Federal inspection record · CMS data as of October 1, 2026
Mount Ayr Health Care Center
1504 East South Street, Mount Ayr, IA · (641) 464-3204
- Certified beds
- 46
- Residents per day
- 25
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 15, 1994
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Mount Ayr Health Care Center carries 24 inspection points. That is fewer than 62% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
11 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights1D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care1D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspection history
2026-04-14
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-04-09
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-06-27
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 57 min of it from a registered nurse.
This home
3 h 39 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 33% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 1.5 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.6 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.2 pts better | 96.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse | 4.0% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.8 pts worse | 9.2% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.7 pts worse | 28.7% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.4 pts worse | 22.2% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2 pts better | 13.2% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.9 pts worse | 19.5% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 1.0% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.8 pts better | 17.2% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 2.2% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 82.3% |
·
Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Hinz, Marlene | 5% Or Greater Direct Ownership Interest · Individual | 15% | 1 facilities |
| Hinz, Robert | 5% Or Greater Direct Ownership Interest · Individual | 15% | 1 facilities |
| Brooks, Kiley | Corporate Officer · Individual | 0% | 27 facilities |
| Brooks, Kiley | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Hinz, Marlene | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Hinz, Robert | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Hinz, Travis | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Hinz, Travis | Corporate Director · Individual | 0% | 1 facilities |
| Walnut Creek Management Company LLC | Operational/Managerial Control · Organization | 0% | 21 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2E
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services2F
- F
Have an externally vented heating system.
- D
Have an externally vented heating system.
Gas, Vacuum, and Electrical Systems1F
- F
Have proper medical gas storage and administration areas.
Egress1D
- D
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
Clearview Home
Mount Ayr, IA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 24 min
- Fines
- $0
-
Lamoni Specialty Care
Lamoni, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 36 min
- Fines
- $0
-
Worth County Convalescent Center
Grant City, MO
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 13 min
- Fines
- $0