For All of Life's Health Transitions

Care Initiatives is committed to providing quality transitional health care and serving Iowans with compassion, dignity and respect. Our services help care for Iowans in their time of need through rehabilitation services, skilled nursing care, long term care and hospice care.

Our Mission

Improving quality of life for Iowans and their families during life's health transitions through compassionate individualized care.

Our Core Values

  • Commitment to continuously improve quality in everything we do.
  • Demonstrate compassion, integrity, respect and dignity in all interactions.
  • Compassionately serve others and their needs as defined by them.
  • Cultivate a culture of skill development and personal growth among all staff.
  • Recognize the power of teamwork to make effective, efficient and transparent decisions.
  • Commit to consistency and excellence in all processes.

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Family Stories

We are grateful when family and residents feel compelled to share their great care experiences. Click on “Family Stories” to read more.

All of the staff took such great care of my dad! Thank you for everything you did! 

Jennifer S.

Heritage Specialty Care

My mother had to go to Westwood Specialty Care (in Sioux City) because of a stroke. I am very impressed with the kind and professional staff at Westwood. Their speech therapy department is the best of the best. After only a few weeks, she is speaking coherent sentences. I am very happy with Westwood Specialty Care and would highly recommend it to anyone looking for a safe and well run facility.

Daneel P.

Westwood Specialty Care

Thank you for the great care (at Pinnacle). I was a tough guy to work with and you people showed amazing patience.

Michael D.

Pinnacle Specialty Care

Mom entered Sibley Specialty Care under the care of Care Initiatives Hospice. She was only there a week but we cannot express enough how wonderful the care was from both Sibley's staff and the Hospice staff. Our family so appreciated the gentleness and caring shown to our Mom. 


Family of Ethel B.

Hospice Care

Thank you for supporting our mother’s 100th birthday party “at her home”. Everything went smoothly all afternoon – which was made possible by Jodi. I cannot say enough positives about her for this day – but also for her weekly program.

Jim T.

Creston Specialty Care

I want to tell anyone that might have a loved one contemplating Avoca Speciality Care how impressed I have been with the care of my family member. Avoca Speciality Care is very clean and neat. All the staff have been nothing but kind and caring, and I mean exceptionally! The meals are very nutritious and tasty, and they cater to a variety of dietary needs. Activities are numerous and they help my loved one so he can interact with others.

Deb L.

Avoca Specialty Care

Just want to say "thank you" and to pass it along to the nurses for all you do for my son, John, and the other residents! Your compassion and hard work is very much appreciated!
Happy Nurses Week!

Diana & Roger N.

Southern Hills Specialty Care

They were very helpful when my mother in law had to go to rehab.

Lillyanne R.

State Center Specialty Care