Occupancy rate
87%
In line with Iowa averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Sibley Specialty Care
Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Sibley Specialty Care
Sibley Specialty Care is a skilled nursing and long-term care community located in Sibley, Iowa. It provides compassionate, individualized care for residents while also supporting their families. The facility is committed to enhancing the quality of life for its residents through various programs and services.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
46
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87%
Residents per day (avg)
37
Occupancy rate
87%
Residents per day (avg)
37
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
56% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
36% of new residents, often for short stays.
Typical stay
9 - 10 months
Medicaid
8% of new residents, often for long-term daily care.
Typical stay
4 years
Finances and operations
Voluntary non-profit community
Home revenue
$6.1M
Surplus of revenue
$64.1K
Voluntary non-profit community
Home revenue
$6,121,709.00
Surplus of revenue
$64,148.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.7M
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Iowa averageOccupied beds
40 / 46
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
County:
Osceola
Additional licensing details
License number:
720763
CMS Certification Number:
165401
Certification type:
FALSE
Ownership & operating entity
Sibley Specialty Care is administrated by David Bronner.
Care Services
All Levels of Care
Contact Information
Email:
dbronner@careinitiatives.org
Fax:
7127542367
Programs & Activities
Specific Programs
Skilled Nursing Care, Long-Term Care, Rehabilitation Services
Operating Hours
24 hours a day, seven days a week
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
14 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
October 22, 2025
13 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Sibley Specialty Care
The most recent inspection on October 22, 2025, identified a deficiency related to inadequate nursing supervision that allowed a resident with severe memory impairment to exit the building unsupervised. Earlier inspections showed a mix of deficiencies including issues with abuse prevention, food service and sanitation, infection control, care planning, and documentation. Complaint investigations included substantiated findings of resident abuse and supervision failures, while most other complaints were unsubstantiated. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection history shows recurring challenges in resident supervision and abuse prevention, with some improvement in food service and infection control noted in interim periods.
Health Inspection History
Inspections
Total health inspections
5
Iowa average 4.9
Last Health inspection on Oct 2025
Total health citations
10
Iowa average 21.7
Citations per inspection
2
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 10 citations resulted from standard inspections; and 2 of 10 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
10 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 22, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 22, 2025
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 08, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 08, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 08, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 08, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 08, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 08, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
Sibley Specialty Care
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Sibley
51
79.5%
+5%
4.06
-6%
0
10
2.0
0
37
Bronner, David
$6.1M
$2.0M
31.9%
165401
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082
Places of interest near Sibley Specialty Care
Sibley, IA 512491050
Sibley, IA 512491050
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
68
Employees
48
Contractors
20
Staff to resident ratio
1.74:1
13% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
23
Average shift
6.7 hours
9% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
14,005
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
28
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
5.8%
806 contractor hours this quarter
Physical Therapy Assistant: 7
Respiratory Therapy Technician: 4
Speech Language Pathologist: 3
Qualified Social Worker: 2
Physical Therapy Aide: 2
Medical Director: 2
Staff by category
| Certified Nursing Assistant | 28 | 0 | 28 | 7,584 | 91 | 100% | 6.8 |
| Registered Nurse | 7 | 0 | 7 | 2,601 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 3 | 0 | 3 | 1,124 | 87 | 96% | 7.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 495 | 56 | 62% | 8.5 |
| Administrator | 1 | 0 | 1 | 488 | 64 | 70% | 7.6 |
| Dietitian | 1 | 0 | 1 | 419 | 60 | 66% | 7 |
| Speech Language Pathologist | 0 | 3 | 3 | 288 | 67 | 74% | 3.8 |
| Physical Therapy Aide | 0 | 2 | 2 | 253 | 48 | 53% | 5.3 |
| Mental Health Service Worker | 2 | 0 | 2 | 228 | 30 | 33% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 168 | 21 | 23% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 91 | 43 | 47% | 1.1 |
| Qualified Social Worker | 0 | 2 | 2 | 75 | 38 | 42% | 2 |
| Medication Aide/Technician | 1 | 0 | 1 | 72 | 10 | 11% | 7.2 |
| Physical Therapy Assistant | 0 | 7 | 7 | 58 | 35 | 38% | 1.5 |
| Medical Director | 0 | 2 | 2 | 41 | 3 | 3% | 13.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 20 | 4 | 4% | 4.9 |
28 Certified Nursing Assistant
% of Days
100%
7 Registered Nurse
% of Days
100%
3 Licensed Practical Nurse
% of Days
96%
2 Clinical Nurse Specialist
% of Days
62%
1 Administrator
% of Days
70%
1 Dietitian
% of Days
66%
3 Speech Language Pathologist
% of Days
74%
2 Physical Therapy Aide
% of Days
53%
2 Mental Health Service Worker
% of Days
33%
1 Nurse Practitioner
% of Days
23%
4 Respiratory Therapy Technician
% of Days
47%
2 Qualified Social Worker
% of Days
42%
1 Medication Aide/Technician
% of Days
11%
7 Physical Therapy Assistant
% of Days
38%
2 Medical Director
% of Days
3%
2 Other Dietary Services Staff
% of Days
4%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
39 residents
Residents by payment source
Medicare
8 residents (20.5%)
Medicaid
12 residents (30.8%)
Private pay or other
19 residents (48.7%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.9
13% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.2
In line with Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.9%
Percent of long-stay residents whose need for help with daily activities has increased
14.9%
21% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.0%
Percent of long-stay residents whose ability to move independently worsened
20.0%
In line with Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.9%
10% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
16% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.0%
Percent of long-stay high risk residents with pressure ulcers
2.0%
54% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.8%
Percent of long-stay residents with a urinary tract infection
0.8%
69% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.4%
Percent of long-stay residents who lose too much weight
4.4%
13% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.4%
Percent of long-stay residents who received an antipsychotic medication
10.4%
45% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
5.0%
Percent of short-stay residents who newly received an antipsychotic medication
5.0%
169% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
67.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
67.5%
8% worse than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Sibley Specialty Care based on CMS SNF Cost Reports.
Occupancy Rate
79.5%
↑ 7.7pp vs 2022
Net Income
$64,148
↓ ~$214K vs 2022
Total Payroll
$2,293,867
↑ ~$461K vs 2022
Profit Margin
1.1%
↓ 5.4pp vs 2022
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