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Nursing home report

Silver Oak Nursing and Rehabilitation Center LLC

Marion, IA · Medicare-certified · 91 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Silver Oak Nursing and Rehabilitation Center LLC in Marion, IA has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating but stronger staffing and quality ratings (4 and 3 stars). It has the lowest overall rating attention flag, no fines in the last 24 months, and reported nurse staffing of 3.55 hours per resident per day compared with the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

3.5455 hrs/resident/day

Quality measures

Last inspection: April 23, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5455.

Staffing detail

Registered nurses
0.65
Licensed practical nurses
0.57
Nurse aides
2.33
Weekend nursing
3.02

Hours per resident per day.

Total staff turnover: 55%
Registered nurse turnover: 55%

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

26.1%17.3%Improving

Residents with a fall causing major injury

5.7%2.9%Improving

Residents with pressure ulcers (bedsores)

2.4%4.8%Worsening

Residents with a urinary tract infection

2.9%0%Improving

Residents who lost too much weight

1.6%1.8%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

16.4%27.1%Worsening

Residents whose ability to walk got worse

21.4%21.8%No change

Long-stay residents on antianxiety or sleep medication

22.6%17.7%Improving

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

6.4%1.6%Improving

Residents with new or worsening incontinence

26.3%24.8%Improving

Residents with depressive symptoms

0%4.9%Worsening

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

28.8%

Long-stay residents given the pneumonia vaccine

71.4%62.3%Worsening

Short-stay residents given the seasonal flu vaccine

16.7%

Short-stay residents given the pneumonia vaccine

16.2%26.3%Improving

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.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: G

The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited April 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 865 — 42 CFR §483.75 — S/S: F

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

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 1 health deficiency.

    See what inspectors found
  3. STAFFING

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

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 23 health deficiencies.

    See what inspectors found

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

Recent ownership change · May 10, 2021

Now operated by Silver Oak Nursing and Rehabilitation Center LLC, previously Ahf Kentucky-iowa, INC.

Ownership
For profit - Limited Liability company
Chain
Part of IVY HEALTHCARE GROUP · 4 homes · 1.8 stars avg
Occupancy
73.5 residents on an average day (81% of 91 beds)
Resident voice
Resident council
Medicare history
Certified for 35 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.