Heartland Care Center
604 East Fenton PO Box 608, Marcus, IA 51035
Heartland Care Center, a 38-bed non profit - corporation nursing facility in Marcus, IA, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #38 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 7123762500
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- #38 of 385
- In-state rank among rated IA homes
- 4.45
- Well above average · nurse hrs/day · nat'l 3.86
- 18
- Inspection findings
The verdict
Heartland Care Center, a 38-bed non profit - corporation nursing facility in Marcus, IA, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #38 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 5 / 5
- CMS overall · national 3.0
- #38 of 385
- In-state rank among rated IA homes
- 4.45
- Nurse hrs/resident-day · national 3.86
- 18
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 387 IA nursing homes split by ownership sector
This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 165397
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 38
- Residents
- 25
- In Hospital
- No
- County
- Cherokee
- Last Inspection
- May 7, 2026
Staffing Data
How the 4.45 total nursing hours per resident-day are staffed:
- RN Hours
- 1.93 (nat'l avg: 0.69)
- LPN Hours
- 0.60
- CNA Hours
- 1.92
- Total Nursing Hours
- 4.45 (nat'l avg: 3.86)
- PT Hours
- 0.08
- Nursing Turnover
- 35.5%
- RN Turnover
- 14.3%
What the CMS Record Reveals About Heartland Care Center
According to CMS Nursing Home Compare, Heartland Care Center ranks #38 of 385 rated nursing homes in IA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Heartland Care Center operates 38 certified beds in Marcus, IA with approximately 25 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 3★ · staffing 5★ · quality 5★).
The inspection file contains 18 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Reported nurse staffing runs 4.45 total hours per resident day (national average 3.86); RN hours specifically are 1.93 per resident day.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Heartland Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 35.5% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (18 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 3, 2026
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Jun 3, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Jun 3, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 3, 2026
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 3, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 25, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 25, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 25, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 25, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Category: Resident Rights Deficiencies
Corrected: Apr 25, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Category: Pharmacy Service Deficiencies
Corrected: Apr 25, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Category: Infection Control Deficiencies
Corrected: Apr 17, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Apr 17, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 17, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 17, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 17, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 17, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.7% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.8% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.9% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.4% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 1.3% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 3.4% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 98.9% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 28.8% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 84.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 29.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 19.4% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Heartland Care Center, both outside IA so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside IA (38 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside IA (5.80 here).
Nearby Nursing Homes in IA
386 other nursing homes are on record in IA; 6 are shown here.
Accura Healthcare of Ames, LLC
Ames, IA
Accura Healthcare of Aurelia, LLC
Aurelia, IA
Accura Healthcare of Bancroft
Bancroft, IA
Accura Healthcare of Carlisle
Carlisle, IA
Accura Healthcare of Carroll
Carroll, IA
Accura Healthcare of Cascade LLC
Cascade, IA
Understanding Nursing Home Data
What the CMS records show for Heartland Care Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The IA registry aggregates state averages and the highest-rated homes in this cohort. View IA registry
- Peer homes near 38 beds show how CMS stars vary at a similar scale in IA. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Heartland Care Center?
Where does Heartland Care Center rank among nursing homes in IA?
What are the staffing levels at Heartland Care Center?
How many beds does Heartland Care Center have?
Does Heartland Care Center have any deficiencies on record?
Has Heartland Care Center received any fines or penalties?
Who owns Heartland Care Center?
When was Heartland Care Center last inspected?
What quality measures are tracked for Heartland Care Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
