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.

I am writing this letter to express my gratitude and to recognize Mechanicsville Specialty Care in Mechanicsville, IA, one of your Care Initiative care centers. My mother has been a resident there for over 9-1/2 years. She has Alzheimer's and is currently on hospice care. 
The staff is not only professional and skilled, they are caring, patient and compassionate. They give their smiles freely and can calm and reassure my mother in her confusion and anxiety. When I have visited her through the window (since COVID) I have seen my mother look up at a staff member with the look of a child seeking guidance and direction and I am convinced they are her family. The staff has changed in those 9-1/2 years but I have come to know many of them very well and they are part of my family too. 
Everyone ... are to be highly commended for their dedication in the past and heroic efforts during the COVID 19 Pandemic! I also recognize and praise the entire Care Initiative Hospice team. How reassuring it is that I can trust they are caring for and protecting my mother in such a loving way. Isn't that what anyone would want for their loved one? 

Diane C.

Hospice Care

(The staff) at Stratford Specialty Care has been so helpful with getting my mother-in-law settled in. This nursing the most caring, thoughtful home. (Everyone) has gone above and beyond to help us. Thank to you all. 

Karen F.

Stratford Specialty Care

I am doing OK now. I had the virus but I am okay. I had a lot of health (sic) issues for a while. I am sorry that I (sic) haven't written to you before. I want to thank you for letting me stay there a year ago. Tell all the staff hello from and therapy people. I am doing better now. 

Karen S.

Fonda Specialty Care

I like the place. The staff are really nice and the food is decent. Justin Blumenthal the administrator is really friendly, helpful, and nice to talk to.

Kurt H.

Westwood Specialty Care

To the staff...You are all awesome!! You are definitely a team and a team of heroes. I want to thank you for making a difficult time in my life a little easier. I kind [of] hesitated to come and now it's hard to leave. Thank you all and good luck! 


NorthCrest Specialty Care

We want to thank each and every one of you for the love and care you had given to our mom. She always looked forward to your visits and made her feel better after you left. You also gave us the comfort to make us feel better and what to expect. From the bottom of our hearts, thank you! (Sioux City)

The family of Darlene J.

Hospice Care

Thank you so very much for everything you did to care for XXXXX. Thank you also for the compassion you showed to me and my family during our final days with him. I don't know how I would have gotten through it without you all. XXXXX gave you some interesting days and you handled it with professionalism and compassion. I always felt respected. So many staff are now friends. Thank you again from the bottom of my heart!

Pam O.

Cherokee Specialty Care

Could not have been treated any better. Nurses and CNAs would get me my stuff when I needed it. Food was excellent. If I have to come to any of these places it is going to be this one or else I won't go.

Beverly K.

Pinnacle Specialty Care