The home failed to have enough qualified staff to properly provide food and nutrition services. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: E
Nursing home report
Heartland Care Center
Marcus, IA · Medicare-certified · 38 beds
In good standing
Non-profit
Data as of July 1, 2026
5 of 5 overall
Heartland Care Center in Marcus, IA has an overall 5-star rating, with 5 stars for staffing and quality measures but only 3 stars for health inspections. Reported nurse staffing is above the federal benchmark (4.45 vs. 4.1 hours per resident per day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.4484 hrs/resident/day
Quality measures
Last inspection: May 7, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4484.
Staffing detail
- Registered nurses
- 1.93
- Licensed practical nurses
- 0.60
- Nurse aides
- 1.92
- Weekend nursing
- 3.55
Hours per resident per day.
Total staff turnover: 36%
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
—16.9%—
Residents with a fall causing major injury
4.3%8.7%Worsening
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
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.5%23.8%Worsening
Residents whose ability to walk got worse
—16.8%—
Long-stay residents on antianxiety or sleep medication
31.8%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 make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2026 — 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 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 promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited May 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 24.6 residents on an average day (65% of 38 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 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.