Iowa › Cherokee County › Marcus
Heartland Care Center
604 East Fenton Po Box 608, Marcus, IA 51035
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Heartland Care Center, in Marcus, Iowa, is certified for 38 beds under non-profit, corporation ownership.
CMS gives it 5 of 5 stars overall, above the Iowa median of 3; the health inspection rating is 3, staffing 5 and quality measures 5.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (6, 5, 7 by cycle, most recent first), none at the actual-harm level. That is 47.4 per 100 beds, more than the state median of 27.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.4 hours per resident per day (1.9 RN), close to the Iowa median of 3.7; nursing staff turnover is 35.5%.
Compared with county, state and nation
| Measure | This facility | Cherokee Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 18 | 16 | 28.7 |
| Citations per 100 beds | 47.4 | 45.5 | 27.5 | 26.8 |
| Total nurse hours per resident day | 4.4 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 1.9 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 35.5% | 41.3% | 41.9% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (5 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 May 2026, 10 Apr 2025.
Severity mix: D ×13 E ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 7 May 2026 | F0801 | 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. | E | Standard survey | 3 Jun 2026 |
| 7 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Jun 2026 |
| 7 May 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 3 Jun 2026 |
| 7 May 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 3 Jun 2026 |
| 7 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 3 Jun 2026 |
| 25 Sep 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 25 Nov 2025 |
| 10 Apr 2025 | F0758 | 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. | E | Standard survey | 25 Apr 2025 |
| 10 Apr 2025 | F0625 | 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. | D | Standard survey | 25 Apr 2025 |
| 10 Apr 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 25 Apr 2025 |
| 10 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Apr 2025 |
| 10 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Apr 2025 |
| 4 Apr 2024 | F0803 | 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. | E | Standard survey | 17 Apr 2024 |
| 4 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 Apr 2024 |
| 4 Apr 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 17 Apr 2024 |
| 4 Apr 2024 | F0688 | 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. | D | Standard survey | 17 Apr 2024 |
| 4 Apr 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 17 Apr 2024 |
| 4 Apr 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 17 Apr 2024 |
| 4 Apr 2024 | F0887 | 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. | D | Standard survey | 17 Apr 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 35.5%, RNs 14.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.7% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.7% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.8% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.9% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Heartland Care Center Inc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sioux Valley Memorial Hospital Association | 5% or greater direct ownership interest | 100% | 07/19/2023 |
| Heartland Care Center Inc | Operational/managerial control | NOT APPLICABLE | 07/19/2023 |
| Sioux Valley Memorial Hospital Association | Operational/managerial control | NOT APPLICABLE | 07/19/2023 |
| Heartland Care Center Inc | Adp of the snf | NOT APPLICABLE | 07/19/2023 |
| Sioux Valley Memorial Hospital Association | Adp of the snf | NOT APPLICABLE | 07/19/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cherokee County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Accura Healthcare of Aurelia, LLC | Aurelia | 41 | 3 | 3 | 4 | 14 | 34.1 | — | 29 Jan 2026 |
| Accura Healthcare of Cherokee, LLC | Cherokee | 44 | 3 | 3 | 4 | 11 | 25.0 | $8K | 8 Jan 2026 |
| Cherokee Specialty Care | Cherokee | 62 | 3 | 3 | 3 | 33 | 53.2 | — | 22 May 2025 |
| Careage Hills Rehabilitation and Healthcare | Cherokee | 44 | 2 | 2 | 4 | 20 | 45.5 | — | 5 Mar 2026 |
All 5 facilities in Cherokee County
Questions and answers
How many deficiencies has Heartland Care Center been cited for?
18 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Heartland Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Heartland Care Center compare?
Reported total nurse staffing is 4.4 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Heartland Care Center?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Sioux Valley Memorial Hospital Association, Heartland Care Center Inc and Sioux Valley Memorial Hospital Association. Individual owners and managers are not listed on this site.
When was Heartland Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 7 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.