Silver Oak Nursing and Rehabilitation Center LLC
Nursing home in Marion, IA
Medicare & Medicaid certified1★ overall (CMS)
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
- 74
- 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
Inspection record
Most recent standard health inspection: Apr 23, 2026. CMS lists 60 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 5, 2023 to Apr 23, 2026): 36 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Apr 23, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| Apr 23, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| Apr 23, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| Apr 23, 2026 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| Apr 23, 2026 | Provide and implement an infection prevention and control program. | D |
| Apr 23, 2026 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| Apr 23, 2026 | Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| Oct 23, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Sep 15, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Sep 15, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. | E |
| Apr 9, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B |
| Apr 9, 2025 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B |
Fines and payment denials
CMS records 2 fines totalling $29,107 and 2 denials of Medicare payment for new admissions in the last three years.
| Feb 22, 2024 | Fine: $16,068 |
| Feb 22, 2024 | Payment denial for 24 days from Mar 22, 2024 |
| Oct 5, 2023 | Fine: $13,039 |
| Oct 5, 2023 | Payment denial for 2 days from Nov 3, 2023 |
Staffing
- Total nurse staffing per resident per day
- 3.55 hours
- Registered nurse (RN) time per resident per day
- 0.65 hours
- Nurse aide time per resident per day
- 2.33 hours
- Total nurse staffing on weekends
- 3.02 hours
- Nursing staff turnover (yearly)
- 55%
- RN turnover (yearly)
- 55%
- Administrators who left in the past year
- 1
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.