Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Titonka Care Center
Titonka, IA · 26 certified beds · Last Life Safety survey April 30, 2026
CMS Certification Number 165431 · first certified December 2000
Ownership
Independently operated (no chain recorded by CMS) · Non profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within IA
12 citations — more than 47% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
When is the next survey likely?
The window opens March 2027 — about 6 months from now. This facility’s last Life Safety survey was April 2026. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
12 of the 12 citations on file are Emergency Preparedness E-tags — every citation here is about the program, not the building. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 12 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 12 |
| Median facility in IA | 12 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| May 2, 2024 | 0 |
| April 17, 2025 | 12 |
| April 30, 2026 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 1 | 2025-04-17 |
| E-0025 | Create arrangements with other facilities to receive patients. | 1 | 2025-04-17 |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | 1 | 2025-04-17 |
| E-0030 | List the names and contact information of those in the facility. | 1 | 2025-04-17 |
| E-0035 | Provide family notifications of emergency plan. | 1 | 2025-04-17 |
| E-0032 | Provide primary/alternate means for communication. | 1 | 2025-04-17 |
| E-0007 | Address patient/client population and determine types of services needed. | 1 | 2025-04-17 |
| E-0026 | Establish roles under a Waiver declared by secretary. | 1 | 2025-04-17 |
What the citations cover
- Emergency Preparedness Deficiencies 12
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 12 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 17, 2025 — 12 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (May 14, 2025) |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (April 24, 2025) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (April 25, 2025) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (April 25, 2025) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (April 25, 2025) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (May 14, 2025) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (May 14, 2025) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (May 14, 2025) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (April 24, 2025) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (April 25, 2025) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (April 25, 2025) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (April 25, 2025) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.