nursing home in Marcus, IA
Heartland Care Center
604 East Fenton PO Box 608, Marcus, IA 51035 · (712) 376-2500
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★5
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Heartland Care Center at a glance
Heartland Care Center is a 38-bed non-profit nursing home in Marcus, Iowa (Cherokee County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Iowa average of 3.1.
Residents receive about 4.4 hours of nursing care per day (1.9 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (May 7, 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 35.5% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 38
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- August 1, 1998
- Resident/family council
- Resident
- County
- Cherokee County
- CMS Certification Number
- 165397
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.8 / 5 | Average |
| 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) | 4.45 hrs | 3.82 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.93 hrs | 0.74 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.92 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.55 hrs | 3.37 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 35.5% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 14.3% | 42.1% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
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) | 1 | 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) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 38 | 65 | 107 | |
| Average residents per day | 25 | 52 | 86 | |
| Occupancy | 64.7% | 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) | 6.7% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 0% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 16.9% | 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) | 1.3% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 14.7% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.8% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 1.3% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.4% | 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) | 28.8% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 29.7% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 84% | 95.3% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.9% | 94% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.4% | 2.1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 19.4% | 73.3% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 7, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected May 15, 2026 |
| May 7, 2026 Fire safety | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0922 | D Potential harm, isolated | Corrected May 19, 2026 |
| May 7, 2026 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 | E Potential harm, pattern | Corrected June 3, 2026 |
| May 7, 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 June 3, 2026 |
| May 7, 2026 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected June 3, 2026 |
| May 7, 2026 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected June 3, 2026 |
| May 7, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 3, 2026 |
| September 25, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected November 25, 2025 |
| April 10, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 15, 2025 |
| April 10, 2025 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 April 11, 2025 |
| April 10, 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 | E Potential harm, pattern | Corrected April 25, 2025 |
| April 10, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 25, 2025 |
| April 10, 2025 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 April 25, 2025 |
| April 10, 2025 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 April 25, 2025 |
| April 10, 2025 Standard | 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 hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected April 25, 2025 |
| April 4, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 10, 2024 |
| April 4, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected April 16, 2024 |
| April 4, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 16, 2024 |
| April 4, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected May 9, 2024 |
| April 4, 2024 Standard | 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 April 17, 2024 |
| April 4, 2024 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 17, 2024 |
| April 4, 2024 Standard | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661 | D Potential harm, isolated | Corrected April 17, 2024 |
| April 4, 2024 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected April 17, 2024 |
| April 4, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 17, 2024 |
| April 4, 2024 Standard | 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 April 17, 2024 |
| April 4, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected April 17, 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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION Organization | 5% or greater direct ownership interest | 100% | 07/19/2023 |
| GEHA, ANDREW Individual | adp of the snf | NOT APPLICABLE | 09/19/2019 |
| HEARTLAND CARE CENTER INC Organization | adp of the snf | NOT APPLICABLE | 07/19/2023 |
| NIELSEN, TIM Individual | adp of the snf | NOT APPLICABLE | 10/20/2025 |
| SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION Organization | adp of the snf | NOT APPLICABLE | 07/19/2023 |
| NIELSEN, TIM Individual | corporate officer | NOT APPLICABLE | 10/20/2025 |
| ALESCH, LISA Individual | managing control - governing body | NOT APPLICABLE | 01/01/2026 |
| BRADY, DENNIS Individual | managing control - governing body | NOT APPLICABLE | 01/01/2026 |
| GROSS, ROZANNE Individual | managing control - governing body | NOT APPLICABLE | 01/01/2026 |
| IRWIN, KRISTI Individual | managing control - governing body | NOT APPLICABLE | 01/01/2026 |
| JORDAN, GARY Individual | managing control - governing body | NOT APPLICABLE | 01/01/2026 |
| LEAVITT, ROBERT Individual | managing control - governing body | NOT APPLICABLE | 01/01/2026 |
| SCHLENGER, EDWARD Individual | managing control - governing body | NOT APPLICABLE | 01/01/2026 |
| SCHNEIDER, JOHN Individual | managing control - governing body | NOT APPLICABLE | 01/01/2026 |
| GEHA, ANDREW Individual | operational/managerial control | NOT APPLICABLE | 09/19/2019 |
| HEARTLAND CARE CENTER INC Organization | operational/managerial control | NOT APPLICABLE | 07/19/2023 |
| NIELSEN, TIM Individual | operational/managerial control | NOT APPLICABLE | 10/20/2025 |
| SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION Organization | operational/managerial control | NOT APPLICABLE | 07/19/2023 |
Other nursing homes near Heartland Care Center
- ★★★★★4Above average
Careage Hills Rehabilitation and Healthcare
725 North Second Street, Cherokee, IA 51012 · 13.5 mi
For-profit · 44 beds · Part of The Ensign Group
★★★★★2Below averageCherokee Specialty Care
1011 North Roosevelt, Cherokee, IA 51012 · 13.7 mi
Non-profit · 62 beds · Part of Care Initiatives
★★★★★3AverageAccura Healthcare of Cherokee, LLC
921 Riverview Drive, Cherokee, IA 51012 · 14.3 mi
For-profit · 44 beds · Part of Accura Healthcare
★★★★★3AverageGood Samaritan - Lemars
1140 Lincoln Street NE, Le Mars, IA 51031 · 17.5 mi
Non-profit · 64 beds · Part of Good Samaritan Society
★★★★★4Above averageAccura Healthcare of Le Mars
954 7th Avenue SE, Le Mars, IA 51031 · 18 mi
For-profit · 46 beds · Part of Accura Healthcare
★★★★★3Average
Frequently asked questions
What is Heartland Care Center's rating?
Heartland Care Center has 5 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 Heartland Care Center 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 Heartland Care Center 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 Heartland Care Center?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Heartland Care Center and how do I contact it?
Heartland Care Center is at 604 East Fenton PO Box 608, Marcus, IA 51035. Phone: (712) 376-2500.
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.