Shell Rock Senior Living
920 North Cherry Street · Shell Rock, IA · 50670 · 3198854341
41 certified beds For profit - Corporation Chain: Accura Healthcare
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
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-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 3.25 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 1 · $17,167 |
Inspection citations (29 in the current record)
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Potential for harm · D September 4, 2025
Assess the resident when there is a significant change in condition
Corrected September 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 4, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected September 22, 2025 · Quality of Life and Care
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Potential for harm · E September 4, 2025
Post nurse staffing information every day.
Corrected September 22, 2025 · Nursing and Physician Services
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Potential for harm · E September 4, 2025
Provide and implement an infection prevention and control program.
Corrected September 22, 2025 · Infection Control
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Potential for harm · E September 4, 2025 · found via complaint
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 September 22, 2025 · Nutrition and Dietary
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Potential for harm · F September 4, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 22, 2025 · Nutrition and Dietary
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Potential for harm · D September 4, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected September 22, 2025 · Environmental
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Potential for harm · D September 15, 2024 · found via complaint
Assist a resident in gaining access to vision and hearing services.
Corrected October 10, 2024 · Quality of Life and Care
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Potential for harm · D September 15, 2024 · found via complaint
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 October 10, 2024 · Quality of Life and Care
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Potential for harm · F September 15, 2024 · found via complaint
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.
Corrected October 10, 2024 · Nursing and Physician Services
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No harm found · B September 15, 2024
Ensure each resident receives an accurate assessment.
Corrected October 10, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · L July 19, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 20, 2024 · Nutrition and Dietary
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Potential for harm · D July 19, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 20, 2024 · Resident Rights
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Actual harm · G May 9, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 22, 2024 · Quality of Life and Care
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Potential for harm · E October 5, 2023
Ensure each resident receives an accurate assessment.
Corrected October 13, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 5, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 13, 2023 · Quality of Life and Care
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Potential for harm · D October 5, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 13, 2023 · Quality of Life and Care
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Potential for harm · D October 5, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected October 13, 2023 · Pharmacy Service
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Potential for harm · F October 5, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 13, 2023 · Nutrition and Dietary
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No harm found · C October 5, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected October 13, 2023 · Nutrition and Dietary
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No harm found · C October 5, 2023
Dispose of garbage and refuse properly.
Corrected October 13, 2023 · Nutrition and Dietary
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No harm found · C October 5, 2023
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected October 13, 2023 · Administration
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Potential for harm · D July 19, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 16, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 19, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 16, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 19, 2023 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 16, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 19, 2024 | Fine | $17,167 |
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 165309 · certified since January 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.