nursing home in Madrid, IA
Madrid Home for the Aged
613 West North Street, Madrid, IA 50156 · (515) 795-3007
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Madrid Home for the Aged at a glance
Madrid Home for the Aged is a 64-bed non-profit nursing home in Madrid, Iowa (Boone County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Iowa average of 3.1.
Residents receive about 3.7 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (March 26, 2026) found 6 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 46.8% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 64
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Western Home Communities
- Medicare-certified since
- December 1, 1983
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Boone County
- CMS Certification Number
- 165118
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.70 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.63 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.67 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.41 hrs | 3.37 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 46.8% | 44% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 83.3% | 42.1% | 42.9% | Worse |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 30 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 64 | 65 | 107 | |
| Average residents per day | 58 | 52 | 86 | |
| Occupancy | 90.2% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.2% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.4% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 19.7% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.1% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 35.4% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 24% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.1% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 6.6% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 1.4% | 0.2% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.5% | 20.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 28.6% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.1% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 57.3% | 94% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 40% | 73.3% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 15% | 84% | 82% | Worse |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 16 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 26, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 31, 2026 |
| March 26, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 10, 2026 |
| March 26, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | E Potential harm, pattern | Corrected April 10, 2026 |
| March 26, 2026 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | D Potential harm, isolated | Past Non-Compliance |
| March 26, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Past Non-Compliance |
| March 26, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 10, 2026 |
| March 26, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected April 10, 2026 |
| March 20, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 19, 2025 |
| March 20, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected April 19, 2025 |
| March 20, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected April 19, 2025 |
| March 20, 2025 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | D Potential harm, isolated | Corrected April 19, 2025 |
| March 20, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 18, 2025 |
| March 20, 2025 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 18, 2025 |
| March 20, 2025 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected April 18, 2025 |
| March 20, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 18, 2025 |
| March 20, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 18, 2025 |
| June 6, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected July 10, 2024 |
| June 6, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected July 10, 2024 |
| June 6, 2024 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected July 10, 2024 |
| June 6, 2024 Fire safety | Establish methods for sharing information. Emergency Preparedness Deficiencies · Tag E0033 | F Potential harm, widespread | Corrected July 10, 2024 |
| June 6, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected July 10, 2024 |
| June 6, 2024 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected July 10, 2024 |
| June 6, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected July 10, 2024 |
| June 6, 2024 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | F Potential harm, widespread | Corrected July 10, 2024 |
| June 6, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected July 10, 2024 |
| June 6, 2024 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | E Potential harm, pattern | Corrected July 10, 2024 |
| June 6, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected July 10, 2024 |
| June 6, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 23, 2024 |
| June 6, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 23, 2024 |
| June 6, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected June 23, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $0 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 6, 2024 | Payment Denial | 12 days from June 28, 2024 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BANK IOWA Organization | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2025 |
| AGER, WENDY Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| BANK IOWA Organization | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| BRIGHTON CONSULTING GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| CBS STAFFING LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2023 |
| CLIFTONLARSONALLEN LLP Organization | adp of the snf | NOT APPLICABLE | 08/25/2021 |
| COLBY, RICHARD Individual | adp of the snf | NOT APPLICABLE | 03/18/2026 |
| EVANS, ANGELA Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| GRAPE TREE MEDICAL STAFFING LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2023 |
| HANSEN, KRIS Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| HARRIS, JERRY Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| J EVANS NUTRITION CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| MCCORMICK, DARRELL Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| MEDICAL SOLUTIONS LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2023 |
| NEXTAFF GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| O'LEARY, PATRICK Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| RC AND ASSOCIATES Organization | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| RELIANT CARE PHARMACY SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2023 |
| SIGNATURE HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| SUGAR CREEK HEALTH MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 09/30/2022 |
| TECH OF AGES LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| TOTAL NURSES NETWORK Organization | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| WESTERN HOME SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| WHYMS, BRIAN Individual | adp of the snf | NOT APPLICABLE | 03/18/2026 |
| SANNES, AARON Individual | corporate director | NOT APPLICABLE | 01/15/2025 |
| SCHROEDER, HEATHER Individual | corporate director | NOT APPLICABLE | 01/15/2025 |
| SUSONG, KATHERINE Individual | corporate director | NOT APPLICABLE | 01/15/2025 |
| BROCKELSBY, SHERI Individual | corporate officer | NOT APPLICABLE | 01/18/2018 |
| BROWN, SARAH Individual | corporate officer | NOT APPLICABLE | 01/01/2021 |
| FRANKHAUSER, RICHARD Individual | corporate officer | NOT APPLICABLE | 01/01/2021 |
| GAINES, RONALD Individual | corporate officer | NOT APPLICABLE | 01/01/2021 |
| HANSEN, KRIS Individual | corporate officer | NOT APPLICABLE | 01/01/2022 |
| SCHULTZ, DIANNE Individual | corporate officer | NOT APPLICABLE | 01/01/2021 |
| HANSEN, KRIS Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/18/2026 |
| AGER, WENDY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2022 |
| BOLLINGER, HANNAH Individual | operational/managerial control | NOT APPLICABLE | 11/08/2023 |
| COLBY, RICHARD Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| ELSBERRY, BRANDON Individual | operational/managerial control | NOT APPLICABLE | 09/06/2022 |
| EVANS, ANGELA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2022 |
| HANSEN, KRIS Individual | operational/managerial control | NOT APPLICABLE | 01/01/2002 |
Showing 40 of 51 records.
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Frequently asked questions
What is Madrid Home for the Aged's rating?
Madrid Home for the Aged has 3 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Madrid Home for the Aged receive?
Its most recent standard health inspection found 6 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Madrid Home for the Aged accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Madrid Home for the Aged?
It is non profit - corporation and part of Western Home Communities. The ownership section on this page lists the owners and managers reported to CMS.
Where is Madrid Home for the Aged and how do I contact it?
Madrid Home for the Aged is at 613 West North Street, Madrid, IA 50156. Phone: (515) 795-3007.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.