The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
Nursing home report
Iowa Veterans Home
Marshalltown, IA · Medicare-certified · 702 beds
In good standing
Government-run
5 of 5 overall
Iowa Veterans Home in Marshalltown has a 5-star overall rating, with 5 stars in health inspections, staffing, and quality measures. It reports nurse staffing above the federal benchmark (4.53 vs 4.1 hours per resident per day), with $0 in fines in the last 24 months; recent inspection areas cited included accident hazards/supervision and psychotropic medication practices.
Facility ratings
Health inspections
Staffing
4.5279 hrs/resident/day
Quality measures
Last inspection: November 17, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5279.
Staffing detail
- Registered nurses
- 0.82
- Licensed practical nurses
- 0.52
- Nurse aides
- 3.19
- Weekend nursing
- 3.96
Hours per resident per day.
Total staff turnover: 26%
Registered nurse turnover: 22%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.9%Improving
Residents with a fall causing major injury
2.9%Worsening
Residents with pressure ulcers (bedsores)
2.5%Steady
Residents with a urinary tract infection
1.8%Worsening
Residents who lost too much weight
3.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.7%Improving
Residents whose ability to walk got worse
11.1%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
22.6%Improving
Residents with a long-term catheter
1%Steady
Residents with new or worsening incontinence
16.7%Improving
Residents with depressive symptoms
5.7%Improving
Long-stay residents given the seasonal flu vaccine
98.4%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
78.1%Steady
Short-stay residents given the pneumonia vaccine
94.3%Worsening
What the inspectors found
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited May 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: D
Recent history
- 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 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Government - State
- Occupancy
- 344.6 residents on an average day (49% of 702 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 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.