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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
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.
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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.
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.