Wellington Place in Decorah, IA has a 3-star overall rating, with strong health inspection and staffing scores (4 stars each) but a low quality measures rating of 1 star. It has no fines in the last 24 months, and reported nurse staffing is 3.49 hours per resident per day, below the federal benchmark of 4.1.
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 3.4851.
Staffing detail
Registered nurses
0.66
Licensed practical nurses
0.49
Nurse aides
2.33
Weekend nursing
2.98
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 22%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
7.6%Worsening
Residents with a fall causing major injury
9.7%Worsening
Residents with pressure ulcers (bedsores)
22.7%Improving
Residents with a urinary tract infection
2.8%Worsening
Residents who lost too much weight
7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
21.2%Worsening
Residents whose ability to walk got worse
12.1%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
6.7%Worsening
Short-stay residents newly given an antipsychotic
2%Steady
Residents with a long-term catheter
1.6%Improving
Residents with new or worsening incontinence
26.5%Worsening
Residents with depressive symptoms
4.3%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.5%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
84.7%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 · 3.7 stars avg
Occupancy
50.2 residents on an average day (90% 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.