Mount Vernon, IA

Hallmark Care Center

3-star overall rating with 4-star inspections with 5 recent health deficiencies

215 Highway 30 SW, Mount Vernon, IA

(319) 895-8891

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

55

Certified beds

Average residents

41

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1997-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

90 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

1,537

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

55.91

Composite VBP score used to determine payment impact.

Payment multiplier

1.0110

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

6.57

Baseline 47.62% · Performance 36.84% · Measure score 6.57 · Achievement 6.57 · Improvement 4.23

Adjusted total nurse staffing

4.62

Baseline 4.20 hours · Performance 4.39 hours · Measure score 4.62 · Achievement 4.62 · Improvement 0.71

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 10 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	3.26%	8.2% 4.9 pts worse	Numerator 3 · Denominator 92
Staff flu vaccination coverage	75.93%	42% 33.9 pts better	Numerator 82 · Denominator 108
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.4	1.5 1.1 pts better	1.9 1.5 pts better	Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.4 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	2.1 0.5 pts better	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.0%	94.0% 4 pts better	93.4% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 94.9% · Q3 100.0% · Q4 100.0% · 4Q avg 98.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.5%	95.2% 2.3 pts better	95.5% 2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5%
Percentage of long-stay residents experiencing one or more falls with major injury	7.3%	3.7% 3.6 pts worse	3.3% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 10.3% · Q3 5.7% · Q4 5.6% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.9%	4.0% 0.9 pts worse	11.4% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 7.9% · Q3 0.0% · Q4 6.2% · 4Q avg 4.9%
Percentage of long-stay residents who lose too much weight	2.7%	4.9% 2.2 pts better	5.4% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 3.8% · Q3 0.0% · Q4 0.0% · 4Q avg 2.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.0%	20.6% 3.6 pts better	19.6% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 26.9% · Q3 7.1% · Q4 9.7% · 4Q avg 17.0%
Percentage of long-stay residents who received an antipsychotic medication	22.2%	19.8% 2.4 pts worse	16.7% 5.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 22.7% · Q3 19.2% · Q4 20.0% · 4Q avg 22.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	18.0%	18.5% 0.5 pts better	16.3% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 35.8% · Q3 10.9% · Q4 18.3% · 4Q avg 18.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.0%	18.3% 3.3 pts better	14.9% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 24.0% · Q3 11.1% · Q4 16.7% · 4Q avg 15.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.7% 1.7 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.0%	2.5% 0.5 pts better	1.7% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 0.0% · Q3 0.0% · Q4 2.8% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	33.6%	26.0% 7.6 pts worse	19.8% 13.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 33.7% · Q3 38.0% · Q4 38.5% · 4Q avg 33.6%
Percentage of long-stay residents with pressure ulcers	0.4%	4.3% 3.9 pts better	5.1% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	69.7%	84.3% 14.6 pts worse	81.7% 12 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 75.0% · Q3 82.6% · Q4 53.8% · 4Q avg 69.7%
Percentage of short-stay residents who newly received an antipsychotic medication	6.9%	1.9% 5 pts worse	1.6% 5.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 6.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.7%	73.3% 12.4 pts better	79.7% 6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.7%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-20 · Fire 2025-03-20

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-05-22 · Fire 2024-05-22

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-08 · Fire 2023-03-08

1 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-20

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-04-19

D · Potential for more than minimal harm 2025-03-20

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-04-19

D · Potential for more than minimal harm 2025-03-20

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-04-19

B · Minimal harm 2025-03-20

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2025-04-19

B · Minimal harm 2025-03-20

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-04-19

E · Potential for more than minimal harm 2024-05-22

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-22

D · Potential for more than minimal harm 2024-05-22

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-06-22

D · Potential for more than minimal harm 2023-03-08

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-04-08

Penalties and ownership