Shell Rock Senior Living
Shell Rock Senior Living – Medicare Certified Since 1997
Local Comparison Snapshot
How Shell Rock Senior Living compares to 251 facilities in Rural IA
Click a measure name to jump to details • Hover over ⓘ for definitions
Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 251 facilities in Rural IA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 251 other nursing homes in Rural IA
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.
Agency Staff Trends
Historical agency/contract staff usage by role
Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.
Direct Care Staffing
Average minutes of direct nursing care per resident per day
Data as of December 2025
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.
Staff Turnover History
Annual percentage of nursing staff who left the facility
Data as of December 2025
Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.
Average Daily Rate
Average daily charge for care at this facility
Based on CMS Cost Report data (inpatient revenue ÷ total patient days)
Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.
Financial Health
Comprehensive financial indicators from CMS Cost Reports
Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.
Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.
Who Stays Here
Breakdown of residents by payment type
Based on fiscal year 2023 cost report data
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in SHELL ROCK
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Find Jobs Near MeReviews
We were asked to do some volunteer work with the staff and residents for international tattoo day! We were very excited to work them and give back to the community. The staff was amazing to work with and the facility was, clean and easy to work around. Some of the nicest people to work with and the way they cared about their residents is amazing. The residents told us so many great story’s and how well they treated with their care takers. We were so honored to be able to work with them and can’t wait to go back!
Pricey but worth the level of care you receive. We moved a family member and this place is so much nicer. The staff are friendly and the rooms are clean.
Nursing staff sent documents that were illegible and staff informed me they did not have time to go over a patient’s medication list over the phone when a patient was at the hospital I was working at.
This place is amazing! My father-in-law was there for 3 weeks in skilled therapy. His therapy was top notch and he progressed so well. The entire staff was so helpful and friendly, I can't even describe in a review how wonderful the entire experience was. They truly went above and beyond to help with his needs and to help us with other needs that they didn't have to by making so many phone calls for us and finding information we needed for after his stay was over. We were even given a business card and offered help to any questions or needs after we left. My father-in-law actually didn't want to leave and said he would like to stay if he could. This is the best facility I've ever seen (clean, no smells, smiling staff, smiling and interactive residents, the list goes on!).
I have visited this nursing home many times and interviewed some residents. Everyone seems very happy. They have the freedom to walk around and exercise. Two residents are over 100 years old. Others are in their 90s and don't look a day over 80. They look better than some 60 year olds, and are up and about and fully cognizant and mentally aware. Residents keep up on current events, are busy with activities, and--it wouldn't be unusual to see someone over 100 chatting away on a cell phone. Obviously the health care center is doing something right to let these ladies maintain the lifestyle they love.
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