Heartland Care Center
604 East Fenton Po Box 608 · Marcus, IA · 51035 · 7123762500
38 certified beds Non profit - Other
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.83 | 0.55–0.75 |
| Weekend hours / resident-day | 3.58 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (15 in the current record)
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Potential for harm · D September 25, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 25, 2025 · Quality of Life and Care
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Potential for harm · D April 10, 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.
Corrected April 25, 2025 · Resident Rights
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Potential for harm · D April 10, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 10, 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.
Corrected April 25, 2025 · Pharmacy Service
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Potential for harm · D April 10, 2025
Provide and implement an infection prevention and control program.
Corrected April 25, 2025 · Infection Control
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Potential for harm · D April 4, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected April 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 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.
Corrected April 17, 2024 · Quality of Life and Care
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Potential for harm · D April 4, 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.
Corrected April 17, 2024 · Quality of Life and Care
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Potential for harm · E April 4, 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.
Corrected April 17, 2024 · Nutrition and Dietary
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Potential for harm · E April 4, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 17, 2024 · Nutrition and Dietary
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Potential for harm · D April 4, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 17, 2024 · Infection Control
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Potential for harm · D April 4, 2024
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.
Corrected April 17, 2024 · Infection Control
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Potential for harm · D January 12, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected January 13, 2023 · Resident Rights
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Potential for harm · E January 12, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 13, 2023 · Nutrition and Dietary
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165397 · certified since August 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.