Skilled nursing · Dunlap, IA

Dunlap Specialty Care

1403 Harrison Road, Dunlap, IA 51529

2 / 5CMS 46 bedsCapacity Apr 2026Inspected
PALMELLE

22

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. Dunlap Specialty Care carries a Palmelle Clarity Score of 22 out of 100, derived from federal CMS Care Compare data plus Iowa state records. Health inspection rating sits at 1-star, staffing at 5-star, quality measures at 4-star. Long-stay antipsychotic prescribing is at 33.3 percent versus a 14 percent national median. RN coverage is 0.93 hours per resident per day. Nurse turnover 36 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Iowa DPH

In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This
0.93
National
0.78

Annual nurse turnover

This
36%
National
53%

No federal fines

Zero fines on record in the last 36 months.

Worth asking about

Antipsychotic, long-stay

This
33.3%
National
14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Iowa state data

The full record.

Federal CMS ratings

Overall★★★★★2 / 5
Health inspection★★★★1 / 5
Staffing★★★★★5 / 5
Quality measures★★★★4 / 5

Staffing

RN hours per resident, daily

This
0.93
Nat
0.78

Total nurse hours / resident, daily

This
3.61
Nat
3.62

Annual nurse turnover

This
36%
Nat
53%

Annual RN turnover

This
0%
Nat
47%

Quality measures · long-stay residents

Antipsychotic

This
33.3%
Nat
14%

Sedative / sleep med

This
38.6%
Nat
15%

Physical restraint

This
0.0%
Nat
1.1%

Falls with major injury

This
0.0%
Nat
1.6%

Penalties & status

No abuse iconNot special focusInspection current$39,361 in fines (2)

Identity & licensing

CMS ID165193
OwnershipNon profit - Corporation
ChainIndependent
Beds46
Avg residents31

Citations · last 36 months

  • Flagged by CMS data

    Long-stay antipsychotic rate is 33% — above the national median of about 14%. CMS already excludes residents with primary psychotic diagnoses from this measure. Worth asking what specific behaviors the medication is targeting and what non-medication options were tried first.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    Long-stay antianxiety / sleep medication rate is 39%. This category often shifts up when antipsychotic prescribing is restricted — different drug class, same effect on the resident. Worth asking the facility's prescribing rate for both classes side by side.

    From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Iowa DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for Dunlap Specialty Care?

Dunlap Specialty Care has an overall CMS Care Compare rating of 2 out of 5 stars. It scores 1 of 5 on health inspection, 5 of 5 on staffing, and 4 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Dunlap Specialty Care been cited for resident harm?

It has $39,361 in federal fines across 2 penalties on record in the last 36 months. CMS data flagged 2 concerns on the latest reconcile. The full record for Dunlap Specialty Care appears in the record section above.

Does Dunlap Specialty Care use antipsychotic medications?

33.3 percent of long-stay residents at Dunlap Specialty Care are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is also elevated at 38.6 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Dunlap Specialty Care's Palmelle Clarity Score?

Dunlap Specialty Care has a Palmelle Clarity Score of 22 out of 100, putting it below the national median. The score is a composite of federal CMS and Iowa state inspection data. Higher is better.

How can I tour or contact Dunlap Specialty Care?

Dunlap Specialty Care is located at 1403 Harrison Road, Dunlap, IA 51529. Phone: (712) 643-2121. Website: contact facility. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Dunlap Specialty Care a special focus facility?

Dunlap Specialty Care is not on the federal Special Focus Facility list, but it does have $39,361 in federal fines on record. See the penalties and status section above.

What does F-689 mean on Dunlap Specialty Care's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Dunlap Specialty Care has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Dunlap Specialty Care compare to other Dunlap skilled nursing facilities?

Dunlap Specialty Care holds a Palmelle Clarity Score of 22. The full Dunlap directory shows nearby facilities ranked by score, antipsychotic prescribing, staffing, and citation history. Browse the full Dunlap directory to compare more facilities by score, staffing, and inspection record.

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