The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Nursing home report
Madrid Home for the Aged
Madrid, IA · Medicare-certified · 64 beds
In good standing
Non-profitChain member
3 of 5 overall
Madrid Home for the Aged in Madrid, IA has an overall rating of 3 out of 5 stars. Its staffing rating is lower at 2 out of 5 stars, with reported nurse staffing of 3.50 hours per resident per day versus the federal benchmark of 4.1, while its health inspection and quality measures ratings are both 3 out of 5 stars; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.4993 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4993.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.47
- Nurse aides
- 2.53
- Weekend nursing
- 3.00
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 78%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.8%Worsening
Residents with a fall causing major injury
5.9%Worsening
Residents with pressure ulcers (bedsores)
3%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
7.4%Improving
Residents who were physically restrained
1.5%Steady
Residents needing more help with daily activities
35%Improving
Residents whose ability to walk got worse
22.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
15.9%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.2%Steady
Residents with new or worsening incontinence
27.7%Worsening
Residents with depressive symptoms
6%Worsening
Long-stay residents given the seasonal flu vaccine
96.1%Steady
Long-stay residents given the pneumonia vaccine
70.8%Worsening
Short-stay residents given the seasonal flu vaccine
40%Steady
Short-stay residents given the pneumonia vaccine
23.3%Worsening
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 582 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 12 days
Medicare/Medicaid payment denial
Jun 6, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of WESTERN HOME COMMUNITIES · 6 homes · 3.5 stars avg
- Occupancy
- 60.4 residents on an average day (94% of 64 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 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.