45 | 2.56 | 2.35 |
| Total nurse staff hours per resident per day | 3.76 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.39 | 3.38 | 3.43 |
| RN hours per resident per day on the weekend | 0.61 | 0.51 | 0.48 |
| Nursing staff turnover (per year) | 17.6% | 44.1% | 45.3% |
| RN turnover (per year) | 11.1% | 42.1% | 42.5% |
| Administrators who left in the last year | 0.0 | 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% | March 1, 2014 |
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 | 44 |
| Average residents per day | 35.5 |
| 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 | 1994-07-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 601 E South Street, Manly, IA 50456 |
| County | Worth County |
| State | Iowa |
| Phone | (641) 454‑2223 |
| CMS Certification Number | 165226 |
| 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).
- Good Shepherd Health Center9.0 mi · Mason City, IA · 2 of 5 stars
- Heritage Care and Rehabilitation Center9.5 mi · Mason City, IA · 3 of 5 stars
- I O O F Home and Community Therapy Center10 mi · Mason City, IA · 5 of 5 stars
- Lutheran Retirement Home12 mi · Northwood, IA · 2 of 5 stars
- Nora Springs Care Center13 mi · Nora Springs, IA · 4 of 5 stars
Nearest hospital emergency rooms
- MercyOne North Iowa Medical Center9.4 mi · Mason City, IA · Acute Care Hospital
- Mitchell County Regional Health19 mi · Osage, IA · Critical Access Hospital
- Mayo Clinic Health System - Albert Lea and Austin27 mi · Albert Lea, MN · Acute Care 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