Nursing home · SNF / NF

Centerville Specialty Care

Federal · CMSActive CMS certificationCCN 165225Non-profit CMS overall

1208 East Cross Street, Centerville, IA 52544 · Operated by Care Initiatives · Chain Care Initiatives

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

Avg residents / day

Inspections

Citations

Harm-level

Fines

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 46 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 38.1 CMS, MDS-derived
CMS Certification Number: 165225
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 1, 1994
Ownership type: Non profit - Corporation
Operator (legal business name): Care Initiatives
CMS chain: Care Initiatives 43 facilities
Phone: (641) 856-8651
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Mar 25, 2026

Citations

15 health · 38 fire

Harm or worse

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D30	E7	F16
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

Payment denials

Latest

—

Date	Domain	Survey types	Citations	Most severe	Open
Mar 25, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Dec 4, 2025	Health	Health Standard	5	Potential harm	—	Open →
Oct 17, 2024	Fire safety	Fire Safety Standard	9	Potential harm	—	Open →
Oct 17, 2024	Health	Health Standard	2	Potential harm	—	Open →
Aug 22, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Aug 1, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Sep 18, 2023	Fire safety	Fire Safety Standard	13	Potential harm	—	Open →
Sep 18, 2023	Health	Health Standard	5	Potential harm	—	Open →
Jul 9, 2022	Fire safety	Fire Safety Standard	16	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D30	E7	F16
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 25, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 2, 2026	Complaint
Dec 4, 2025	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 19, 2025
Dec 4, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 19, 2025
Dec 4, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 19, 2025
Dec 4, 2025	F-0803	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Dec 19, 2025
Dec 4, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 19, 2025
Oct 17, 2024	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 25, 2024
Oct 17, 2024	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 6, 2024
Oct 17, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 25, 2024
Oct 17, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 24, 2024
Oct 17, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 6, 2024
Oct 17, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 24, 2024
Oct 17, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 25, 2024
Oct 17, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 24, 2024
Oct 17, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 24, 2024
Oct 17, 2024	F-0803	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Oct 31, 2024
Oct 17, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Oct 31, 2024
Aug 22, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Aug 2, 2024	Complaint
Aug 1, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 2, 2024	Complaint
Sep 18, 2023	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 19, 2023
Sep 18, 2023	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 27, 2023
Sep 18, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 19, 2023
Sep 18, 2023	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 25, 2023
Sep 18, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 18, 2023
Sep 18, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 28, 2023
Sep 18, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 19, 2023
Sep 18, 2023	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 19, 2023
Sep 18, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 26, 2023
Sep 18, 2023	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 28, 2023
Sep 18, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 27, 2023
Sep 18, 2023	K-0922	Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 26, 2023
Sep 18, 2023	K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 26, 2023
Sep 18, 2023	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Oct 9, 2023
Sep 18, 2023	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 9, 2023
Sep 18, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 9, 2023
Sep 18, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 9, 2023
Sep 18, 2023	F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 9, 2023
Jul 9, 2022	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 8, 2022
Jul 9, 2022	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 21, 2022
Jul 9, 2022	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 12, 2022
Jul 9, 2022	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 11, 2022
Jul 9, 2022	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 20, 2022
Jul 9, 2022	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 21, 2022
Jul 9, 2022	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 12, 2022
Jul 9, 2022	K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 14, 2022
Jul 9, 2022	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 21, 2022
Jul 9, 2022	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 7, 2022
Jul 9, 2022	K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 12, 2022
Jul 9, 2022	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 21, 2022
Jul 9, 2022	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 20, 2022
Jul 9, 2022	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 8, 2022
Jul 9, 2022	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 22, 2022
Jul 9, 2022	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 7, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Care Initiatives

CMS legal business name of the certified provider. Operates 43 facilities.

