Sanford Senior Care Sheldon

118 North Seventh Avenue · Sheldon, IA · 51201 · 7123246453

70 certified beds Non profit - Corporation Hospital-based

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

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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.

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Red flags

4 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 39
Serious harm & abuse 20% 80
Staffing 20% 68
Federal penalties 15% 62
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.383.48 min · 4.1 strong
RN hours / resident-day0.910.55–0.75
Weekend hours / resident-day3.10≈ weekday level
Nursing turnover / year57%median 45%
Fines (3-yr window)2 · $15,610

Inspection citations (20 in the current record)

  • Potential for harm · D March 5, 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

  • Potential for harm · D November 6, 2025

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected November 24, 2025 · Resident Rights

  • Potential for harm · D November 6, 2025

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

    Corrected November 24, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 6, 2025

    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 November 24, 2025 · Quality of Life and Care

  • Potential for harm · D November 6, 2025

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

    Corrected November 24, 2025 · Quality of Life and Care

  • Potential for harm · E November 6, 2025

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

    Corrected November 24, 2025 · Nutrition and Dietary

  • Potential for harm · E November 6, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 24, 2025 · Nutrition and Dietary

  • Immediate jeopardy · J March 13, 2025 · found via complaint

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

    Corrected March 14, 2025 · Quality of Life and Care

  • Potential for harm · D October 3, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected October 21, 2024 · Resident Rights

  • Potential for harm · D October 3, 2024

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

    Corrected October 21, 2024 · Resident Rights

  • Potential for harm · D October 3, 2024

    Ensure each resident receives an accurate assessment.

    Corrected October 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 3, 2024

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

    Corrected October 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 3, 2024

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

    Corrected October 21, 2024 · Quality of Life and Care

  • Potential for harm · D October 3, 2024

    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 October 21, 2024 · Pharmacy Service

  • Immediate jeopardy · K February 1, 2024 · found via complaint

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

    Corrected February 2, 2024 · Quality of Life and Care

  • Immediate jeopardy · K February 1, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected February 2, 2024 · Infection Control

  • Immediate jeopardy · J June 29, 2023 · found via complaint

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

    Corrected May 28, 2023 · Quality of Life and Care

  • Potential for harm · D June 29, 2023

    Ensure each resident receives an accurate assessment.

    Corrected July 27, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E June 29, 2023

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

    Corrected July 27, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 29, 2023

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected July 27, 2023 · Resident Assessment and Care Planning

Federal penalties

DateTypeAmount / length
February 1, 2024Fine$11,872
June 29, 2023Fine$3,738

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 16E263 · certified since May 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.