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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIowaHeartland Care Center

Heartland Care Center

604 East Fenton PO Box 608, Marcus, IA 510357123762500
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
1/5
Quality
4/5
Beds
38
certified

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 38 certified beds with an average of 28.1 residents per day (74% occupancy)

• Last health inspection found 6 deficiencies (inspected Apr 10, 2025)

• No fines on record

• Total nursing staff: 0.00 hours per resident per day

• Staff turnover rate: 36.1%

Heartland Care Center is a 2-star Medicare and Medicaid certified nursing home in Marcus, Iowa with 38 certified beds. It has been operating since 1998. The facility scored below average compared to Iowa facilities.

Beds
38
Avg Residents/Day
28.1
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 1, 1998
Sprinklers
Yes
Council
Resident
County
Cherokee
Last Inspection
Apr 10, 2025
Deficiencies (Cycle 1)
6
Weighted Score
30.0
Infection Citations
0

Deficiency Citations (15)

F0695Potential for Harm

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

Survey: Sep 25, 2025Corrected: NoCycle: 1
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: 1
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: 1
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: 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: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 10, 2025Corrected: NoCycle: 1
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: 2
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: 2
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: 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: 2
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: 2
F0883Potential for Harm

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

Survey: Apr 4, 2024Corrected: NoCycle: 2
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: 2
F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Jan 12, 2023Corrected: 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: Jan 12, 2023Corrected: 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 Aide0.00 hrs
National avg: 2.35 hrs
LPN0.00 hrs
National avg: 0.86 hrs
RN0.00 hrs
National avg: 0.68 hrs
Total Nursing0.00 hrs
National avg: 3.89 hrs
Weekend Total0.00 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
36.1%
RN Turnover
14.3%
Administrators Left
0

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

Ownership Type
Non profit - Other
Recent Change
No

Owners & Managers (3)

NameRoleTypeOwnership %Since
HEARTLAND CARE CENTER INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 1, 1995
NELSON, KODYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2016
NELSON, KODYCORPORATE DIRECTORIndividualN/AMay 1, 2016

Frequently Asked Questions

What is the CMS rating for Heartland Care Center?▾
Heartland Care Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
Has Heartland Care Center had any health inspection violations?▾
Heartland Care Center had 6 deficiency citations in its most recent health inspection (Apr 10, 2025). The facility has no fines on record.
What are the staffing levels at Heartland Care Center?▾
Heartland Care Center provides 0.00 total nursing staff hours per resident per day, including 0.00 RN hours, 0.00 LPN hours, and 0.00 nurse aide hours. The total staff turnover rate is 36.1%.
How many beds does Heartland Care Center have?▾
Heartland Care Center has 38 certified beds with an average of 28.1 residents per day, resulting in approximately 74% occupancy. The facility is Non profit - Other owned.