Iowa › Boone County › Madrid
Madrid Home For the Aged
613 West North Street, Madrid, IA 50156
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.
Certified for 64 beds, Madrid Home For the Aged serves Madrid in Boone County, Iowa and has taken Medicare and Medicaid residents since 1983.
CMS gives it 3 of 5 stars overall, equal to the Iowa median; the health inspection rating is 3, staffing 3 and quality measures 4.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (6, 5, 3 by cycle, most recent first), none at the actual-harm level. That is 21.9 per 100 beds, fewer than the state median of 27.5.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 3.7 hours per resident per day (0.6 RN), close to the Iowa median of 3.7; nursing staff turnover is 46.8%.
Compared with county, state and nation
| Measure | This facility | Boone Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 14 | 15 | 16 | 28.7 |
| Citations per 100 beds | 21.9 | 21.9 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 4.1 | 3.7 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 46.8% | 46.8% | 41.9% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (4 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: 26 Mar 2026, 20 Mar 2025.
Severity mix: D ×11 E ×3
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 |
|---|---|---|---|---|---|
| 26 Mar 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 10 Apr 2026 |
| 26 Mar 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 | 10 Apr 2026 |
| 26 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | Past Non-Compliance |
| 26 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 10 Apr 2026 |
| 26 Mar 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 10 Apr 2026 |
| 26 Mar 2026 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | Standard survey | Past Non-Compliance |
| 20 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Apr 2025 |
| 20 Mar 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 18 Apr 2025 |
| 20 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 Apr 2025 |
| 20 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 18 Apr 2025 |
| 20 Mar 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. | D | Standard survey | 18 Apr 2025 |
| 6 Jun 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 23 Jun 2024 |
| 6 Jun 2024 | 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 | 23 Jun 2024 |
| 6 Jun 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 23 Jun 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 6 Jun 2024 | Payment denial | — | 12 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 46.8%, RNs 83.3%; — 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 | 35.4% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 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 | 6.2% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.0% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.7% | 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: Madrid Home For The Aging. Chain: Western Home Communities (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bank Iowa | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2025 |
| Western Home Services Inc | Operational/managerial control | NOT APPLICABLE | 01/01/2022 |
| Bank Iowa | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Brighton Consulting Group LLC | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Cbs Staffing LLC | Adp of the snf | NOT APPLICABLE | 04/01/2023 |
| Cliftonlarsonallen LLP | Adp of the snf | NOT APPLICABLE | 08/25/2021 |
| Grape Tree Medical Staffing LLC | Adp of the snf | NOT APPLICABLE | 04/01/2023 |
| J Evans Nutrition Consulting LLC | Adp of the snf | NOT APPLICABLE | 10/01/2020 |
| Medical Solutions LLC | Adp of the snf | NOT APPLICABLE | 04/01/2023 |
| Nextaff Group LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Rc and Associates | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Reliant Care Pharmacy Services LLC | Adp of the snf | NOT APPLICABLE | 02/28/2023 |
| Signature Healthcare LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Sugar Creek Health Management LLC | Adp of the snf | NOT APPLICABLE | 09/30/2022 |
| Tech of Ages LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Total Nurses Network | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Western Home Services Inc | Adp of the snf | NOT APPLICABLE | 01/01/2022 |
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 Boone County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Accura Healthcare of Ogden, LLC | Ogden | 46 | 4 | 3 | 5 | 22 | 47.8 | — | 6 May 2026 |
| Eastern Star Masonic Home | Boone | 76 | 3 | 3 | 4 | 15 | 19.7 | — | 21 May 2026 |
| Westhaven Community | Boone | 100 | 3 | 3 | 4 | 15 | 15.0 | — | 30 Apr 2026 |
All 4 facilities in Boone County
Questions and answers
How many deficiencies has Madrid Home For the Aged been cited for?
14 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 Madrid Home For the Aged been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Madrid Home For the Aged compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Madrid Home For the Aged?
It is part of the Western Home Communities chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Western Home Services Inc. Individual owners and managers are not listed on this site.
When was Madrid Home For the Aged last inspected?
The most recent survey or investigation in the CMS record is dated 26 Mar 2026; the most recent standard health survey was 26 Mar 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.