GoodStanding

Nursing home report

Heartland Care Center

Marcus, IA · Medicare-certified · 38 beds

In good standing
Non-profit
5 of 5 overall

Heartland Care Center (Marcus, IA) is rated 5 out of 5 stars overall, with 5-star staffing and quality measures, 3-star health inspections, and no fines in the last 24 months. Reported nurse staffing is 4.44 hours per resident per day, above the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

4.4438 hrs/resident/day

Quality measures

Last inspection: September 25, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4438.

Staffing detail

Registered nurses
1.83
Licensed practical nurses
0.54
Nurse aides
2.08
Weekend nursing
3.58

Hours per resident per day.

Total staff turnover: 34%
Registered nurse turnover: 14%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

19.4%

Residents with a fall causing major injury

8.7%8.7%No change

Residents with pressure ulcers (bedsores)

0%0%No change

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

9.5%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

15%23.8%Worsening

Residents whose ability to walk got worse

17.5%

Long-stay residents on antianxiety or sleep medication

40.9%20%Improving

Short-stay residents newly given an antipsychotic

4.8%

Residents with a long-term catheter

0%5.1%Worsening

Residents with new or worsening incontinence

22.3%37.4%Worsening

Residents with depressive symptoms

4.5%4.3%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

84%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

19.4%

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited April 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 758 — 42 CFR §483.45(e) — S/S: E

The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited April 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 803 — 42 CFR §483.60 — S/S: E

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The home failed to provide safe and appropriate breathing care when a resident needed it. Cited September 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 695 — 42 CFR §483.25(i) — S/S: D

The home failed to tell residents or their representatives in writing how long their bed would be held after a hospital transfer or therapeutic leave. Cited April 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 625 — 42 CFR §483.15 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
Non profit - Other
Occupancy
23.5 residents on an average day (62% of 38 beds)
Resident voice
Resident council
Medicare history
Certified for 27 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.