Nursing Homes · Medicare certified
Titonka Care Center
312 First Avenue NW · Titonka, IA 50480 · 26 certified beds
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About Titonka Care Center
Titonka Care Center is a nursing home in Titonka, Iowa. Its capacity is 26 beds, below the Iowa median of 58 for nursing homes. It is run by a nonprofit operator and is part of Continuum Health Care Services LLC. It is Medicare certified. Its public inspection record shows 11 citations, the most recent on April 17, 2025. Enforcement records show no fine or payment denial against it. Nurse staffing averages 4.22 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
5.0Staffing
5.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (11)
Records from February 2023 to April 2025.
April 17, 2025
Tag F0836Ensure 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 29, 2025.
April 17, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 29, 2025.
April 17, 2025
Tag F0625Notify 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 29, 2025.
April 17, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 29, 2025.
April 17, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 29, 2025.
April 17, 2025
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 29, 2025.
April 17, 2025
Tag F0758Implement 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 l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 29, 2025.
May 2, 2024
Tag F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 17, 2024.
May 2, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 17, 2024.
February 16, 2023
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 16, 2023.
February 16, 2023
Tag F0888Ensure staff are vaccinated for COVID-19.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 16, 2023.
Penalties
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing
4.22 nurse hours per resident per day in Q2 2026, up from 3.92 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
- Parent company: Continuum Health Care Services LLC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
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