Southern Hills Specialty Care
Southern Hills Specialty Care
3.7 (22 reviews)
Skilled Nursing Facility • 90 Licensed Beds
444 North West View Drive, Osceola, IA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Southern Hills Specialty Care

Skilled Nursing Facility • 90 Licensed Beds
444 North West View Drive,
Osceola, IA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Southern Hills Specialty Care – Medicare Certified Since 1996

Southern Hills Specialty Care is a Medicare and Medicaid certified skilled nursing facility located in Osceola, Iowa. This facility has been serving the community for 30 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 90 certified beds with a current occupancy rate of 95% (averaging 86 residents per day), which is very high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.3 hours of total nursing care per resident per day (2.23 hours from CNAs, 0.41 hours from LPNs, 0.66 hours from RNs). Physical therapy staffing is 0.01 hours per resident per day.

Medicare Quality Ratings: According to CMS, Southern Hills Specialty Care has an overall quality rating of 3 out of 5 stars, which is average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 3 stars, staffing: 3 stars, quality measures: 3 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Southern Hills Specialty Care compares to 251 facilities in Rural IA

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
3
3.1
Quality Measures
Clinical outcomes & safety
3
3.2
Health Inspections
State survey results
3
2.9
Staffing
Nurse-to-resident ratio
3
3.5
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.66 hrs
0.73 hrs
LPN/LVN Hours
Licensed practical nurses
0.41 hrs
0.57 hrs
CNA Hours
Certified nursing assistants
2.23 hrs
2.39 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.30 hrs
3.69 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
5.3 %
LPN/LVN Agency Use
% of LPN hours from contractors
0 %
7.7 %
CNA Agency Use
% of CNA hours from contractors
0 %
7.2 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
38 %
41 %
Occupancy Rate
Percentage of beds filled
95 %
76 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$456
$331
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 251 facilities in Rural IA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
3/5
Quality Measures
3/5
Health Inspections
3/5
Staffing
3/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 251 other nursing homes in Rural IA

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Southern Hills Specialty Care
Rural IA Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Southern Hills Specialty Care
Rural IA Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Southern Hills Specialty Care
Rural IA Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Southern Hills Specialty Care
Rural IA Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
134
minutes/day
CNAs
Certified Nursing Assistants
25
minutes/day
LPNs
Licensed Practical Nurses
40
minutes/day
RNs
Registered Nurses
1
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Southern Hills Specialty Care
Rural IA Average (76.3%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$456
per resident per day
Compared to 244 facilities in your area
Above local median ($331)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

Nonprofit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
7% -2% Above
Net Income
Annual profit or loss
$-72,100 $-33,498 Below
Staff Cost per Resident
Daily salary expense per resident
$130/day $146/day Lower
Occupancy Rate
Bed utilization percentage
95% 73% Higher
Est. Daily Rate
Average revenue per patient day
$456/day $331/day Higher
Total Beds
Licensed bed capacity
90 56 Larger

Local comparisons based on 244 skilled nursing facilities in the Iowa (Rural) metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$8,147,849
Operating Expenses
Total operating costs
$7,562,377
Total Salaries
Staff compensation
$3,939,875
Contract Labor
Agency & temp staff
$55,317

Payer Mix

Medicare
6%
Medicaid
72%
Private Pay & Other
22%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
30,402
Medicare
Short-term skilled nursing
6%
Medicaid
Long-term care residents
72%
Private Pay / Other
Self-pay, insurance, VA
22%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
326.90
days
Medicare Stays
36.74
days
Medicaid Stays
1684.77
days
Total Admissions
86
Total Discharges
93
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in OSCEOLA

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Reviews

3.7 (22 reviews)
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Iliana D's profile photo
Iliana D 7 months ago

My grandma was placed here from Lantern Park Specialty Care in Coralville Iowa because my grandma had suffered a stroke causing dementia and to be wheelchair-bound. Compare to the Coralville location she was better taken care of here, well dressed everyday and didn’t smell of urine. She was here during Covid and weren’t able to have an in-person visit and the one time they did allow us to see her face to face we had to keep our distance. The staff were nice but didn’t interact much with them much. Because we lived in Iowa City and weren’t really able to see her in person due to Covid we decided to bring her home and take turns taking care of her. When we picked her up we noticed she had a cough but didn’t think much of it. When we were signing documents to release her she continued to cough a little more and had coughed up blood. I told them about it but the two ladies looked at each other and said they had called us about it. Our family is very close and communicative when it came to my grandmother, nobody had received report of this. She was very weak and when we got to Iowa City we decided to take her to the University of Iowa Hospital emergency department. They told us she had a few spots on her lungs, I can’t recall what else they found and no longer have access to her MyChart to pull up the medical report. It was very infuriating that they lied about contacting us, and should have had a provider check on her, especially if she was coughing up blood. When you place a family member in a facility like this you expect them to take care of them like their own. Very neglectful and would not recommend placing your loved one here.

Kim Rutledge's profile photo
Kim Rutledge 3 years ago

My mother received great care at Southern Hills Specialty Care! The staff were ALL amazing. I had no complaints and would, without reservation, choose them again for any future care needs for my family members.

SEMO Firearms's profile photo
SEMO Firearms 3 years ago

Southern Hills has the best staff! They took wonderful care of my mother. She was there a few years ago for a short time and then we took her home. When it was time to put her back in a facility last fall we immediately called them. They remembered her and our family even though it had been so long. The staff shared stories with me about mom and how much they all loved her. The building is always clean and doesn't have that nursing home smell. With their care my mom was gaining back some of the weight she had lost, was eating properly, and was always nice and clean. When mom passed last week, the staff cried right along with us. They treated her with such love and compassion. I am so glad she was able to spend her last 6 months in such a nice place. I would recommend them highly!

V Brenner's profile photo
V Brenner 4 years ago

My mother has only been at Southern Hills for a few months, but I have been extremely happy with the her quality of care. The staff treats her with love & compassion. They communicate clearly & regularly with me. Our family has had experience with four other LTC facilities over the last 12 years here in Iowa. Southern Hills is by far the very best we've experienced.

Diana Nagel's profile photo
Diana Nagel 2 years ago

We could not ask for a better place for my son! Southern Hills Specialty Care is a down home, close knit, loving "family" staff! They are always on top of things, along with compassion and great care for our loved one! Highly recommend them and refer them to anyone looking for a Care Center that will give you peace of mind you're in good hands. Thank you so much for being our Guardian Angel over my son!

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