94.1/100
Excellent
604 East Fenton Po Box 608, Marcus, IA 51035
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: May 7, 2026 (3 months ago).
Nutrition and Dietary Deficiencies
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.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, potential for more than minimal harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
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 m...
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
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.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| ALESCH, LISA | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| BRADY, DENNIS | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| GROSS, ROZANNE | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| IRWIN, KRISTI | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| JORDAN, GARY | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| LEAVITT, ROBERT | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| SCHLENGER, EDWARD | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| SCHNEIDER, JOHN | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| NIELSEN, TIM | Individual | CORPORATE OFFICER | — |
| HEARTLAND CARE CENTER INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| GEHA, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Heartland Care Center holds an ElderGrade of A (94.1 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 4.45 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
No. None of the 18 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Yes, Heartland Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.