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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
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.399 hrs/resident/day

Quality measures

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).

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).

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.

View the original federal record

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

  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. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. 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

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.