Iowa › Butler County › Shell Rock
Shell Rock Senior Living
920 North Cherry Street, Shell Rock, IA 50670
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.
Shell Rock Senior Living is a For-profit, corporation nursing home in Shell Rock, Iowa, certified for 41 beds and caring for about 39 residents a day.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 3 and quality measures 3.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (7, 4, 11 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 53.7 per 100 beds, more than the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $17K.
Reported nurse staffing is 3.7 hours per resident per day (0.4 RN), close to the Iowa median of 3.7; nursing staff turnover is 43.6%.
Compared with county, state and nation
| Measure | This facility | Butler Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 22 | 16 | 16 | 28.7 |
| Citations per 100 beds | 53.7 | 35.4 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 0.4 | 0.5 | 0.7 | 0.7 |
| Nursing staff turnover | 43.6% | 52.6% | 41.9% | 45.8% |
| Fines listed | $17,167 | $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: 4 Sep 2025, 15 Sep 2024.
Severity mix: L ×1 G ×1 D ×9 E ×4 F ×3 B ×1 C ×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 |
|---|---|---|---|---|---|
| 4 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 22 Sep 2025 |
| 4 Sep 2025 | F0732 | Post nurse staffing information every day. | E | Standard survey | 22 Sep 2025 |
| 4 Sep 2025 | 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 | Complaint investigation | 22 Sep 2025 |
| 4 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 Sep 2025 |
| 4 Sep 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 22 Sep 2025 |
| 4 Sep 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 22 Sep 2025 |
| 4 Sep 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 22 Sep 2025 |
| 15 Sep 2024 | F0727 | 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. | F | Complaint investigation | 10 Oct 2024 |
| 15 Sep 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Complaint investigation | 10 Oct 2024 |
| 15 Sep 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 | Complaint investigation | 10 Oct 2024 |
| 15 Sep 2024 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 10 Oct 2024 |
| 19 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | Complaint investigation | 20 Jul 2024 |
| 19 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 20 Jul 2024 |
| 9 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 May 2024 |
| 5 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Oct 2023 |
| 5 Oct 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 13 Oct 2023 |
| 5 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 13 Oct 2023 |
| 5 Oct 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 13 Oct 2023 |
| 5 Oct 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 13 Oct 2023 |
| 5 Oct 2023 | 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. | C | Standard survey | 13 Oct 2023 |
| 5 Oct 2023 | F0814 | Dispose of garbage and refuse properly. | C | Standard survey | 13 Oct 2023 |
| 5 Oct 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | C | Standard survey | 13 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Jul 2024 | Fine | $17,167 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 43.6%, RNs —; — 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 | 20.2% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.3% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.3% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.1% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 32.9% | 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: for-profit, corporation. Legal business name: Shell Rock Healthcare Center Inc. Chain: Accura Healthcare (41 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Tealwood Enterprise Inc | 5% or greater direct ownership interest | 100% | 01/01/2012 |
| American Healthcare Management Services LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2019 |
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 Butler County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Clarksville Skilled Nursing & Rehab Center | Clarksville | 42 | 4 | 4 | 4 | 10 | 23.8 | — | 9 Apr 2026 |
| Maple Manor Village | Aplington | 42 | 4 | 4 | 2 | 7 | 16.7 | — | 18 Feb 2026 |
| Rehabilitation Center of Allison | Allison | 48 | 3 | 2 | 3 | 17 | 35.4 | — | 5 May 2026 |
| Ams Memorial-Greene | Greene | 31 | 1 | 2 | 1 | 16 | 51.6 | — | 21 Feb 2022 |
All 5 facilities in Butler County
Questions and answers
How many deficiencies has Shell Rock Senior Living been cited for?
22 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Shell Rock Senior Living been fined?
Yes. CMS lists fines totalling $17K in the period covered.
How does staffing at Shell Rock Senior Living 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 Shell Rock Senior Living?
It is part of the Accura Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Tealwood Enterprise Inc and American Healthcare Management Services LLC. Individual owners and managers are not listed on this site.
When was Shell Rock Senior Living last inspected?
The most recent survey or investigation in the CMS record is dated 4 Sep 2025; the most recent standard health survey was 4 Sep 2025.
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.