nursing home in Shell Rock, IA
Shell Rock Senior Living
920 North Cherry Street, Shell Rock, IA 50670 · (319) 885-4341
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Shell Rock Senior Living at a glance
Shell Rock Senior Living is a 41-bed for-profit nursing home in Shell Rock, Iowa (Butler County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3.7 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (September 4, 2025) found 7 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $17,167.
Nursing staff turnover is 43.6% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 41
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Accura Healthcare
- Medicare-certified since
- January 1, 1997
- Resident/family council
- Resident
- County
- Butler County
- CMS Certification Number
- 165309
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.66 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.40 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.70 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.20 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 43.6% | 44% | 45.8% | Average |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 88.5 | 54.5 | 80.6 | Worse |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $17,167 | $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 | 41 | 65 | 107 | |
| Average residents per day | 39 | 52 | 86 | |
| Occupancy | 95.6% | 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) | 2.4% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.2% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 32.9% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.3% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 20.2% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 18.1% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.7% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 9.7% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15% | 20.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 34.8% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 91.4% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 93.5% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.3% | 2.1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 82.6% | 73.3% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 69.5% | 84% | 82% | Worse |
Inspection citations
State inspectors cited this home for 22 health deficiencies and 18 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| September 4, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected October 1, 2025 |
| September 4, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected October 1, 2025 |
| September 4, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected October 1, 2025 |
| September 4, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected October 1, 2025 |
| September 4, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected October 1, 2025 |
| September 4, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected October 1, 2025 |
| September 4, 2025 Complaint | 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 | F Potential harm, widespread | Corrected September 22, 2025 |
| September 4, 2025 Complaint | Ensure 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 Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected September 22, 2025 |
| September 4, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 22, 2025 |
| September 4, 2025 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | E Potential harm, pattern | Corrected September 22, 2025 |
| September 4, 2025 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected September 22, 2025 |
| September 4, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected September 22, 2025 |
| September 4, 2025 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected September 22, 2025 |
| September 15, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected October 23, 2024 |
| September 15, 2024 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 October 23, 2024 |
| September 15, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected October 23, 2024 |
| September 15, 2024 Complaint | Have 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 Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected October 10, 2024 |
| September 15, 2024 Complaint | Provide 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 Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected October 10, 2024 |
| September 15, 2024 Complaint | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected October 10, 2024 |
| September 15, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | B No harm, pattern | Corrected October 10, 2024 |
| July 19, 2024 Complaint | 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 | L Immediate jeopardy, widespread | Corrected July 20, 2024 |
| July 19, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected July 20, 2024 |
| May 9, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected May 22, 2024 |
| October 5, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected November 3, 2023 |
| October 5, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected November 3, 2023 |
| October 5, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected November 3, 2023 |
| October 5, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected November 3, 2023 |
| October 5, 2023 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 November 3, 2023 |
| October 5, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected November 3, 2023 |
| October 5, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected November 3, 2023 |
| October 5, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 5, 2023 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 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 5, 2023 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 | F Potential harm, widespread | Corrected October 13, 2023 |
| October 5, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected October 13, 2023 |
| October 5, 2023 Standard | 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 October 13, 2023 |
| October 5, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected October 13, 2023 |
| October 5, 2023 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected October 13, 2023 |
| October 5, 2023 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | C No harm, widespread | Corrected October 13, 2023 |
| October 5, 2023 Standard | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Tag F0801 | C No harm, widespread | Corrected October 13, 2023 |
| October 5, 2023 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | C No harm, widespread | Corrected October 13, 2023 |
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 $17,167 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 19, 2024 | Fine | $17,167 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| TEALWOOD ENTERPRISE INC Organization | 5% or greater direct ownership interest | 100% | 01/01/2012 |
| GROFF, HOWARD Individual | 5% or greater indirect ownership interest | 50% | 09/03/2008 |
| SHERIDAN, GAIL Individual | 5% or greater indirect ownership interest | 50% | 09/03/2008 |
| GROFF, HOWARD Individual | corporate officer | NOT APPLICABLE | 09/03/2008 |
| LENEAVE, TED Individual | corporate officer | NOT APPLICABLE | 10/01/2019 |
| SHERIDAN, GAIL Individual | corporate officer | NOT APPLICABLE | 09/03/2008 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 10/01/2019 |
| LENEAVE, TED Individual | operational/managerial control | NOT APPLICABLE | 10/01/2019 |
| SPURGIN, KASSIDY Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2023 |
Other nursing homes near Shell Rock Senior Living
Woodland Terrace
1922 Fifth Avenue NW, Waverly, IA 50677 · 4.2 mi
Non-profit · 100 beds
- CMS high performer
★★★★★5Much above averageClarksville Skilled Nursing & Rehab Center
115 North Hilton St, Clarksville, IA 50619 · 7 mi
For-profit · 42 beds
★★★★★4Above averageRehabilitation Center of Allison
900 7th Street West, Allison, IA 50602 · 11.9 mi
For-profit · 48 beds · Part of Legacy Healthcare
★★★★★3Average- ★★★★★4Above average
Cedar Falls Health Care Center
1728 West Eighth Street, Cedar Falls, IA 50613 · 13.8 mi
For-profit · 70 beds · Part of Campbell Street Services
★★★★★1Much below averageMartin Health Center, INC
410 East 10th Street, Cedar Falls, IA 50613 · 14.4 mi
Non-profit · 50 beds · Part of Western Home Communities
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Shell Rock Senior Living's rating?
Shell Rock Senior Living has 1 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 Shell Rock Senior Living receive?
Its most recent standard health inspection found 7 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Shell Rock Senior Living 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 Shell Rock Senior Living?
It is for profit - corporation and part of Accura Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Shell Rock Senior Living and how do I contact it?
Shell Rock Senior Living is at 920 North Cherry Street, Shell Rock, IA 50670. Phone: (319) 885-4341.
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.