PlainNursing
CMS Nursing Home Compare · August 2026

Sanford Senior Care Sheldon

118 North Seventh Avenue, Sheldon, IA 51201

Sanford Senior Care Sheldon, a 70-bed non profit - corporation nursing facility in Sheldon, IA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #350 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy 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: 7123246453

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1 / 5
Much below average · CMS overall · nat'l 3.0
#350 of 385
In-state rank among rated IA homes
3.43
Below average · nurse hrs/day · nat'l 3.86
21
Inspection findings · 4 serious

The verdict

Sanford Senior Care Sheldon, a 70-bed non profit - corporation nursing facility in Sheldon, IA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #350 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#350 of 385
In-state rank among rated IA homes
3.43
Nurse hrs/resident-day · national 3.86
21
Inspection findings · 4 serious

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

1/5

Staffing

3/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
16E263
Ownership
Non profit - Corporation
Provider Type
Medicaid
Beds
70
Residents
43
In Hospital
Yes
County
Obrien
Last Inspection
Nov 6, 2025

Staffing Data

How the 3.43 total nursing hours per resident-day are staffed:

RN Hours
0.59 (nat'l avg: 0.69)
LPN Hours
0.69
CNA Hours
2.15
Total Nursing Hours
3.43 (nat'l avg: 3.86)
PT Hours
0.00
Nursing Turnover
58.9%
RN Turnover
76.9%

What the CMS Record Reveals About Sanford Senior Care Sheldon

According to CMS Nursing Home Compare, Sanford Senior Care Sheldon ranks #350 of 385 rated nursing homes in IA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Sanford Senior Care Sheldon operates 70 certified beds in Sheldon, IA with approximately 43 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 3★ · quality 2★).

The inspection file contains 21 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $12K. Staffing is reported at 3.43 total nursing hours per resident day (national average 3.86), with RN coverage at 0.59 per resident day.

Classified as "Non profit - Corporation" ownership and operating as a "Medicaid" provider embedded within a hospital campus, Sanford Senior Care Sheldon falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 58.9% (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 (21 most recent)

D - Isolated - Minimal harm Jun 1, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 9, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

D - Isolated - Minimal harm Nov 6, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 24, 2025

D - Isolated - Minimal harm Nov 6, 2025 Tag: 0688

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: Nov 24, 2025

D - Isolated - Minimal harm Nov 6, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 24, 2025

D - Isolated - Minimal harm Nov 6, 2025 Tag: 0580

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: Nov 24, 2025

E - Pattern - Minimal harm Nov 6, 2025 Tag: 0812

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: Nov 24, 2025

E - Pattern - Minimal harm Nov 6, 2025 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 24, 2025

J - Isolated - Jeopardy Mar 13, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 14, 2025

D - Isolated - Minimal harm Oct 3, 2024 Tag: 0758

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: Oct 21, 2024

D - Isolated - Minimal harm Oct 3, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 21, 2024

D - Isolated - Minimal harm Oct 3, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 21, 2024

D - Isolated - Minimal harm Oct 3, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 21, 2024

D - Isolated - Minimal harm Oct 3, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Oct 21, 2024

D - Isolated - Minimal harm Oct 3, 2024 Tag: 0580

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: Oct 21, 2024

K - Pattern - Jeopardy Feb 1, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 2, 2024

K - Pattern - Jeopardy Feb 1, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 2, 2024

D - Isolated - Minimal harm Jun 29, 2023 Tag: 0661

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: Jul 27, 2023

D - Isolated - Minimal harm Jun 29, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 27, 2023

E - Pattern - Minimal harm Jun 29, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 27, 2023

J - Isolated - Jeopardy Jun 29, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 28, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 27.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 21.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 19.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A 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 7.0% 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 87.2% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 22.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 33.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 58.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 1 penalties totaling $12K

Date Type Amount
Feb 1, 2024 Fine $12K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Sanford Senior Care Sheldon, both outside IA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Sanford Senior Care Sheldon

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 70 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 Sanford Senior Care Sheldon?
Sanford Senior Care Sheldon has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (2★).
Where does Sanford Senior Care Sheldon rank among nursing homes in IA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Sanford Senior Care Sheldon ranks 350th among 385 rated nursing homes in IA (#350 of 385). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Sanford Senior Care Sheldon?
Sanford Senior Care Sheldon reports 3.43 total nursing hours per resident day (national average: 3.86). RN hours are 0.59 per resident day (national average: 0.69). Nursing staff turnover is 58.9%.
How many beds does Sanford Senior Care Sheldon have?
Sanford Senior Care Sheldon has 70 certified beds with approximately 43 residents. The facility is located at 118 North Seventh Avenue, Sheldon, IA 51201.
Does Sanford Senior Care Sheldon have any deficiencies on record?
Yes, Sanford Senior Care Sheldon has 21 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has Sanford Senior Care Sheldon received any fines or penalties?
Yes, Sanford Senior Care Sheldon has received 1 penalties totaling $12K.
Who owns Sanford Senior Care Sheldon?
Sanford Senior Care Sheldon is classified as "Non profit - Corporation" ownership. The facility type is "Medicaid" and is located within a hospital.
When was Sanford Senior Care Sheldon last inspected?
The most recent health inspection for Sanford Senior Care Sheldon was on Nov 6, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Sanford Senior Care Sheldon?
Sanford Senior Care Sheldon is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
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.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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