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HomeIowaHeartland Care Center

Heartland Care Center

604 East Fenton PO Box 608, Marcus, IA 510357123762500WebsiteGoogle Maps
4.6on Google(25 reviews)
5/5Much Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
5/5
Quality
5/5
Beds
38
certified

How Heartland Care Center Compares in Iowa

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.

CMS overall rating
5/5
IA average
3.1/5
Above state average
Health inspection rating
3/5
IA average
2.8/5
Close to state average
Staffing rating
5/5
IA average
3.6/5
Above state average
Nursing hours per resident
4.45 hrs/day
IA average
3.81 hrs/day
Above state average
RN hours per resident
1.93 hrs/day
IA average
0.74 hrs/day
Above state average
Staff turnover
35.5%
IA average
44.1%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 5/5 overall CMS rating is above the Iowa average of 3.1/5.
Reported nursing time is 4.45 hours per resident per day, above the state average of 3.81.
Reported RN time is 1.93 hours per resident per day, above the state average of 0.74.
Staff turnover is 35.5%, lower than the Iowa average of 44.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
5
deficiency citations
Inspected Apr 10, 2025
Most recent cycle
6
deficiency citations
Inspected May 7, 2026
The most recent cycle recorded 1 more deficiency citation than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Cherokee County 65+
2,810
24.2% of county
County Population
11,601
Cherokee County

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.

Beds
38
Avg Residents/Day
24.6
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 1, 1998
Sprinklers
Yes
Council
Resident
County
Cherokee
Last Inspection
May 7, 2026
Deficiencies (Cycle 1)
6
Weighted Score
30.0
Infection Citations
0

Deficiency Citations (18)

F0801Potential for Harm

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.

Survey: May 7, 2026Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: May 7, 2026Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: May 7, 2026Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: May 7, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 7, 2026Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Sep 25, 2025Corrected: NoCycle: 1
F0758Potential for Harm

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.

Survey: Apr 10, 2025Corrected: NoCycle: 2
F0625Potential for Harm

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.

Survey: Apr 10, 2025Corrected: NoCycle: 2
F0644Potential for Harm

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

Survey: Apr 10, 2025Corrected: NoCycle: 2
F0656Potential for Harm

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

Survey: Apr 10, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 10, 2025Corrected: NoCycle: 2
F0803Potential for Harm

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.

Survey: Apr 4, 2024Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: Apr 4, 2024Corrected: NoCycle: 3
F0661Potential for Harm

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Survey: Apr 4, 2024Corrected: NoCycle: 3
F0688Potential for Harm

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.

Survey: Apr 4, 2024Corrected: NoCycle: 3
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Apr 4, 2024Corrected: NoCycle: 3
F0883Potential for Harm

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

Survey: Apr 4, 2024Corrected: NoCycle: 3
F0887Potential for Harm

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.

Survey: Apr 4, 2024Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.92 hrs
National avg: 2.32 hrs
LPN0.60 hrs
National avg: 0.86 hrs
RN1.93 hrs
National avg: 0.69 hrs
Total Nursing4.45 hrs
National avg: 3.86 hrs
Weekend Total3.55 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
35.5%
RN Turnover
14.3%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (18)

NameRoleTypeOwnership %Since
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jul 19, 2023
ALESCH, LISAMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2026
BRADY, DENNISMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2026
GROSS, ROZANNEMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2026
IRWIN, KRISTIMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2026
JORDAN, GARYMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2026
LEAVITT, ROBERTMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2026
SCHLENGER, EDWARDMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2026
SCHNEIDER, JOHNMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2026
NIELSEN, TIMCORPORATE OFFICERIndividualN/AOct 20, 2025
HEARTLAND CARE CENTER INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 19, 2023
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATIONOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 19, 2023
GEHA, ANDREWOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 19, 2019
NIELSEN, TIMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 20, 2025
HEARTLAND CARE CENTER INCADP OF THE SNFOrganizationN/AJul 19, 2023
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATIONADP OF THE SNFOrganizationN/AJul 19, 2023
GEHA, ANDREWADP OF THE SNFIndividualN/ASep 19, 2019
NIELSEN, TIMADP OF THE SNFIndividualN/AOct 20, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Heartland Care Center and nearby alternatives.

All Iowa facilities
Heartland Care Center
Marcus, IACurrent facility
CMS
5/5
Health
3/5
Staffing
5/5
Recorded fines: None
Happy Siesta Health Care Center
Remsen, IA8.3 mi
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: None
Careage Hills Rehabilitation and Healthcare
Cherokee, IA13.5 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: None
Cherokee Specialty Care
Cherokee, IA13.7 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: None
Accura Healthcare of Cherokee, LLC
Cherokee, IA14.3 mi
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: $8,021
Good Samaritan - Lemars
Le Mars, IA17.5 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Accura Healthcare of Le Mars
Le Mars, IA18.0 mi
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Heartland Care Center
Marcus, IA · Current facility
—5/53/55/5None recorded
Happy Siesta Health Care Center
Remsen, IA
8.3 mi3/53/54/5None recorded
Careage Hills Rehabilitation and Healthcare
Cherokee, IA
13.5 mi2/52/54/5None recorded
Cherokee Specialty Care
Cherokee, IA
13.7 mi2/52/53/5None recorded
Accura Healthcare of Cherokee, LLC
Cherokee, IA
14.3 mi3/53/54/5$8,021
Good Samaritan - Lemars
Le Mars, IA
17.5 mi4/54/53/5None recorded
Accura Healthcare of Le Mars
Le Mars, IA
18.0 mi4/53/55/5None recorded

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.

Frequently Asked Questions

What is the CMS rating for Heartland Care Center?▾
Heartland Care Center has an overall CMS rating of 5 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 5/5, and quality measures rating of 5/5. This facility is rated above average.
How much does Heartland Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Heartland Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Heartland Care Center had any health inspection violations?▾
Heartland Care Center had 6 deficiency citations in its most recent health inspection (May 7, 2026). The current CMS dataset records no fines for this facility.
What are the staffing levels at Heartland Care Center?▾
Heartland Care Center provides 4.45 total nursing staff hours per resident per day, including 1.93 RN hours, 0.60 LPN hours, and 1.92 nurse aide hours. The total staff turnover rate is 35.5%.
How many beds does Heartland Care Center have?▾
Heartland Care Center has 38 certified beds with an average of 24.6 residents per day, resulting in approximately 65% occupancy. The facility is Non profit - Corporation owned.
Are there other nursing homes near Heartland Care Center?▾
Yes. This page lists 6 nearby nursing homes in Iowa. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Heartland Care Center?▾
On Google Maps, Heartland Care Center has a rating of 4.6 out of 5 based on 25 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 5/5.