Stratford Specialty Care – Stratford, IA

CMS Verified | 2026-03-01

Stratford Specialty Care

1200 Highway 175 East, Stratford, IA 50249
(515) 838-2795
53 beds
All Stratford facilities
2.0*
Overall
2.0*
Health Inspection
4.0*
Quality Care
4.0*
Staffing
71.55
Score /100
#7568
National Rank

#7568
of 14703 facilities
National
48.5% position
#194
of 390 in IA
State Rank
#1
of 3 in Hamilton
County Rank
#1
of 1 in Stratford
City Rank
#1
of 1 in ZIP 50249
ZIP Rank






About Stratford Specialty CareStratford Specialty Care is located at 1200 Highway 175 East, Stratford, IA, reachable at (515) 838-2795. This Non profit – Corporation facility operates 53.0 certified beds and serves an average of 38 residents per day. It is part of the Care Initiatives network (43 facilities nationwide). Medicare and Medicaid services have been provided since 1996-05-01. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Stratford Specialty Care

Address

1200 Highway 175 East, Stratford, IA 50249

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 53 Certified Beds
  • Ownership: Non profit – Corporation
  • Automatic Sprinklers: Yes
  • Network: CARE INITIATIVES

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
✅ Above Average (4★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 8 fine(s) over 5 years
5-Year Trend
Improving over 5 years
71.55
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#7568 of 14703 nationally – #194 of 390 in Iowa

Who Is This Facility Best For?

Stratford Specialty Care may be considered for families with limited options in Stratford, IA, but its lower CMS ratings suggest careful due diligence is warranted. Above-average staffing levels make it a good option for residents needing intensive nursing care.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

2 / 5
Staffing Rating

4 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightStratford Specialty Care currently provides 3 hours 23 minutes of total nurse staffing per resident per day, including 42 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 4 out of 5 reflects strong nurse coverage. Total nursing staff turnover stands at 45.2% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 23 minutes
Nurse Aide Hours2 hours 7 minutes
Licensed Practical Nurse (LPN) Hours35 minutes
Registered Nurse (RN) Hours42 minutes
Physical Therapist Hours1 minute

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 54 minutes
Weekend Registered Nurse (RN) Hours37 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 8 fine(s) over the 5-year period, totaling $112,370. 40 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 66.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#7,568
of 14,703
National
Bottom 49%
#194
of 390
IA State
Top 50% in IA
#1
of 3
️ Hamilton County
Best in county
#1
of 1
️ Stratford
Best in city
#1
of 1
ZIP 50249
Best in ZIP

Nationally, Stratford Specialty Care ranks 7568th out of 14,703 facilities (composite score: 71.5/100), placing it in the below average nationwide. Within IA, it ranks 194th out of 390 nursing homes. For 2026 staffing: total nurse hours rank #10,224 nationally and RN hours rank #4,980 nationally (#167 in IA).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank IA State Rank Note
2022 3.06 #11,370 / 14,703 #308 / 390 ⚠️ Bottom 25%
2023 3.12 #11,120 / 14,703 #285 / 390 ⚠️ Bottom 25%
2024 3.16 #11,390 / 14,703 #279 / 390 ⚠️ Bottom 25%
2025 2.85 #13,527 / 14,703 #366 / 390 ⚠️ Bottom 10%
2026 3.39 #10,224 / 14,703 #271 / 390 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank IA State Rank Note
2022 0.60 #6,793 / 14,703 #244 / 390 Above average
2023 0.79 #3,377 / 14,703 #124 / 390 Top 25%
2024 0.87 #2,670 / 14,703 #82 / 390 Top 25%
2025 0.70 #4,787 / 14,703 #179 / 390 Above average
2026 0.70 #4,980 / 14,703 #167 / 390 Above average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Stratford Specialty Care is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1996-05-01. 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) 838-2795 or your local Medicaid office to verify current eligibility.

Stratford Specialty Care holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (4★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 71.5/100, placing it #7568 of 14703 facilities nationally and #194 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 Stratford Specialty Care receives a reported average of 3 hours 23 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 42 minutes; Licensed Practical Nurse (LPN) — 35 minutes; Nurse Aide — 2 hours 7 minutes. On weekends, total nurse staffing is 2 hours 54 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 45.2%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 8 fine(s) over the 5-year period, totaling $112,370. 40 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. 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 66.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Stratford Specialty Care ranks 7568th out of 14,703 facilities (composite score: 71.5/100), placing it in the below average nationwide. Within IA, it ranks 194th out of 390 nursing homes. For 2026 staffing: total nurse hours rank #10,224 nationally and RN hours rank #4,980 nationally (#167 in IA). Our composite quality score of 71.5/100 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 Stratford, visit: https://nursinghomesnearme.org/iowa/stratford/

Contact and Location

ADR
Address

1200 Highway 175 East, Stratford, IA 50249
Get directions on Google Maps

TEL
LLC
Legal Name

CARE INITIATIVES

MAP
Browse by Location

All Iowa ·
Hamilton County ·
Stratford ·
ZIP 50249

Facility Details

Number of Certified Beds 53
Average Residents / Day 38 (72% occupancy)
Ownership Type Non profit – Corporation
Provider Type Medicare and Medicaid
County Hamilton County, IA
City Stratford, IA
ZIP Code 50249
Approved Since May 1, 1996
Resident Council nan
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 165270
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org