Iowa › Linn County › Marion
Silver Oak Nursing and Rehabilitation Center LLC
455 31st Street, Marion, IA 52302
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 91 beds, Silver Oak Nursing and Rehabilitation Center LLC serves Marion in Linn County, Iowa and has taken Medicare and Medicaid residents since 1991.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.
Inspectors recorded 60 health deficiencies across the three most recent survey cycles (10, 29, 21 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 65.9 per 100 beds, more than the state median of 27.5.
CMS lists 4 penalties in the period covered: fines totalling $29K and 2 payment denials.
Reported nurse staffing is 3.5 hours per resident per day (0.6 RN), close to the Iowa median of 3.7; nursing staff turnover is 55.4%.
Compared with county, state and nation
| Measure | This facility | Linn Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 60 | 18 | 16 | 28.7 |
| Citations per 100 beds | 65.9 | 32.5 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.9 | 3.7 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 55.4% | 40.9% | 41.9% | 45.8% |
| Fines listed | $29,107 | $0 | $0 | — |
County and state figures are medians across facilities (18 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: 23 Apr 2026, 9 Apr 2025.
Severity mix: J ×1 G ×2 D ×35 E ×15 F ×5 B ×2
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 |
|---|---|---|---|---|---|
| 23 Apr 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 23 May 2026 |
| 23 Apr 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. | E | Standard survey | 23 May 2026 |
| 23 Apr 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 7 May 2026 |
| 23 Apr 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 23 May 2026 |
| 23 Apr 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 23 May 2026 |
| 23 Apr 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 23 May 2026 |
| 23 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 May 2026 |
| 23 Oct 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 5 Dec 2025 |
| 15 Sep 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Complaint investigation | 15 Oct 2025 |
| 15 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Oct 2025 |
| 9 Apr 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 9 May 2025 |
| 9 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 9 May 2025 |
| 9 Apr 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 9 May 2025 |
| 9 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 9 May 2025 |
| 9 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 9 May 2025 |
| 9 Apr 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 | 9 May 2025 |
| 9 Apr 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 9 May 2025 |
| 9 Apr 2025 | 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. | E | Standard survey | 9 May 2025 |
| 9 Apr 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 9 May 2025 |
| 9 Apr 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 28 Apr 2025 |
| 9 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Apr 2025 |
| 9 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 28 Apr 2025 |
| 9 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 9 May 2025 |
| 9 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 9 May 2025 |
| 9 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 May 2025 |
| 9 Apr 2025 | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | Standard survey | 9 May 2025 |
| 9 Apr 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 9 May 2025 |
| 9 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 9 May 2025 |
| 9 Apr 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. | D | Standard survey | 9 May 2025 |
| 9 Apr 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 9 May 2025 |
| 9 Apr 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 9 May 2025 |
| 9 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 9 May 2025 |
| 9 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. | B | Standard survey | 9 May 2025 |
| 5 Feb 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 7 Mar 2025 |
| 5 Feb 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 7 Mar 2025 |
| 5 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 7 Mar 2025 |
| 25 Nov 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Complaint investigation | 21 Dec 2024 |
| 25 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 Dec 2024 |
| 21 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 Sep 2024 |
| 30 Apr 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 17 May 2024 |
| 30 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 17 May 2024 |
| 22 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 22 Feb 2024 |
| 22 Feb 2024 | F0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | F | Standard survey | 22 Mar 2024 |
| 22 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 22 Mar 2024 |
| 22 Feb 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 | 22 Mar 2024 |
| 22 Feb 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 22 Mar 2024 |
| 22 Feb 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 Mar 2024 |
| 22 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 22 Mar 2024 |
| 22 Feb 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 22 Mar 2024 |
| 22 Feb 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 22 Mar 2024 |
| 22 Feb 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 | 22 Mar 2024 |
| 22 Feb 2024 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard survey | 22 Mar 2024 |
| 5 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 19 Oct 2023 |
| 5 Oct 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 19 Oct 2023 |
| 5 Oct 2023 | 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 | 5 Nov 2023 |
| 5 Oct 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 5 Nov 2023 |
| 5 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 5 Nov 2023 |
| 5 Oct 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Complaint investigation | 5 Nov 2023 |
| 5 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 5 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 22 Feb 2024 | Payment denial | — | 24 days |
| 22 Feb 2024 | Fine | $16,068 | |
| 5 Oct 2023 | Payment denial | — | 2 days |
| 5 Oct 2023 | Fine | $13,039 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 55.4%, RNs 54.5%; 1 administrator 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 | 23.3% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.8% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.4% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.6% | 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, limited liability company. Legal business name: Silver Oak Nursing And Rehabilitation Center Llc. Chain: Ivy Healthcare Group (4 facilities).
No organisations are listed in the CMS ownership record for this facility.
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 Linn County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Meth-Wick Health Center | Cedar Rapids | 69 | 5 | 5 | 5 | 2 | 2.9 | — | 26 Oct 2023 |
| St Luke'S Helen G Nassif Transitional Care Center | Cedar Rapids | 46 | 5 | 4 | 5 | 6 | 13.0 | — | 5 Mar 2026 |
| Terrace Glen Village | Marion | 40 | 5 | 4 | 5 | 10 | 25.0 | — | 19 Nov 2025 |
| West Ridge Care Center | Cedar Rapids | 60 | 5 | 5 | 5 | 1 | 1.7 | — | 16 Nov 2023 |
| Oakview Nursing & Rehablitation - Marion | Marion | 40 | 4 | 4 | 4 | 13 | 32.5 | — | 11 Mar 2026 |
| Rehabilitation Center of Lisbon | Lisbon | 64 | 4 | 4 | 3 | 3 | 4.7 | — | 21 Jan 2026 |
| The Gardens of Cedar Rapids | Cedar Rapids | 40 | 4 | 3 | 5 | 17 | 42.5 | $19K | 9 Jan 2025 |
| Hiawatha Care Center | Hiawatha | 109 | 3 | 3 | 4 | 10 | 9.2 | — | 2 Apr 2026 |
All 18 facilities in Linn County
Questions and answers
How many deficiencies has Silver Oak Nursing and Rehabilitation Center LLC been cited for?
60 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Silver Oak Nursing and Rehabilitation Center LLC been fined?
Yes. CMS lists fines totalling $29K in the period covered, plus 2 payment denials.
How does staffing at Silver Oak Nursing and Rehabilitation Center LLC compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Silver Oak Nursing and Rehabilitation Center LLC?
It is part of the Ivy Healthcare Group chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Silver Oak Nursing and Rehabilitation Center LLC last inspected?
The most recent survey or investigation in the CMS record is dated 23 Apr 2026; the most recent standard health survey was 23 Apr 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.