Casa De Paz Health Care Center
2121 West 19th Street, Sioux City, IA 51103 · CCN 165174
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 71
- Avg residents/day
- 63.9
- Phone
- 7122333127
Inspection history vs Iowa & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Iowa avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-03 | 11 | 6.2 | 9.5 | +4.8 worse |
| 2 | 2024-04-11 | 17 | 7.0 | 9.8 | +10.0 worse |
| 3 | 2023-03-16 | 12 | 7.9 | 9.3 | +4.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 4 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.02 | — |
| RN staffing (reported) | 0.71 | — |
| Total nurse staffing (adjusted) | 3.29 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- CAMPBELL STREET SERVICES
- Facilities in chain
- 16
- Chain avg overall
- 2.10 / 5
Inspection citations (40)1 actual harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-10-30 · Health · corrected 2025-11-11
Potential for more than minimal harm
- DF0693Ensure 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.2025-10-30 · Health · corrected 2025-11-11
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-21 · Health · corrected 2025-09-13
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-08-21 · Health · corrected 2025-09-13
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-04-03 · Health · corrected 2025-04-27
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-04-03 · Health · corrected 2025-04-27
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-03 · Health · corrected 2025-04-27
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-03 · Health · corrected 2025-04-27
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-04-03 · Health · corrected 2025-04-27
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-04-03 · Health · corrected 2025-04-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-04-03 · Health · corrected 2025-04-27
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-10 · Health · corrected 2025-01-06
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-01-10 · Health · corrected 2025-01-06
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-07-15 · Health · corrected 2024-07-26
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-15 · Health · corrected 2024-07-26
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-07-15 · Health · corrected 2024-07-26
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-04-11 · Health · corrected 2024-05-11
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-04-11 · Health · corrected 2024-05-11
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-04-11 · Health · corrected 2024-05-11
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-11 · Health · corrected 2024-05-11
Potential for more than minimal harm
- EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-04-11 · Health · corrected 2024-05-11
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-11 · Health · corrected 2024-05-11
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-04-11 · Health · corrected 2024-05-11
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-04-11 · Health · corrected 2024-05-11
Potential for more than minimal harm
- DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-04-11 · Health · corrected 2024-05-11
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-04-11 · Health · corrected 2024-05-11
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-11 · Health · corrected 2024-05-11
Potential for more than minimal harm
- DF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2024-04-11 · Health · corrected 2024-05-11
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-01-18 · Health · corrected 2024-02-15
Potential for more than minimal harm
- DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-03-16 · Health · corrected 2023-04-09
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-16 · Health · corrected 2023-04-09
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-03-16 · Health · corrected 2023-04-09
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-03-16 · Health · corrected 2023-04-09
Potential for more than minimal harm
- EF0680Ensure the activities program is directed by a qualified professional.2023-03-16 · Health · corrected 2023-04-09
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-16 · Health · corrected 2023-04-09
Potential for more than minimal harm
- GF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-16 · Health · corrected 2023-03-30
Actual harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-03-16 · Health · corrected 2023-04-09
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-16 · Health · corrected 2023-04-09
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-16 · Health · corrected 2023-04-09
Potential for more than minimal harm
- FF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2023-03-16 · Health · corrected 2023-04-09
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HOLDCO, IA, 10, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-02-01 |
| BIRCHWOOD HEALTHCARE PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2025-02-01 |
| DOLE, ISAAC | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-02-01 |
| BIRCHWOOD HEALTHCARE PARTNERS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| CAMPBELL STREET IA 10 LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| CAMPBELL STREET SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| HOLDCO, IA, 10, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| DOLE, ISAAC | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| DUDLEY, PAUL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| EMANUEL, CAMBRIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| SATTERFIELD, BRENDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| TASSLER, TINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
Other facilities in Sioux City
| Name | Overall | Beds |
|---|---|---|
| Sunrise Retirement Community | ★★★★★ | 74 |
| St Luke's Regional Medical Center SNF | ★★★★★ | 20 |
| Holy Spirit Retirement Home | ★★★★☆ | 78 |
| Accura Healthcare of Sioux City, LLC | ★★★☆☆ | 46 |
| Westwood Specialty Care | ★☆☆☆☆ | 85 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.