Shell Rock Senior Living
920 North Cherry Street, Shell Rock, IA 50670 · (319) 885-4341
For profit - Corporation · 41 certified beds
Shell Rock Senior Living has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in September 2025, found 7 citations (the Iowa average is 6.5). It was fined 1 time in the last three years, $17,167 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on September 4, 2025 found 7 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.September 4, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Post nurse staffing information every day.September 4, 2025 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.September 4, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.September 4, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Assess the resident when there is a significant change in conditionSeptember 4, 2025 · F0637 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.September 4, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.September 4, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 9 citations.
- 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.September 4, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.September 4, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.September 4, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assist a resident in gaining access to vision and hearing services.September 15, 2024 · F0685 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.September 15, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.September 15, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.July 19, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 19, 2024 · F0812 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 9, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $17,167July 19, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Iowa average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.66 | 3.82 | 3.86 |
| Registered nurses (RN) | 0.40 | 0.74 | 0.69 |
| Licensed practical nurses (LPN) | 0.56 | 0.56 | 0.86 |
| Nurse aides | 2.70 | 2.52 | 2.32 |
| Total nursing staff turnover | 43.6% | 44% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 41 |
| Average residents per day | 39.2 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Rehabilitation Center of Allison Allison · ★★★★★ 3 out of 5 stars
- Maple Manor Village Aplington · ★★★★★ 4 out of 5 stars
- Clarksville Skilled Nursing & Rehab Center Clarksville · ★★★★★ 4 out of 5 stars
- AMS Memorial-Greene Greene · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Shell Rock Senior Living on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.