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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.
HomeIowaShell Rock Senior Living

Shell Rock Senior Living

920 North Cherry Street, Shell Rock, IA 506703198854341
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
3/5
Quality
1/5
Beds
41
certified
1 fine(s) totaling $17,167

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 41 certified beds with an average of 34 residents per day (83% occupancy)

• Last health inspection found 7 deficiencies (inspected Sep 4, 2025)

• Has been fined a total of $17,167 across 1 fine(s)

• Total nursing staff: 3.78 hours per resident per day

• Staff turnover rate: 63.3% (high)

• Part of the Accura Healthcare chain (38 facilities)

Shell Rock Senior Living is a 1-star Medicare and Medicaid certified nursing home in Shell Rock, Iowa with 41 certified beds. It has been operating since 1997. The facility scored below average compared to Iowa facilities.

Beds
41
Avg Residents/Day
34
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1997
Sprinklers
Yes
Council
Resident
County
Butler
Last Inspection
Sep 4, 2025
Deficiencies (Cycle 1)
7
Weighted Score
96.5
Infection Citations
0

Deficiency Citations (29)

F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Sep 4, 2025Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Sep 4, 2025Corrected: NoCycle: 1
F0732Potential for Harm

Post nurse staffing information every day.

Survey: Sep 4, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 4, 2025Corrected: NoCycle: 1
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: Sep 4, 2025Corrected: 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: Sep 4, 2025Corrected: NoCycle: 1
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Sep 4, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jul 19, 2024Corrected: NoCycle: 2
F0812Immediate Jeopardy

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

Survey: Jul 19, 2024Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 9, 2024Corrected: NoCycle: 2
F0641Minimal Harm

Ensure each resident receives an accurate assessment.

Survey: Sep 15, 2024Corrected: NoCycle: 2
F0685Potential for Harm

Assist a resident in gaining access to vision and hearing services.

Survey: Sep 15, 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: Sep 15, 2024Corrected: NoCycle: 2
F0727Potential for Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey: Sep 15, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jul 19, 2023Corrected: NoCycle: 3
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Jul 19, 2023Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 19, 2023Corrected: NoCycle: 3
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: Jul 19, 2023Corrected: NoCycle: 3
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Jul 19, 2023Corrected: NoCycle: 3
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Jul 19, 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: Jul 19, 2023Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 5, 2023Corrected: NoCycle: 3
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Oct 5, 2023Corrected: NoCycle: 3
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Oct 5, 2023Corrected: NoCycle: 3
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Oct 5, 2023Corrected: NoCycle: 3
F0801Minimal 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: Oct 5, 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: Oct 5, 2023Corrected: NoCycle: 3
F0814Minimal Harm

Dispose of garbage and refuse properly.

Survey: Oct 5, 2023Corrected: NoCycle: 3
F0868Minimal Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey: Oct 5, 2023Corrected: NoCycle: 3
Total Fines
$17,167
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJul 19, 2024
$17,167

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

Nurse Aide2.63 hrs
National avg: 2.35 hrs
LPN0.62 hrs
National avg: 0.86 hrs
RN0.53 hrs
National avg: 0.68 hrs
Total Nursing3.78 hrs
National avg: 3.89 hrs
Weekend Total3.37 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
63.3%
RN Turnover
66.7%
Administrators Left
0

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
TEALWOOD ENTERPRISE INC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jan 1, 2012
GROFF, HOWARD5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%Sep 3, 2008
SHERIDAN, GAIL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%Sep 3, 2008
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2019
LENEAVE, TEDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2019
GROFF, HOWARDCORPORATE OFFICERIndividualN/ASep 3, 2008
LENEAVE, TEDCORPORATE OFFICERIndividualN/AOct 1, 2019
SHERIDAN, GAILCORPORATE OFFICERIndividualN/ASep 3, 2008
SPURGIN, KASSIDYW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2023

Frequently Asked Questions

What is the CMS rating for Shell Rock Senior Living?▾
Shell Rock Senior Living has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 1/5. This facility is rated below average.
Has Shell Rock Senior Living had any health inspection violations?▾
Shell Rock Senior Living had 7 deficiency citations in its most recent health inspection (Sep 4, 2025). The facility has been fined a total of $17,167 across 1 fine(s).
What are the staffing levels at Shell Rock Senior Living?▾
Shell Rock Senior Living provides 3.78 total nursing staff hours per resident per day, including 0.53 RN hours, 0.62 LPN hours, and 2.63 nurse aide hours. The total staff turnover rate is 63.3%.
How many beds does Shell Rock Senior Living have?▾
Shell Rock Senior Living has 41 certified beds with an average of 34 residents per day, resulting in approximately 83% occupancy. The facility is For profit - Corporation owned and is part of the Accura Healthcare chain.

Part of Accura Healthcare

This chain operates 38 facilities. View all →