GoodStanding

Nursing home report

Madrid Home for the Aged

Madrid, IA · Medicare-certified · 64 beds

In good standing
Non-profitChain member
Data as of July 1, 2026
3 of 5 overall

Madrid Home for the Aged in Madrid, IA has an overall rating of 3 out of 5 stars, with 3-star health inspection and staffing ratings and a 4-star quality measures rating. Reported nurse staffing is 3.70 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.6962 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 3.6962.

Staffing detail

Registered nurses
0.63
Licensed practical nurses
0.40
Nurse aides
2.67
Weekend nursing
3.41

Hours per resident per day.

Total staff turnover: 47%
Registered nurse turnover: 83%

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

16.7%21.1%Worsening

Residents with a fall causing major injury

5.8%5.3%Improving

Residents with pressure ulcers (bedsores)

2.5%0%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

6.7%7.3%Worsening

Residents who were physically restrained

0%1.8%Worsening

Residents needing more help with daily activities

54.5%34.1%Improving

Residents whose ability to walk got worse

18.3%32%Worsening

Long-stay residents on antianxiety or sleep medication

8.5%18.6%Worsening

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

2.2%0%Improving

Residents with new or worsening incontinence

31.5%28.7%Improving

Residents with depressive symptoms

4.5%3.6%Improving

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

96.1%

Long-stay residents given the pneumonia vaccine

73.1%40.4%Worsening

Short-stay residents given the seasonal flu vaccine

40%

Short-stay residents given the pneumonia vaccine

13.6%10.7%Worsening

What the inspectors found

The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 605 — 42 CFR §483.12 — S/S: E

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 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 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 make food and drinks appealing and served them at a safe, appetizing temperature. Cited March 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 804 — 42 CFR §483.60 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal payment denial was recorded.

  5. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 payment denial.

  • Medicare/Medicaid payment denial

    Jun 6, 2024

    12 days

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of WESTERN HOME COMMUNITIES · 6 homes · 3.7 stars avg
Occupancy
57.7 residents on an average day (90% 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.