D

Heartland Care Center

604 East Fenton PO Box 608, Marcus, IA 51035
Score: 47 / 100
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CMS data shows Heartland Care Center earning a D grade with a score of 47/100, placing it below most facilities in Iowa. Prospective residents and families should carefully review the specific areas of concern detailed below.

Recent inspections identified 15 deficiencies at Heartland Care Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staffing hours data not available for this facility.

🔍 Inspection & Deficiency History

15
Total Deficiencies
Sep 24, 2025
Most Recent Inspection
🟠 15 Moderate
View recent deficiencies (5 shown)
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Sep 24, 2025 · Quality of Life and Care Deficiencies
  • Tag 0758 Severity E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psy
    Apr 9, 2025 · Pharmacy Service Deficiencies
  • Tag 0625 Severity D
    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 hospi
    Apr 9, 2025 · Resident Rights Deficiencies
  • Tag 0644 Severity D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Apr 9, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Apr 9, 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 0.0% 4.5% Better
Falls with major injury 5.3% 3.0% Worse
On antipsychotic medication 19.2% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 15.9% 14.0% Worse
Excessive weight loss 3.4% 7.5% Better
New/worsened incontinence 27.9% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 47 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

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

Facility Details

Ownership
Non profit - Other
Certified Beds
38
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 9, 2025
Deficiencies (Cycle 1)
6

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