Madrid Home for the Aged
613 West North Street · Madrid, IA · 50156 · 5157953007
64 certified beds Non profit - Corporation Chain: Western Home Communities Part of a CCRC
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
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.50 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 3.00 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (14 in the current record)
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Potential for harm · E March 26, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 10, 2026 · Nutrition and Dietary
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Potential for harm · E March 26, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 10, 2026 · Nutrition and Dietary
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Potential for harm · D March 26, 2026
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Past Non-Compliance · Administration
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Potential for harm · D March 26, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 18, 2025 · Resident Rights
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Potential for harm · D March 20, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 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 18, 2025 · Pharmacy Service
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Potential for harm · E March 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 18, 2025 · Nutrition and Dietary
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Potential for harm · D March 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · D June 6, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 6, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 23, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D June 6, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 23, 2024 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 6, 2024 | Payment Denial | 12 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165118 · certified since December 1, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.