VerifiedLinked by exact legal name

CMS chain

Care Initiatives

43 facilities in 1 states. CMS chain ID 106.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Care Initiatives	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 1, 1989

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Care Initiatives	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 1, 1989
Destiny Boeve	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Mikieya Garcia	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 15, 2025
Shipeng Wei	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2024
Michael Beal	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jun 1, 2020
Lane Bowen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2021
Mary Jane Carothers	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
Kevin Childs	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2023
Peter Corless	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2025
Keith Krein	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jun 29, 2022
Elizabeth Rust	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
Denise Sturm	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2021
Linda Upmeyer	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jun 29, 2022
Michael Beal	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 1, 2020
David Dixon	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 1, 2016
Emily Drake	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 4, 2023
Tanya Gilyard	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 23, 2025
Jeramy Kuhn	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 25, 2008
Jessica Mcdyer	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 22, 2023
Computershare Corporate Trust Company, Na	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Feb 1, 2025
Computershare Corporate Trust Company, Na	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 3, 2025
Mikieya Garcia	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 15, 2025
Shipeng Wei	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 15, 2025

Other facilities operated by Care Initiatives

All 42 →

Facility	Beds	Last inspection	Citations (window)	Fines
Northcrest Specialty Care 2001health Street, Waterloo, IA 50703 CCN 165165	94	Aug 17, 2026	501 harm	—
Odebolt Specialty Care 801 South Des Moines Street, Odebolt, IA 51458 CCN 165180	38	Mar 12, 2026	251 IJ2 harm	$14k
Dunlap Specialty Care 1403 Harrison Road, Dunlap, IA 51529 CCN 165193	46	Aug 6, 2026	421 IJ1 harm	$10k
Creston Specialty Care 1001 Cottonwood Drive, Creston, IA 50801 CCN 165199	74	Jul 1, 2026	312 harm	$20k
Southridge Specialty Care 309 West Merle Hibbs Blvd., Marshalltown, IA 50158 CCN 165209	82	Jul 15, 2026	441 IJ1 harm	$45k
Lantern Park Specialty Care 2200 Oakdale Road, Coralville, IA 52241 CCN 165214	90	Jul 31, 2025	591 IJ4 harm2 open	$63k
Lyon Specialty Care 1010 South Union, Rock Rapids, IA 51246 CCN 165215	45	Aug 19, 2026	14	—
Corydon Specialty Care 745 East South Street, Corydon, IA 50060 CCN 165222	71	Jan 29, 2026	311 harm	—

Same chain in Iowa

All 42 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Northcrest Specialty Care 2001health Street, Waterloo, IA 50703 CCN 165165	94	Aug 17, 2026	501 harm	—
Odebolt Specialty Care 801 South Des Moines Street, Odebolt, IA 51458 CCN 165180	38	Mar 12, 2026	251 IJ2 harm	$14k
Dunlap Specialty Care 1403 Harrison Road, Dunlap, IA 51529 CCN 165193	46	Aug 6, 2026	421 IJ1 harm	$10k
Creston Specialty Care 1001 Cottonwood Drive, Creston, IA 50801 CCN 165199	74	Jul 1, 2026	312 harm	$20k
Southridge Specialty Care 309 West Merle Hibbs Blvd., Marshalltown, IA 50158 CCN 165209	82	Jul 15, 2026	441 IJ1 harm	$45k
Lantern Park Specialty Care 2200 Oakdale Road, Coralville, IA 52241 CCN 165214	90	Jul 31, 2025	591 IJ4 harm2 open	$63k
Lyon Specialty Care 1010 South Union, Rock Rapids, IA 51246 CCN 165215	45	Aug 19, 2026	14	—
Corydon Specialty Care 745 East South Street, Corydon, IA 50060 CCN 165222	71	Jan 29, 2026	311 harm	—

Coordinates as published by CMS.

Address: 1208 East Cross Street, Centerville, IA 52544
ZIP: 52544
County: Appanoose County FIPS 19007
State: Iowa
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Mercyone Centerville Medical Center One St Joseph Drive, Centerville,, IA 52544 CCN 16E728	1.5 km	19		Apr 16, 2026	21	—
Golden Age Care Center 1915 South 18th Street, Centerville, IA 52544 CCN 165257	2.9 km	46		Aug 10, 2026	421 IJ2 open	$29k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165225	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165225	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 165225

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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Centerville Specialty Care

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Care Initiatives

Same chain in Iowa

Nearby nursing homes

Centerville Specialty Care

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Care Initiatives

Same chain in Iowa

Nearby nursing homes