Titonka Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2000-12-12. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (515) 928-2600 or your local Medicaid office to verify current eligibility.

Titonka Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (5★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 88.4/100, placing it #790 of 14703 facilities nationally and #18 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Titonka Care Center receives a reported average of 4 hours 10 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 10 minutes; Licensed Practical Nurse (LPN) — 32 minutes; Nurse Aide — 2 hours 28 minutes. On weekends, total nurse staffing is 3 hours 11 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 38.1%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 3 fine(s) over the 5-year period, totaling $38,434. One substantiated complaint was recorded across the 5-year period. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 47.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Titonka Care Center ranks 790th out of 14,703 facilities (composite score: 88.4/100), placing it in the top 10% nationwide. Within IA, it ranks 18th out of 390 nursing homes. For 2026 staffing: total nurse hours rank #3,837 nationally and RN hours rank #1,244 nationally (#26 in IA). Our composite quality score of 88.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Titonka, visit: https://nursinghomesnearme.org/iowa/titonka/