Odebolt Specialty Care was identified as the third-largest nursing home in Sac County during the first quarter of 2026, data from the Centers for Medicare and Medicaid Services (CMS) shows.
The nursing facility provided 38 beds in that period, which is 13 fewer than Sac County’s average for Q1 2026. The center served an average of 27.8 residents at the time.
The CMS assigned Odebolt Specialty Care an overall score of 4 out of 5, topping the Iowa average of 3.1 for nursing homes.
For that quarter, Park View Rehabilitation Center had the largest bed count in Sac County at 77 beds, followed by Twilight Acres with 39 beds.
By the end of the first quarter of 2026, Odebolt Specialty Care had accumulated $14,433 in fines and received one penalty.
Sac County, Iowa, had two non-profit nursing homes in total.
Estimates from the U.S. Census Bureau show the older adult population in the U.S. is rising, while younger populations are shrinking. Americans age 65 and older grew by 13% from 2020 to 2024, and those under 18 declined by 1.7%. Over the last 100 years, the nation’s older adult segment expanded significantly, from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 study found that almost half of older adults—about 28 million people—may need long-term services and support, with projections stating more than one-third could eventually require nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Park View Rehabilitation Center | 2 |
| 2 | Twilight Acres | 5 |
| 3 | Odebolt Specialty Care | 4 |
Sources for this article include the Centers for Medicare and Medicaid Services. Find the source data here.


