Wellington Place in Decorah, IA has an overall 3-star rating, with stronger health inspection and staffing scores (4 stars each) but a very low quality measures rating (1 star). Reported nurse staffing is 3.47 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: August 7, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4725.
Staffing detail
Registered nurses
0.62
Licensed practical nurses
0.55
Nurse aides
2.30
Weekend nursing
2.92
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 30%
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
8.8%7.9%Improving
Residents with a fall causing major injury
10.4%8%Improving
Residents with pressure ulcers (bedsores)
24.4%12.9%Improving
Residents with a urinary tract infection
2.2%4%Worsening
Residents who lost too much weight
5%15.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20%25.6%Worsening
Residents whose ability to walk got worse
12.6%21.4%Worsening
Long-stay residents on antianxiety or sleep medication
7.1%6.8%No change
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
2.3%0%Improving
Residents with new or worsening incontinence
34.8%21.9%Improving
Residents with depressive symptoms
2.1%2%No change
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
—100%—
Long-stay residents given the pneumonia vaccine
97.9%98%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
85.7%80%Worsening
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $29,689 in total fines.
Federal fine
Aug 10, 2023
$29,689
Operator & ownership
Ownership
Non profit - Other
Chain
Part of HEALTHCARE OF IOWA · 6 homes · 3.5 stars avg
Occupancy
51.1 residents on an average day (91% of 56 beds)
Resident voice
Resident council
Medicare history
Certified for 23 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.