CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Heartland Care Center is a 5-star Medicare and Medicaid certified nursing home in Marcus, Iowa with 38 certified beds. It has been operating since 1998. Its overall CMS rating is 5 out of 5.
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
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.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jul 19, 2023 |
| ALESCH, LISA | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jan 1, 2026 |
| BRADY, DENNIS | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jan 1, 2026 |
| GROSS, ROZANNE | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jan 1, 2026 |
| IRWIN, KRISTI | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jan 1, 2026 |
| JORDAN, GARY | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jan 1, 2026 |
| LEAVITT, ROBERT | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jan 1, 2026 |
| SCHLENGER, EDWARD | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jan 1, 2026 |
| SCHNEIDER, JOHN | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jan 1, 2026 |
| NIELSEN, TIM | CORPORATE OFFICER | Individual | N/A | Oct 20, 2025 |
| HEARTLAND CARE CENTER INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 19, 2023 |
| SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 19, 2023 |
| GEHA, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 19, 2019 |
| NIELSEN, TIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 20, 2025 |
| HEARTLAND CARE CENTER INC | ADP OF THE SNF | Organization | N/A | Jul 19, 2023 |
| SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION | ADP OF THE SNF | Organization | N/A | Jul 19, 2023 |
| GEHA, ANDREW | ADP OF THE SNF | Individual | N/A | Sep 19, 2019 |
| NIELSEN, TIM | ADP OF THE SNF | Individual | N/A | Oct 20, 2025 |
Compare CMS ratings and recorded fines for Heartland Care Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.