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Stratford Specialty Care

Nursing Home Facility

1200 Highway 175 East, Stratford, IA 50249

Nursing Home Care Senior Living

Stratford Specialty Care is a senior care community located in Stratford, IA. It provides nursing home care and senior living for older adults in the Stratford area. To learn more or schedule a tour, call (515) 612-1542.

Operated by Care Initiatives, which runs 43 communities in our directory.

Employer rating 2.9 out of 5 398 reviews from their own employees on Indeed. See what they say.

Stratford Specialty Care is licensed for 53 beds, about typical for the area, where senior care communities in Hamilton County average about 63 beds.

Federal reporting puts occupancy at about 71% of its licensed beds. That is below the Hamilton County average of roughly 79%.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 4 stars for staffing against 2 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in May 2025 and recorded 13 deficiencies.

Residents receive about 3.3 hours of nursing care per day on average, including 0.8 hours from a registered nurse. Nursing staff turnover over the past year was about 55%.

The community is located in Hamilton County, IA.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 31 problems at Stratford Specialty Care. None of them caused harm to a resident. 18 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected December 2025, after a complaint. Corrected by December 26, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected December 2025, after a complaint. Corrected by December 26, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Inspected December 2025, after a complaint. Corrected by December 26, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected December 2025, after a complaint. Corrected by December 26, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected December 2025, after a complaint. Corrected by December 26, 2025.

  • Could cause more than minimal harm, widespread Administration

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Inspected May 2025, after a complaint. Corrected by May 22, 2025.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected May 2025, after a complaint. Corrected by May 22, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Inspected May 2025. Corrected by May 22, 2025.

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  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected May 2025, after a complaint. Corrected by May 22, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected May 2025, after a complaint. Corrected by May 22, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Inspected May 2025. Corrected by May 22, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected May 2025. Corrected by May 22, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected May 2025. Corrected by May 22, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Stratford Specialty Care offers nursing home care and senior living.

Facility details

  • Organization type Non profit - Corporation
  • Beds / units 53
  • Occupancy 71%
  • Nursing hours per resident/day 3.3
  • Annual staff turnover 55%
  • Last health inspection May 2025

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