Silver Oak Nursing and Rehabilitation Center LLC in Marion, IA has a 1-star overall rating, with a 1-star health inspection rating and an attention flag for the lowest overall rating. Staffing is rated 3 stars, with reported nurse staffing at 3.40 hours per resident per day, below the federal benchmark of 4.1; there were $0 in fines in the last 24 months.
Last inspection: October 23, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.399.
Staffing detail
Registered nurses
0.60
Licensed practical nurses
0.56
Nurse aides
2.23
Weekend nursing
3.03
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 80%
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
20%21.7%Worsening
Residents with a fall causing major injury
5.6%4.7%Improving
Residents with pressure ulcers (bedsores)
1.4%1.6%No change
Residents with a urinary tract infection
1.4%0%Improving
Residents who lost too much weight
1.4%3.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.1%30.9%Worsening
Residents whose ability to walk got worse
31.3%34.9%Worsening
Long-stay residents on antianxiety or sleep medication
21.1%20.7%No change
Short-stay residents newly given an antipsychotic
0%4.8%Worsening
Residents with a long-term catheter
3.8%5.2%Worsening
Residents with new or worsening incontinence
25.2%30.1%Worsening
Residents with depressive symptoms
3.1%19.6%Worsening
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
—28.8%—
Long-stay residents given the pneumonia vaccine
65.3%71.9%Improving
Short-stay residents given the seasonal flu vaccine
—16.7%—
Short-stay residents given the pneumonia vaccine
15%9.5%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2023 — isolated incident, actual harm.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to have a hospital transfer agreement to ensure residents could be moved quickly to a hospital when they needed medical care. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 843 — 42 CFR §483.70(i) — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 23 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $29,107 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Feb 22, 2024
24 days
Federal fine
Feb 22, 2024
$16,068
Medicare/Medicaid payment denial
Oct 5, 2023
2 days
Federal fine
Oct 5, 2023
$13,039
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of IVY HEALTHCARE GROUP · 4 homes · 1.8 stars avg
Occupancy
71.5 residents on an average day (79% of 91 beds)
Resident voice
Resident council
Medicare history
Certified for 34 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.