Nursing home report
Registered name: Shell Rock Senior Living
Shell Rock, IA · Medicare-certified · 41 beds
Shell Rock Healthcare Center in Shell Rock, IA has a 1-star overall rating, with a 1-star health inspection rating. Staffing is 3 stars but reported nurse staffing is below the federal benchmark (3.66 vs. 4.1 hours/resident/day), and the facility has a recent federal penalty with $17,167 in fines in the last 24 months.
Health inspections
Staffing
3.6573 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6573.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — widespread issue, immediate jeopardy to residents.
F-Tag 812 — 42 CFR §483.60(i) — S/S: L
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited September 2024 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited September 2025 — limited pattern, potential for harm.
F-Tag 732 — 42 CFR §483.35(i) — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited September 2025 — limited pattern, potential for harm.
F-Tag 803 — 42 CFR §483.60 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 7 health deficiencies.
Health inspection found 4 health deficiencies.
A federal fine of $17,167 was recorded.
Health inspection found 2 health deficiencies.
On record with Medicare: 1 fine · $17,167 in total fines.
Federal fine
Jul 19, 2024
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.
