Home › Nursing Homes by State › Iowa › Titonka › Titonka Care Center

Titonka Care Center

312 First Avenue Nw, Titonka, IA 504805159282600Ownership: Non profit - CorporationCertified beds: 26Avg. daily residents: 20County: Kossuth

The complete public record on Titonka Care Center, a Medicare & Medicaid–certified nursing home in Titonka, Iowa, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★★★
CMS’s composite of the three ratings below. Iowa average: 3.1 stars.
Health inspection
★★★★☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★★
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Titonka Care Center holds a 5-star overall rating, in the top tier CMS assigns. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

4.15 total nurse staff hours per resident per day
above the state average (3.82)
1.04 RN hours per resident per day
above the state average (0.74)
3.23 weekend nurse staff hours per resident per day
25.0% total nursing staff turnover
below the state average (44.2)
20.0% RN turnover

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

April 30, 2026 most recent standard health inspection
0 health deficiencies cited in the most recent inspection cycle
below the state average (6.6)
7 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

9 citations on record across recent inspections. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
April 17, 20250836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all…F · Potential for more than minimal harm
April 17, 20250880Provide and implement an infection prevention and control program.F · Potential for more than minimal harm
April 17, 20250625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of…D · Potential for more than minimal harm
April 17, 20250658Ensure services provided by the nursing facility meet professional standards of quality.D · Potential for more than minimal harm
April 17, 20250684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D · Potential for more than minimal harm
April 17, 20250695Provide safe and appropriate respiratory care for a resident when needed.D · Potential for more than minimal harm
April 17, 20250758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of…D · Potential for more than minimal harm

Comparing Titonka Care Center with others on your list?

A ClearPath report puts up to five facilities side by side on the full record — every citation explained in plain English, staffing and turnover compared, fines and flags surfaced, and the questions to ask on your tour. Ready in minutes. Nursing home reports from $47, one-time. Paid by families, never by facilities.

Compare this facility →See a free sample report first

Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.