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Manly Specialty Care

⌖ Manly, IA · Worth County
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Medicare overall rating 3 of 5 stars
Certified beds44
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)

About Manly Specialty Care

Manly Specialty Care is a 44-bed nonprofit nursing home in Manly, IA. Medicare rates it 3 out of 5 stars overall (average); the average in Iowa is 3.1. At its last full inspection (Mar 2026), inspectors found 5 problems, close to the Iowa average of 6.5. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 36 min a day with each resident, about the same as the Iowa average of 3 hr 49 min. About 27% of its nursing staff left in the past year. Medicare fined it $13,627 in the last three years. Its quality ratings are similar for short-term rehab (3 of 5) and long-term care (3 of 5).

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameManly Specialty Care
LocationWorth County, Iowa
Address601 E South Street, Manly, IA 50456 · Worth County
CMS provider number165226
Ownership typeNon-profit (corporation)
Operating companyCare Initiatives · 43 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJuly 1, 1994 (32 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating3 of 5Average
Health inspections2 of 5Below average
Quality measures3 of 5Average
Staffing5 of 5Much above average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

3 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Mar 2026.
    Strength
  • Registered nurse time per resident59 min a dayIowa average: 45 min
    Strength
  • Nursing staff turnover27% a yearIowa average: 44%
    Strength

About average

  • Health citations at last inspection5 (Mar 2026)Iowa average: 6.5. Most citations are minor and corrected within weeks.
    About average
  • Nurse staffing per resident3 hr 36 min a dayIowa average: 3 hr 49 min
    About average

Things to ask about

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  • Fines and penalties1 fine totaling $13,627Federal penalties from the last three years, most recently in Jan 2024 (about 2 years ago). The national average is $30,972 per home.
    Worth asking about

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Iowa average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 3 of 5 (average)

  • Newly given antipsychotic drugs6.8%State average: 2.1%
    Worse than average

Physical therapist time: about 1 minute per resident a day. That is less than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 3 of 5 (average)

  • Falls with a major injury4.8%State average: 3.8%
    Worse than average
  • Pressure sores (bedsores)2.2%State average: 4.2%
    Better than average
  • Given antipsychotic drugs27.4%State average: 19.5%
    Worse than average
  • Hospital stays per 1,000 resident days0.9State average: 1.5
    Better than average

Source: Medicare (CMS) quality measures, compared with the Iowa average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Iowa, Medicaid pays for 50% of resident days at a typical home.

  • 68% Medicaid
  • 5% Medicare
  • 27% Private pay, insurance and other
Beds in use, on average94%Iowa typical: 79%
Cost of care per resident day$279Iowa typical: $311

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 3 stars now, down from 5 stars in January 2019. It has ranged from 2 to 5 stars and changed 10 times.

Overall rating3★
Health inspections2★
Staffing5★
Quality of care3★
Nurse hours per resident per day3.6
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201954534.0
Jan 202044444.2
Jan 202155544.3
Jan 202255543.6
Jan 202334133.1
Jan 202444333.3
Feb 202533433.4
Feb 202632523.4
Sep 202632533.6

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.