Southern Hills Specialty Care

    444 N W View Dr, Osceola, IA, 50213
    3.7 · 24 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Compassionate caregivers alarming safety issues

    I found the caregivers loving, compassionate, and attentive - they remembered my mom, helped her regain weight, and provided excellent comfort and end-of-life care - but the facility showed serious safety and management failures: alarms off, poor hygiene, missed nursing checks, inconsistent communication, and even a forced discharge. Great staff, but systemic problems make me cautious about recommending it.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.67 · 24 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.0
    • Staff

      3.4
    • Meals

      3.7
    • Amenities

      3.7
    • Value

      1.0

    Pros

    • Caring, compassionate and attentive staff (many reports)
    • Staff who form close, family-like relationships with residents
    • Clean building and pleasant environment (no nursing home smell)
    • Clear and regular communication with families (in multiple positive reports)
    • Staff who remember residents and show emotional support to families
    • Effective emergency action in at least one reported case (nurse manager called ambulance)
    • Residents showing improved appetite and weight gain in positive cases
    • One-on-one care available as an option

    Cons

    • Inconsistent and sometimes neglectful medical/nursing care
    • Poor communication and failure to notify family about serious health events
    • Safety lapses: exit-seeking, wandering risk, repeated incidents, door alarm often off
    • Hygiene problems and inadequate daily care (e.g., sleeping in clothes)
    • One-on-one supervision available only for extra payment
    • Perceived mismanagement or 'shady' management practices
    • Conflicts between families and administrators or staff
    • Forced discharge reported within a short time period
    • Near-death or very serious health incidents mentioned (pneumonia, coughing blood)
    • Inconsistent staff competency — some staff praised, others described as disengaged
    • COVID visitation restrictions (affecting family access)
    • Questions and concerns sometimes left unanswered by staff/administration

    Summary review

    Overall sentiment in these reviews is sharply mixed and polarized: several families describe Southern Hills Specialty Care as compassionate, attentive, and the best facility they've encountered among long-term care options, while others report serious lapses in care, safety, and communication that led to near-miss or dangerous situations. The most frequent and consequential themes are (1) highly positive, person-centered interactions from many staff members and (2) inconsistent medical oversight and safety practices that created critical risks for some residents.

    Staff and interpersonal care: A substantial number of reviews praise staff as loving, compassionate, and close-knit. Positive narratives emphasize staff who remembered residents, provided emotional support (staff crying with families), delivered pain relief and comfort, and helped residents regain weight and appetite. These reviewers report clear, regular communication with families and describe a sense of peace of mind and a family-like atmosphere. Conversely, other reviews characterize staff interactions as disengaged, unresponsive, or neglectful. Some families explicitly say staff blamed other providers or were unwilling to answer questions. This contrast suggests meaningful variability among employees or shifts — some staff are highly skilled and caring, while others fall short of expected standards.

    Clinical care and medical oversight: Medical-care quality appears inconsistent across reports. Positive reviews include accounts of appropriate clinical action — for example, a nurse manager who recognized deterioration, called an ambulance, and escalated care resulting in hospital/ICU transfer. Other reviews, however, describe alarming omissions: failure to check with providers, failure to notify families when a resident coughed blood, and cases where vitals or other assessments were reportedly not performed or documented to the family's satisfaction. Several reviews describe serious outcomes or near-death events (including pneumonia) and one family felt compelled to move their loved one to a different facility for safety. The pattern indicates that while competent clinical intervention can and does occur, it is not reliably present for every resident or shift.

    Safety, daily care, and environment: Reviews report both a clean, well-maintained environment (noted repeatedly as having no typical nursing-home odor) and troubling safety concerns. Positive commenters pointed to a pleasant facility and improved eating/weight among residents. Negative accounts raise specific, recurring safety issues: exit-seeking and wandering risk; repeated incidents; and claims that a door alarm was often turned off. Hygiene and personal care problems were also reported — residents reportedly being left in clothes and receiving inadequate hygiene attention. One-on-one care is available but reportedly only if families pay extra, which raises equity and access concerns for residents who need close supervision but whose families cannot afford supplemental fees.

    Communication and management: Communication experiences are highly variable. Several families praised clear, regular updates and felt included in care decisions. Other families described poor communication, unanswered questions, and being kept in the dark about urgent health matters. Some reviews explicitly characterize management as untrustworthy or 'shady,' and report conflicts between families and administrators. There is at least one report of an apparently forced discharge within two months of admission, which is a serious administrative concern for prospective residents and families.

    Notable patterns and takeaways: The reviews collectively paint a facility with real strengths in compassionate caregiving and facility cleanliness, but with inconsistent clinical oversight, safety practices, and administrative reliability. Positive reviews emphasize individualized attention and emotional warmth from staff, and some concrete clinical successes (weight gain, appropriate emergency response). Negative reviews emphasize avoidable harms: lapses in infection or hygiene care, failure to communicate critical health changes, and safety vulnerabilities such as disabled alarms and unaddressed exit-seeking. The presence of both glowing recommendations and stern warnings suggests that experiences may vary widely depending on staffing, shift, unit, or individual resident needs.

    For families evaluating Southern Hills Specialty Care: these reviews suggest it is essential to ask targeted questions before placement — about staffing ratios, how wandering or exit-seeking is managed, alarm/door protocols, how and when families are notified of health changes, policies on one-on-one supervision and associated costs, discharge criteria, and examples of how the facility escalates care for clinical deterioration. A site visit that observes staff-resident interaction, cleanliness, and documentation practices, combined with direct discussions of recent incident trends and management responses, will help determine whether the facility’s strengths align with a particular resident’s needs. In short, Southern Hills appears capable of providing excellent, compassionate care for many residents, but prospective families should verify consistency in clinical oversight and safety practices given the number of reviews reporting serious concerns.

    Location

    Map showing location of Southern Hills Specialty Care

    About Southern Hills Specialty Care

    Southern Hills Specialty Care in Osceola, Iowa, sits on a single level and cares for up to 90 residents, with 18 beds set aside in a locked area for memory care, and the rest covering skilled nursing and assisted living services in a studio-style layout, and when you walk through the halls you'll notice many staff members, over 100 in total, who are busy looking after folks 24 hours a day, every day of the week. The facility has dedicated spaces for specialized health services, with unique names for its programs, and you'll find therapy rooms, wound care areas, rehab services, and skilled nursing teams all working together, which is important for people coming in for either short-term rehab or long-term care. Residents who need treatment for certain conditions, like influenza or lung injury from vaping, can get focused, clinical care under their "Spotlight on Health" program, and there's also help for those with memory problems through a secure unit. Southern Hills provides nutritious meals and makes room for special diets, while planned activities and daily programs try to keep everyone engaged-there are both social and learning events, which is nice for people who want to stay active or try something new. The facility accepts Medicaid after a private pay period and has both short-term and long-term care choices, including hospice, respite care, and skilled nursing, with therapy services available on site, and everything shaped around the individual needs of each resident. It's part of Care Initiatives, which is a nonprofit network serving multiple counties in Iowa, including Clarke County, and folks say Southern Hills stands out for its attention to specialty care and the way its staff works to make later years safer and more comfortable for residents, always with trained professionals who are there to help with whatever health issues a person might face.

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