F

Silver Oak Nursing and Rehabilitation Center LLC

455 31st Street, Marion, IA 52302
Score: 19 / 100

With a score of 19/100, Silver Oak Nursing And Rehabilitation Center Llc ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Silver Oak Nursing And Rehabilitation Center Llc is near the national average, with 3.45 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 73 deficiencies at Silver Oak Nursing And Rehabilitation Center Llc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.45 3.8 Average
Registered Nurses (RN) 0.50 0.7 Below Average
Licensed Practical Nurses (LPN) 0.54 0.7 Below Average
Certified Nursing Assistants (CNA) 2.41 2.4 Average
Weekend Total Nursing 3.07 3.8 Below Average
Weekend RN Hours 0.31 0.7 Below Average

🔍 Inspection & Deficiency History

73
Total Deficiencies
Oct 22, 2025
Most Recent Inspection
⚪ 3 Minor 🟠 69 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Oct 22, 2025 · Resident Rights Deficiencies
  • Tag 0865 Severity E
    Have a plan that describes the process for conducting QAPI and QAA activities.
    Sep 14, 2025 · Administration Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Sep 14, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0725 Severity F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Apr 8, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Apr 8, 2025 · Infection Control Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.0% 4.5% Better
Falls with major injury 5.7% 3.0% Worse
On antipsychotic medication 23.9% 14.5% Worse
Urinary tract infections 1.8% 2.5% Better
ADL decline (daily activities) 18.3% 14.0% Worse
Excessive weight loss 1.9% 7.5% Better
New/worsened incontinence 27.3% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $29,107

How This Grade Was Calculated

This facility's grade of F is based on a score of 19 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
91
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 8, 2025
Deficiencies (Cycle 1)
26

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