Nursing HomeInspections

Shell Rock Senior Living

Nursing home in Shell Rock, IA

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
920 North Cherry Street, Shell Rock, IA 50670
Phone
(319) 885-4341
Listed under
For-profit
Medicare CCN
165309
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
41
Average residents per day
39
Ownership
For-profit, corporation
Legal business name
Shell Rock Healthcare Center INC
Chain
Accura Healthcare (41 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1997
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 165309. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 4, 2025. CMS lists 22 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 5, 2023 to Sep 4, 2025): 9 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Sep 4, 2025Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 4, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 4, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 4, 2025Post nurse staffing information every day.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Sep 4, 2025Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
Sep 4, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Sep 4, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		F
Potential for more than minimal harm, widespread
Sep 15, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		B
Potential for minimal harm, pattern
Sep 15, 2024Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 15, 2024Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 15, 2024Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Jul 19, 2024Honor 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

Showing the 12 most recent of 22. 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 Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $17,167 in the last three years.

Jul 19, 2024Fine: $17,167

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

Staffing

Total nurse staffing per resident per day
3.66 hours
Registered nurse (RN) time per resident per day
0.40 hours
Nurse aide time per resident per day
2.70 hours
Total nurse staffing on weekends
3.20 hours
Nursing staff turnover (yearly)
44%

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.