• CMS rates this facility 4/5 stars (above average)
• Has 26 certified beds with an average of 19.9 residents per day (77% occupancy)
• Last health inspection found 7 deficiencies (inspected Apr 17, 2025)
• No fines on record
• Total nursing staff: 4.16 hours per resident per day
• Staff turnover rate: 38.1%
Titonka Care Center is a 4-star Medicare and Medicaid certified nursing home in Titonka, Iowa with 26 certified beds. It has been operating since 2000. The facility scored above average compared to Iowa facilities.
Notify 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.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe and appropriate respiratory care for a resident when needed.
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.
Ensure 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.
Provide and implement an infection prevention and control program.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Provide and implement an infection prevention and control program.
Ensure staff are vaccinated for COVID-19
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CONTINUUM HEALTH CARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Aug 1, 2006 |
| ANDERSON POST, SHERRI | CORPORATE DIRECTOR | Individual | N/A | Jun 4, 2018 |
| GERZEMA, DEAN | CORPORATE DIRECTOR | Individual | N/A | Jun 4, 2018 |
| RASCH, COREY | CORPORATE DIRECTOR | Individual | N/A | Oct 4, 2021 |
| ANDERSON POST, SHERRI | CORPORATE OFFICER | Individual | N/A | Jun 4, 2018 |
| BUFFINGTON-MISSMAN, TAMMY | CORPORATE OFFICER | Individual | N/A | Jun 4, 2018 |
| CHRISTENSEN, WENDELL | CORPORATE OFFICER | Individual | N/A | Jun 4, 2018 |
| HEYER, STEVEN | CORPORATE OFFICER | Individual | N/A | Jun 4, 2018 |
| LARSEN, PAUL | CORPORATE OFFICER | Individual | N/A | Jun 4, 2018 |
| PHELPS, LAURA | CORPORATE OFFICER | Individual | N/A | Jun 4, 2018 |
| RASCH, COREY | CONTRACTED MANAGING EMPLOYEE | Individual | N/A | Oct 4, 2021 |