Marcus, IA

Heartland Care Center

2-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

604 East Fenton PO Box 608, Marcus, IA

(712) 376-2500

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 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

38

Certified beds

Average residents

28

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1998-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

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

14%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,519

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

Performance score

56.01

Composite VBP score used to determine payment impact.

Payment multiplier

1.0111

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

3.38

Performance 6.82% · Measure score 3.38 · Achievement 3.38 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

Not reported

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

Adjusted total nurse staffing

7.82

Baseline 4.79 hours · Performance 5.30 hours · Measure score 7.82 · Achievement 7.82 · Improvement 4.67

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.03%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 48 · Observed rate 6.25% · Lower 95% interval 7.2%
Discharge to community	47.32%	50.57% 3.2 pts worse	No Different than the National Rate · Eligible stays 41 · Observed rate 43.9% · Lower 95% interval 34.68%
Medicare spending per beneficiary	0.6	1.02 0.4 pts better
Drug regimen review with follow-up	88.89%	95.27% 6.4 pts worse	Numerator 32 · Denominator 36
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 36
Discharge self-care score	69.7%	53.69% 16 pts better	Numerator 23 · Denominator 33
Discharge mobility score	51.52%	50.94% 0.6 pts better	Numerator 17 · Denominator 33
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 36 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.82%	7.12% 0.3 pts better	No Different than the National Rate · Eligible stays 27 · Observed rate 3.7% · Lower 95% interval 2.81%
Staff COVID-19 vaccination coverage	2.99%	8.2% 5.2 pts worse	Numerator 2 · Denominator 67
Staff flu vaccination coverage	88.24%	42% 46.2 pts better	Numerator 60 · Denominator 68
Discharge function score	75.76%	56.45% 19.3 pts better	Numerator 25 · Denominator 33
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 21 · Denominator 21
Resident COVID-19 vaccinations up to date	38.1%	25.2% 12.9 pts better	Numerator 8 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	1.5 About the same	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.9	2.1 1.8 pts worse	1.8 2.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.9 · Observed 3.4 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.9%	94.0% 4.9 pts better	93.4% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 96.0% · 4Q avg 98.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	84.0%	95.2% 11.2 pts worse	95.5% 11.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 84.0%
Percentage of long-stay residents experiencing one or more falls with major injury	5.3%	3.7% 1.6 pts worse	3.3% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.7% · Q3 4.3% · Q4 8.0% · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.4%	4.0% 0.4 pts worse	11.4% 7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.5% · Q3 4.5% · Q4 4.0% · 4Q avg 4.4%
Percentage of long-stay residents who lose too much weight	3.4%	4.9% 1.5 pts better	5.4% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.5% · Q3 0.0% · Q4 4.3% · 4Q avg 3.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	37.5%	20.6% 16.9 pts worse	19.6% 17.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 47.6% · Q2 40.9% · Q3 31.8% · Q4 30.4% · 4Q avg 37.5%
Percentage of long-stay residents who received an antipsychotic medication	19.2%	19.8% 0.6 pts better	16.7% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.0% · 4Q avg 19.2% · 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	19.4%	18.5% 0.9 pts worse	16.3% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 19.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.9%	18.3% 2.4 pts better	14.9% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 15.0% · Q3 9.5% · Q4 23.8% · 4Q avg 15.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.6%	1.7% 0.1 pts better	1.0% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.5% 2.5 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	27.9%	26.0% 1.9 pts worse	19.8% 8.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 22.3% · Q4 37.8% · 4Q avg 27.9%
Percentage of long-stay residents with pressure ulcers	0.0%	4.3% 4.3 pts better	5.1% 5.1 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 short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	84.3% 15.7 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	4.7%	13.1% 8.4 pts better	12.0% 7.3 pts better	Short Stay · 20240701-20250630 · Adjusted 4.7% · Observed 3.8% · Expected 9.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.0%	1.9% 1.1 pts worse	1.6% 1.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q3 4.8% · 4Q avg 3.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	19.4%	73.3% 53.9 pts worse	79.7% 60.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 19.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.9%	21.3% 3.4 pts better	23.9% 6 pts better	Short Stay · 20240701-20250630 · Adjusted 17.9% · Observed 15.4% · Expected 20.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-10 · Fire 2025-04-10

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-04-04 · Fire 2024-04-04

7 health deficiencies

Top issue: Infection Control (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-01-12 · Fire 2023-01-12

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-15

F · Potential for more than minimal harm 2025-04-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-11

F · Potential for more than minimal harm 2024-04-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-10

F · Potential for more than minimal harm 2024-04-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-04-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-04-04

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-05-09

F · Potential for more than minimal harm 2023-01-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-01-17

F · Potential for more than minimal harm 2023-01-12

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-01-17

E · Potential for more than minimal harm 2023-01-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-01-17

D · Potential for more than minimal harm 2023-01-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-17

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-25

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-11-25

E · Potential for more than minimal harm 2025-04-10

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-04-10

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 2025-04-25

D · Potential for more than minimal harm 2025-04-10

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 2025-04-25

D · Potential for more than minimal harm 2025-04-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-04-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-25

E · Potential for more than minimal harm 2024-04-04

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-04-17

E · Potential for more than minimal harm 2024-04-04

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 2024-04-17