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Shell Rock Senior Living

Shell Rock, IA · Medicare and Medicaid-certified nursing home (CCN 165309) · 41 certified beds

CMS overall rating: 1★ (state average 3.07★ — below state average)
Health inspection: 1 · Quality measures: 3 · Staffing: 3
Federal fines: 1 totaling $17,167
Phone: (319) 885-4341 · Verify on Medicare Care Compare ↗

Shell Rock Senior Living has a CMS overall star rating of 1 out of 5, which is below the Iowa state average of 3.07. Its health inspection rating is 1 out of 5, and its staffing rating is 3 out of 5.

Shell Rock Senior Living reports total nurse staffing of about 3.66 hours per resident per day, with RN hours at about 0.40 hours per resident per day. Nursing staff turnover is reported at 43.6%, and the facility carries a CMS staffing rating of 3 out of 5.

Shell Rock Senior Living has 1 federal fine on record totaling $17,167.00, and no payment denials. CMS does not list an abuse icon or Special Focus status for this facility based on the data provided.

Overall rating vs. benchmarks
Shell Rock Senior Liv… Shell Rock Senior Liv…: 1★ 1★ IA average IA average: 3.07★ 3.07★ Accura Healthcare chain avg Accura Healthcare chain avg: 2.5★ 2.5★

About this facility

Shell Rock Senior Living is a 41-certified-bed nursing home in Shell Rock, Butler County, Iowa, with an average of 39.2 residents. The facility is organized as a for-profit corporation and is certified for both Medicare and Medicaid, having first been approved for participation in 1997.

According to CMS Care Compare, Shell Rock Senior Living carries an overall star rating of 1 out of 5, which is below the Iowa state average of 3.07. The facility's health inspection rating is also 1 out of 5. Its quality measure rating is 3 out of 5, and its staffing rating is 3 out of 5.

Nurse staffing data reported to CMS shows total nurse staffing of approximately 3.66 hours per resident per day, with RN staffing at approximately 0.40 hours per resident per day. Nursing staff turnover is reported at 43.6%.

On penalties, CMS records show 1 federal fine totaling $17,167.00 for this facility. There are no payment denials on record.

Shell Rock Senior Living is part of the Accura Healthcare chain, which operates 41 facilities with an average chain rating of 2.5 out of 5. CMS records indicate no change in ownership within the past 12 months, so current ratings reflect the current operator.

This profile is based on data published by CMS Medicare Care Compare; figures reflect the most recent data vintage available from that source. Families are encouraged to review the full inspection record directly on Care Compare for further detail.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Shell Rock Senior Living has an overall rating of 1 out of 5, which is below the Iowa state average of 3.07.

Does this facility accept Medicare, Medicaid, or both?

Yes, the facility is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is about 3.66 hours per resident per day, with nursing staff turnover reported at 43.6%. Its CMS staffing rating is 3 out of 5.

Does this facility have federal fines or penalties on record?

Yes, CMS records show 1 fine totaling $17,167.00, with no payment denials on record.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

The provided CMS data does not indicate an abuse icon or Special Focus status for this facility.

How large is this facility and how many residents live there?

Shell Rock Senior Living has 41 certified beds and an average of 39.2 residents.

Who owns this facility — and is it part of a chain?

It is owned by a for-profit corporation and is part of the Accura Healthcare chain, which operates 41 facilities with an average chain rating of 2.5 out of 5.

How long has this facility been Medicare/Medicaid certified?

The facility was first approved for Medicare/Medicaid participation in 1997.

What do the four different CMS star ratings mean?

CMS publishes an overall rating along with separate ratings for health inspections, staffing, and quality measures; for this facility these are 1, 1, 3, and 3 out of 5, respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

The provided CMS data does not specify service lines such as short-term rehabilitation; contact the facility at 3198854341 and verify on Medicare Care Compare.

What should I look for when touring this facility?

The provided data does not cover tour details; contact the facility at 3198854341 and verify current information on Medicare Care Compare.

How do I verify this facility's current record on Medicare Care Compare?

You can review the facility's full record at https://www.medicare.gov/care-compare/details/nursing-home/165309?state=IA.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.