Federal inspection record · CMS data as of October 1, 2026
Wellington Place
2479 River Road, Decorah, IA · (563) 382-9691
- Certified beds
- 56
- Residents per day
- 50
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 10, 2003
1
How this home got 5 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
★★★★★no change
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.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Wellington Place carries 0 inspection points, the cleanest record possible.
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
3 health citations on record since 2023. 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.
Harm and immediate-jeopardy citations (2)
-
J
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-08-07
0 health deficiencies · 5 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-10-16
0 health deficiencies · 5 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2023-08-10
3 health deficiencies · 6 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 44 min of it from a registered nurse.
This home
3 h 35 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 46% 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 days1.5 pts worse | 3.4 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better | 98.5% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.2 pts better | 98.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury6.7 pts worse | 10.6% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.6 pts better | 3.6% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.6 pts worse | 9.0% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15.1 pts better | 5.9% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.2 pts better | 8.6% | 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 worsened0.6 pts worse | 15.8% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.8 pts worse | 24.4% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.6% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts worse | 3.6% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts better | 24.7% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers14 pts worse | 18.1% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9 pts worse | 75.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
·
Who owns and runs it
15 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 |
|---|---|---|---|
| Askelson, Lester | Corporate Director · Individual | 0% | 1 facilities |
| Benzing, Leah | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Benzing, Leah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bierman, Scott | Corporate Director · Individual | 0% | 1 facilities |
| Bohner, Scott | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bohner, Scott | Adp Of The SNF · Individual | 0% | 1 facilities |
| Boyer, Jean | Corporate Director · Individual | 0% | 1 facilities |
| Davis, Steven | Corporate Director · Individual | 0% | 1 facilities |
| Duffy, Denise | Corporate Officer · Individual | 0% | 1 facilities |
| Hageman, Nancy | Corporate Director · Individual | 0% | 1 facilities |
| Hageman, Nancy | Corporate Officer · Individual | 0% | 1 facilities |
| Hanson, Melinda | Corporate Officer · Individual | 0% | 1 facilities |
| Johnson, Gary | Corporate Director · Individual | 0% | 2 facilities |
| Wood, Katy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wood, Katy | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install an approved automatic sprinkler system.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous2E
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems2D
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure proper usage of power strips and extension cords.
Egress1F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
The Highlands
Decorah, IA
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 57 min
- Fines
- $93,839
-
Ossian Care Center
Ossian, IA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 15 min
- Fines
- $0
-
Northgate Care Center
Waukon, IA · Legacy Healthcare · Special Focus
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 26 min
- Fines
- $56,655