Lyon Specialty Care

Nursing Home · Rock Rapids, IA

CMS overall rating 4/5 Non profit - Corporation

CMS certification number165215

Contact & location

1010 South Union
Rock Rapids, IA 51246
Lyon County
Phone
(712) 472-3748
ZIP code
51246 – all care providers

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Facility details

Certified beds
45
Residents per day
36.2 (80% occupied)
Ownership
Non profit - Corporation
Legal name
Care Initiatives
Chain
Care Initiatives (43 facilities, avg 2.9★)
Medicare certified since
April 18, 1994
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.1
Health inspections★★★★★ 4/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.7
Quality measures★★★★★ 4/5
State avg 3.3
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.77 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.57 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.71 (state 0.56 · U.S. 0.86)
Nurse aides
1.49 (state 2.51 · U.S. 2.32)
Weekend total
2.52 (state 3.37 · U.S. 3.42)
Nursing staff turnover
50.0 (state 44.0 · U.S. 45.8)%
RN turnover
40.0 (state 42.1 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
June 19, 2025
Health deficiencies (last cycle)
3.0 (state 6.5 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
18 health · 7 fire safety
DateCitationSeverityStatus
2026-02-02 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-27
2026-02-02 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-27
2026-02-02 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-27
2024-07-25 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.
F0803 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2024-07-25 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.
F0625 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2024-07-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2024-07-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2024-03-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-22
2023-05-24 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2023-05-24 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2023-05-24 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2023-05-24 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2023-05-24 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2023-05-24 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2023-05-24 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2023-05-24 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2023-05-24 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2023-05-24 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-16

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Care Initiatives (organization)5%+ Direct Ownership Interest · 100%
Computershare Corporate Trust Company, Na (organization)5%+ Mortgage Interest · NOT APPLICABLE
Computershare Corporate Trust Company, Na (organization)Administrator · NOT APPLICABLE
Donelan, Keegan (individual)Administrator · NOT APPLICABLE
Whyms, Brian (individual)Administrator · NOT APPLICABLE
Beal, Michael (individual)Corporate Director · NOT APPLICABLE
Bowen, Lane (individual)Corporate Director · NOT APPLICABLE
Carothers, Mary Jane (individual)Corporate Director · NOT APPLICABLE
Childs, Kevin (individual)Corporate Director · NOT APPLICABLE
Corless, Peter (individual)Corporate Director · NOT APPLICABLE
Krein, Keith (individual)Corporate Director · NOT APPLICABLE
Rust, Elizabeth (individual)Corporate Director · NOT APPLICABLE
Sturm, Denise (individual)Corporate Director · NOT APPLICABLE
Upmeyer, Linda (individual)Corporate Director · NOT APPLICABLE
Beal, Michael (individual)Corporate Officer · NOT APPLICABLE
Dixon, David (individual)Corporate Officer · NOT APPLICABLE
Drake, Emily (individual)Corporate Officer · NOT APPLICABLE
Gilyard, Tanya (individual)Corporate Officer · NOT APPLICABLE
Kuhn, Jeramy (individual)Corporate Officer · NOT APPLICABLE
McDyer, Jessica (individual)Corporate Officer · NOT APPLICABLE
Volm, Johanna (individual)Corporate Officer · NOT APPLICABLE
Boeve, Destiny (individual)Operational/managerial Control · NOT APPLICABLE
Donelan, Keegan (individual)Operational/managerial Control · NOT APPLICABLE
Whyms, Brian (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Lyon Specialty Care?

Lyon Specialty Care has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does Lyon Specialty Care have?

It has 45 certified beds and cares for about 36 residents per day.

Has Lyon Specialty Care been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Lyon Specialty Care?

It is part of Care Initiatives and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Lyon Specialty Care?

(712) 472-3748. The facility is located at 1010 South Union, Rock Rapids, IA 51246.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.