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Titonka Care Center

⌖ Titonka, IA · Kossuth County
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Medicare overall rating 5 of 5 stars
Certified beds26
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)

About Titonka Care Center

Titonka Care Center is a 26-bed nonprofit nursing home in Titonka, IA. Medicare rates it 5 out of 5 stars overall (much above average); the average in Iowa is 3.1. At its last full inspection (Apr 2026), inspectors found 0 problems, fewer than the Iowa average of 6.5. Nurses and aides spend about 4 hr 09 min a day with each resident, about the same as the Iowa average of 3 hr 49 min. About 25% of its nursing staff left in the past year. It has had no federal fines in the last three years.

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 nameTitonka Care Center
LocationKossuth County, Iowa
Address312 First Avenue Nw, Titonka, IA 50480 · Kossuth County
CMS provider number165431
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceDecember 12, 2000 (25 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 rating5 of 5Much above average
Health inspections4 of 5Above average
Quality measures4 of 5Above average
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

4 strengths in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.

Strengths

  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength
  • Health citations at last inspection0 (Apr 2026)Iowa average: 6.5. Most citations are minor and corrected within weeks.
    Strength
  • Registered nurse time per resident1 hr 03 min a dayIowa average: 45 min
    Strength
  • Nursing staff turnover25% a yearIowa average: 44%
    Strength

About average

  • Nurse staffing per resident4 hr 09 min a dayIowa average: 3 hr 49 min
    About average

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.

Long-term care

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

Medicare quality rating: 4 of 5 (above average)

  • Falls with a major injury9.2%State average: 3.8%
    Worse than average
  • Pressure sores (bedsores)3.5%State average: 4.2%
    About average
  • Given antipsychotic drugs14.5%State average: 19.5%
    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

Many residents here pay privately or through insurance. In Iowa, Medicaid pays for 50% of resident days at a typical home.

  • 30% Medicaid
  • 9% Medicare
  • 60% Private pay, insurance and other
Beds in use, on average62%Iowa typical: 79%
Cost of care per resident day$373Iowa 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 5 stars now, the same as 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 16 times.

Overall rating5★
Health inspections4★
Staffing5★
Quality of care4★
Nurse hours per resident per day4.1
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201953453.6
Jan 202033413.8
Jan 202133414.4
Jan 202221524.2
Jan 202321453.9
Jan 202432534.2
Feb 202522344.1
Feb 202642554.2
Sep 202654544.1

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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Explore the area

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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.