Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Sibley Specialty Care during CMS and state inspections, most recent first.
A resident with severe memory impairment and dementia was able to leave the facility unsupervised after a dietary aide let him out to check the weather without notifying nursing staff. The resident was later found and returned by his wife and local law enforcement, with no injuries noted.
Staff failed to provide full portions of food to several residents during a meal service, as they did not completely fill the designated serving scoops for pork and potatoes according to the planned menu and facility policy. This resulted in some residents receiving less than the required amount of food.
Surveyors found unsanitary conditions in the kitchen, including debris and hair on food storage bins, dirty carts and shelving, and food debris in refrigeration units. During meal service, a staff member placed blender covers and utensils directly on countertops, handled soiled gloves without hand hygiene, and used tongs for both food and non-food items without proper cleaning, all in violation of facility policy and expected sanitary practices.
A RN did not change gloves or perform hand hygiene at required points while changing a dressing for a resident's toe wound, instead using soiled gloves to handle clean supplies and apply ointment, contrary to facility infection control policy. The DON confirmed the correct procedure was not followed.
A resident with moderate cognitive impairment was physically abused by a CNA during assistance to the bathroom. The CNA struck the resident on the arm and tightened the gait belt excessively. The resident reported the incident, and the facility's investigation confirmed the abuse, revealing a lapse in adherence to abuse prevention policies.
The facility failed to ensure all employees had an Iowa Criminal Background check and dependent adult/child abuse registry check completed prior to working for one out of five employees reviewed. A non-certified nursing assistant's file lacked the required Iowa Criminal Background Check, despite the facility's policy mandating such checks for all direct access positions. Background checks are conducted at the corporate level and information is provided to the facility after completion.
The facility failed to obtain the required signatures on NOMNC forms CMS-10055 and CMS-10123 for two residents, despite verbal consent being given. The forms lacked the necessary signatures and dates, and the facility staff were unaware of the requirement.
The facility failed to notify the LTC Ombudsman for two residents who were transferred to the hospital and readmitted. The Administrator was unaware of the requirement and the facility lacked a policy on Ombudsman notification, leading to this deficiency.
Resident with Dementia Allowed to Exit Facility Unsupervised
Penalty
Summary
A deficiency occurred when a resident with severe memory impairment and a history of dementia was able to exit the facility unsupervised. The resident, who required assistance with personal care and had a low score on the Brief Interview for Mental Status (BIMS), was allowed to leave the building by a dietary aide. The aide let the resident out after he requested to check the weather, without notifying nursing staff or ensuring appropriate supervision. The resident was fully dressed and carrying blankets at the time. Shortly after, the facility was alerted by a local hospital that a man matching the resident's description was seen walking outside. A head count and search confirmed the resident was missing from the premises. The resident's roommate reported seeing him leave with a blanket, stating he was going home. Staff interviews and facility records confirmed that the dietary aide had used the code to let the resident out and did not inform other staff members. The resident was eventually located and returned to the facility by his wife and the local sheriff's office. Upon return, the resident was assessed and found to have no injuries or recollection of the incident. Facility policy required identification and supervision of residents at risk for unsafe wandering, but this was not followed in this instance, resulting in the resident's unsupervised exit.
Failure to Serve Full Food Portions During Meal Service
Penalty
Summary
The facility failed to serve full portions of food to several residents during meal preparation, as observed during a lunch meal service. Specifically, staff did not fill the designated serving scoops completely when serving ground pork chop and red potatoes to identified residents. The planned menu and portion sizes were clearly outlined, with the expectation that a full #6 scoop of pork and a full #8 scoop of potatoes be provided per the menu requirements. However, staff were observed providing less than the full scoop to multiple residents. The facility's policy on kitchen weights and measures requires food service staff to be trained in proper use of serving utensils and portion control, with clear guidelines for measurement and utensil use. Despite these policies, the observed meal service did not meet the established standards, resulting in residents not receiving the full portions as planned. The deficiency was confirmed through staff interviews and direct observation.
Failure to Maintain Sanitary Conditions and Proper Food Handling in Kitchen
Penalty
Summary
Surveyors observed multiple unsanitary conditions in the kitchen area during an initial walkthrough, including debris and hair on and around the sugar and flour bins, food debris at the bottom of snack and storage dish carts, and dirt, grease, and hair on a shelving unit. The floor was found to have an accumulation of food debris and dried liquid, and both freezer and refrigerator units contained food debris at the bottom. The Dietary Manager confirmed that these areas should be clean and free of debris and hair. During lunch service, a staff member was observed placing blender covers and spatulas directly on the countertop, including after handling soiled gloves, without performing hand hygiene. The staff member also used tongs for both food and non-food items without removing them from service, and failed to perform hand hygiene after glove removal. The Dietician confirmed that these actions did not meet expected sanitary practices and that the staff member would have continued without intervention. Facility policy requires strict hand hygiene, proper use of utensils, and prevention of cross-contamination, which were not followed during these observations.
