With a score of 22/100, Shell Rock Senior Living 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 Shell Rock Senior Living is near the national average, with 3.78 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 29 deficiencies at Shell Rock Senior Living, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.78 | 3.8 | Average |
| Registered Nurses (RN) | 0.53 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.62 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.63 | 2.4 | Average |
| Weekend Total Nursing | 3.37 | 3.8 | Below Average |
| Weekend RN Hours | 0.32 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Sep 3, 2025 · Nutrition and Dietary Deficiencies
- Tag 0732 Severity EPost nurse staffing information every day.Sep 3, 2025 · Nursing and Physician Services Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Sep 3, 2025 · Infection Control Deficiencies
- Tag 0803 Severity EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeSep 3, 2025 · Nutrition and Dietary Deficiencies
- Tag 0637 Severity DAssess the resident when there is a significant change in conditionSep 3, 2025 · Resident Assessment and Care Planning 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 | 4.6% | 4.5% | Average |
| Falls with major injury | 6.4% | 3.0% | Worse |
| On antipsychotic medication | 30.1% | 14.5% | Worse |
| Urinary tract infections | 1.6% | 2.5% | Better |
| ADL decline (daily activities) | 23.5% | 14.0% | Worse |
| Excessive weight loss | 2.8% | 7.5% | Better |
| New/worsened incontinence | 31.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $17,167
How This Grade Was Calculated
This facility's grade of F is based on a score of 22 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: 1★ → 3 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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