77/100
Above average
Shell Rock Senior Living
920 North Cherry Street, Shell Rock, IA 50670
- Certified beds
- 41
- Occupancy
- 96%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$17,167 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Shell Rock Senior Living
Shell Rock Senior Living runs 41 certified beds under corporate for-profit ownership, and its most recent inspection in September 2025 left 29 deficiencies on the record, two of them serious enough to involve harm or jeopardy, plus two tied to abuse. That's a heavy inspection load for a home this size, and CMS rates its health inspection results at just one star out of five. Daily nurse staffing sits at 3.66 hours per resident, roughly 5% under the national average, and weekends drop about 13% below what the home itself staffs on weekdays. Annual turnover of 43.6% is slightly better than the 45.8% national figure. One fine on record totals $17,167.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
18/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.36 total nurse hours per resident per day (national median 3.77)
- →0.4 RN hours per resident per day
- →Weekend staffing drops 13% against weekdays
Staff stability
12/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →44% of nursing staff left in the last year
Resident outcomes
9/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →3 of 5 stars on the CMS quality-measure rating
Enforcement history
8/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$17,167 in federal fines across 1 action(s)
Staffing, against the national average
Full detailHours 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.
Recent inspection findings
Last standard health inspection: September 4, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of ACCURA HEALTHCARE, which operates 41 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Shell Rock Senior Living
What is the ElderGrade for Shell Rock Senior Living? +
Shell Rock Senior Living holds an ElderGrade of B (77 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Shell Rock Senior Living? +
Residents receive an average of 3.66 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Shell Rock Senior Living been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Shell Rock Senior Living accept Medicaid? +
Yes, Shell Rock Senior Living 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.
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