Failure to Follow Hand Hygiene Protocol During Wound Care
Penalty
Summary
A Registered Nurse (RN) failed to follow proper hand hygiene protocols during a wound dressing change for a resident. The RN entered the resident's room, performed initial hand hygiene, and applied gloves. After removing the soiled dressing from the resident's left second toe, the RN, without changing gloves, used the same soiled gloves to handle clean gauze, apply wound cleanser, open ointment, and apply ointment to the wound. The RN also attempted to apply a bandaid with the same soiled gloves before finally removing them and performing hand hygiene. The facility's policy on hand hygiene, revised in August 2019, requires staff to change gloves and perform hand hygiene at specific points during wound care, including after handling soiled dressings and before handling clean supplies. The Director of Nursing (DON) confirmed in an interview that the RN should have changed gloves during the dressing change. The failure to change gloves and perform hand hygiene as required resulted in a breach of infection control practices for one of two residents observed during wound care.
Failure to Protect Resident from Physical Abuse
Penalty
Summary
The facility failed to protect a resident from physical abuse by a staff member. The incident involved a resident with moderate cognitive impairment, who was being assisted to the bathroom by two CNAs. During the assistance, the resident became verbally and physically aggressive, leading one of the CNAs to strike the resident on the upper left arm with a closed fist. The resident reported the incident, stating that the CNA hit her and tightened the gait belt excessively. The facility's investigation revealed that the CNA involved admitted to losing his temper, as evidenced by a text message sent to a colleague. Multiple staff members, including a social worker and the administrator, interviewed the resident, who initially reported being hit but later could not recall the incident. Despite the resident's cognitive impairment, she identified the CNA involved and expressed a desire not to have him assist her in the future. The facility's policies on abuse prevention and identification were not effectively implemented, as the staff failed to prevent the physical abuse of the resident. The facility's investigation acknowledged that something occurred, but the exact details remained unclear. The facility's policy strictly prohibits physical abuse, including hitting, yet the incident occurred, indicating a lapse in adherence to these guidelines.
Failure to Complete Required Background Checks
Penalty
Summary
The facility failed to ensure all employees had an Iowa Criminal Background check and dependent adult/child abuse registry check completed prior to working in the facility for one out of five employees reviewed. Specifically, the personnel file for a non-certified nursing assistant (Staff A) documented a hire date of 3/26/24, but lacked documentation of the Iowa Criminal Background Check. The facility's policy, revised in March 2019, mandates employment background screening checks on all applicants for positions with direct access to residents. An interview with the Business Office Manager revealed that background checks are conducted at the corporate level and the facility is provided the information after completion.
Failure to Obtain Required Signatures on NOMNC Forms
Penalty
Summary
The facility failed to obtain the resident or resident representative's signature for consent on the Notice of Medicare Non-Coverage (NOMNC) forms CMS-10055 and CMS-10123 for two residents. For Resident #15, the form CMS-10055 with a services end date of 12/6/23 and form CMS-10123 with the same end date lacked the required signatures despite verbal consent being given on 12/1/23. The progress notes indicated that Resident #15 had met treatment goals and achieved maximal progress with therapy by 11/30/23, with the last day of covered services being 12/6/23. Similarly, for Resident #36, the forms CMS-10055 and CMS-10123 with a services end date of 1/31/24 also lacked the required signatures despite verbal consent being given on 1/29/24. The progress notes for Resident #36 indicated that the resident had met treatment goals and achieved maximal progress with therapy by 1/29/24, with the last day of covered services being 1/31/24. The CMS Medicare Claims Processing Manual and the CMS NOMNC form instructions require that the beneficiary or their representative sign and date the forms to acknowledge receipt of the notice. If in-person delivery is not possible, the facility must document the initial contact and subsequent attempts to obtain the signature. In this case, the facility did not follow these procedures, as the forms lacked the necessary signatures and dates. The Administrator and Social Worker were unaware of the requirement for a resident or resident representative's signature on these forms, despite obtaining verbal consent.
Failure to Notify Ombudsman of Hospital Transfers
Penalty
Summary
The facility failed to notify the Long Term Care (LTC) Ombudsman for two residents who were transferred to the hospital. Resident #24, who had diagnoses of hypertension, diabetes mellitus, and required assistance with personal care, was transferred to the hospital on two occasions and readmitted to the facility without the Ombudsman being notified. The facility's documentation lacked Resident #24's name on the Notice of Transfer Form to the Ombudsman for both hospital transfers. Similarly, Resident #27, who had a severe cognitive impairment and diagnoses of a right femur fracture, hypertension, and diabetes mellitus, was transferred to the hospital and readmitted without the Ombudsman being notified. The facility's documentation also lacked Resident #27's name on the Notice of Transfer Form to the Ombudsman for the hospital transfer in February. Interviews with the Administrator revealed that the facility did not have a policy on Ombudsman notification and that the Administrator was unaware of the requirement to notify the Ombudsman of hospital transfers. This lack of awareness and policy led to the failure to notify the Ombudsman for the hospital transfers of both residents, resulting in a deficiency in compliance with the notification requirements.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 101 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Sibley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Osceola Senior Living | 1.2 mi | ★★★★★ | 10 | 0 |
| Good Samaritan - George | 12.4 mi | ★★★★★ | 19 | 0 |
| Parkview Manor Nursing Home | 15.3 mi | ★★★★★ | 10 | 0 |
| Sanford Senior Care Sheldon | 15.3 mi | ★★★★★ | 8 | 0 |
| Prairie View Home | 15.9 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Sibley Specialty Care.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.