D

Stratford Specialty Care

1200 Highway 175 East, Stratford, IA 50249
Score: 54 / 100

CMS data shows Stratford Specialty Care earning a D grade with a score of 54/100, placing it below most facilities in Iowa. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing levels are a potential concern at Stratford Specialty Care, with 3.39 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 31 deficiencies at Stratford Specialty Care. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.39 3.8 Below Average
Registered Nurses (RN) 0.70 0.7 Average
Licensed Practical Nurses (LPN) 0.58 0.7 Below Average
Certified Nursing Assistants (CNA) 2.11 2.4 Below Average
Weekend Total Nursing 2.91 3.8 Below Average
Weekend RN Hours 0.61 0.7 Below Average

🔍 Inspection & Deficiency History

31
Total Deficiencies
Dec 3, 2025
Most Recent Inspection
🟠 31 Moderate
View recent deficiencies (5 shown)
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Dec 3, 2025 · Resident Rights Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Dec 3, 2025 · Resident Rights Deficiencies
  • Tag 0604 Severity D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    Dec 3, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Dec 3, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Dec 3, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 0.6% 4.5% Better
Falls with major injury 2.2% 3.0% Better
On antipsychotic medication 29.6% 14.5% Worse
Urinary tract infections 1.5% 2.5% Better
ADL decline (daily activities) 11.9% 14.0% Better
Excessive weight loss 3.3% 7.5% Better
New/worsened incontinence 37.8% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 54 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
53
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
May 20, 2025
Deficiencies (Cycle 1)
13

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