Nursing HomeInspections

Silver Oak Nursing and Rehabilitation Center LLC

Nursing home in Marion, IA

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

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Public-record details

Address
455 31st Street, Marion, IA 52302
Phone
(319) 377-7363
Listed under
For-profit
Medicare CCN
165171
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
91
Average residents per day
76
Ownership
For-profit, limited Liability company
Legal business name
Silver Oak Nursing and Rehabilitation Center LLC
Chain
Ivy Healthcare Group (4 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165171. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Apr 23, 2026. CMS lists 62 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 5, 2023 to Aug 26, 2026): 38 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Aug 26, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 26, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 23, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Apr 23, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
D
Potential for more than minimal harm, isolated
Apr 23, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 23, 2026Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 23, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Apr 23, 2026Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services
E
Potential for more than minimal harm, pattern
Apr 23, 2026Have a plan that describes the process for conducting QAPI and QAA activities.
Administration
F
Potential for more than minimal harm, widespread
Oct 23, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 15, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 15, 2025Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · complaint inspection
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 62. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $16,068 and 1 denial of Medicare payment for new admissions in the last three years.

Feb 22, 2024Fine: $16,068
Feb 22, 2024Payment denial for 24 days from Mar 22, 2024

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.48 hours
Registered nurse (RN) time per resident per day
0.59 hours
Nurse aide time per resident per day
2.29 hours
Total nurse staffing on weekends
2.92 hours
Nursing staff turnover (yearly)
49%
RN turnover (yearly)
42%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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