Shell Rock Senior Living
Shell Rock Senior Living
3.7 (11 reviews)
Skilled Nursing Facility • 44 Licensed Beds
920 North Cherry Street, Shell Rock, IA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Shell Rock Senior Living

Skilled Nursing Facility • 44 Licensed Beds
920 North Cherry Street,
Shell Rock, IA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Shell Rock Senior Living – Medicare Certified Since 1997

Shell Rock Senior Living, an Accura HealthCare Community, is a senior living community offering transitional care, long-term care, and assisted living on one campus. We provide individualized care for residents and patients to return to higher levels of functioning. Our intensive medical and rehabilitative services include orthopedic, pulmonary, cardiac, dementia, diabetes, and hospice services for short and long-term care needs. Our short-term rehabilitation services are for those who are well enough to leave the hospital, but not quite ready to return home. Our team of progressive Physical, Occupational, and Speech Therapists and Skilled Nursing services will assist residents and patients in achieving their goals to return home. - Newly renovated dining area and flooring throughout the halls - Beautiful patio / courtyard The Meadows of Shell Rock assisted living offers an engaging community where independence is encouraged. Focusing on customized service plans, we ensure each resident receives the services and care needed every step of the way. Accura HealthCare is a Midwest-based healthcare company that manages and operates skilled nursing, rehabilitation, and assisted living centers. Accura embraces an upside-down organization philosophy that places the residents, patients, and direct care employees at the very top of the organizational chart. The purpose of Accura is not simply defined as caring for Accura’s residents; instead, this purpose has a large continuum that includes Accura staff and families. We believe it is the responsibility of Accura to share and build on our purpose among all of our care locations to create the highest quality experience and culture. From the moment a new resident, staff, or family member walks through the doors of any Accura care location, our true purpose is on display at every turn. We are honored to care for others. We are honored to grow our family and share our purpose every day.
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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

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
1
3.1
Quality Measures
Clinical outcomes & safety
2
3.2
Health Inspections
State survey results
1
2.9
Staffing
Nurse-to-resident ratio
3
3.5
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.59 hrs
0.73 hrs
LPN/LVN Hours
Licensed practical nurses
0.65 hrs
0.57 hrs
CNA Hours
Certified nursing assistants
2.69 hrs
2.39 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.92 hrs
3.69 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
20 %
5.3 %
LPN/LVN Agency Use
% of LPN hours from contractors
8.3 %
7.7 %
CNA Agency Use
% of CNA hours from contractors
28.3 %
7.2 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
73 %
41 %
Occupancy Rate
Percentage of beds filled
70 %
76 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$250
$331
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

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

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
1/5
Quality Measures
2/5
Health Inspections
1/5
Staffing
3/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 251 other nursing homes in Rural IA

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Shell Rock Senior Living
Rural IA Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Shell Rock Senior Living
Rural IA Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Shell Rock Senior Living
Rural IA Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Shell Rock Senior Living
Rural IA Average

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

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

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

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
161
minutes/day
CNAs
Certified Nursing Assistants
39
minutes/day
LPNs
Licensed Practical Nurses
35
minutes/day
RNs
Registered Nurses
1
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Shell Rock Senior Living
Rural IA Average (76.3%)

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

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

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)

FY 2023 Daily Rate
$250
per resident per day
Compared to 244 facilities in your area
Below local median ($331)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

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)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
0% -2% Above
Net Income
Annual profit or loss
$152,212 $-33,498 Above
Staff Cost per Resident
Daily salary expense per resident
$101/day $146/day Lower
Occupancy Rate
Bed utilization percentage
70% 73% Lower
Est. Daily Rate
Average revenue per patient day
$250/day $331/day Lower
Total Beds
Licensed bed capacity
44 56 Smaller

Local comparisons based on 244 skilled nursing facilities in the Iowa (Rural) metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$4,249,729
Operating Expenses
Total operating costs
$4,241,971
Total Salaries
Staff compensation
$1,888,599
Contract Labor
Agency & temp staff
$325,627

Payer Mix

Medicare
5%
Medicaid
26%
Private Pay & Other
69%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
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

Total Days
18,641
Medicare
Short-term skilled nursing
5%
Medicaid
Long-term care residents
26%
Private Pay / Other
Self-pay, insurance, VA
69%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
121.28
days
Medicare Stays
43.30
days
Medicaid Stays
324.60
days
Total Admissions
118
Total Discharges
125
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in SHELL ROCK

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Reviews

3.7 (11 reviews)
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Tales Untold Tattoos's profile photo

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!

Alexandria's profile photo
Alexandria a month ago

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.

Tess Buescher's profile photo
Tess Buescher 2 months ago

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.

Jen Engel-Brase's profile photo
Jen Engel-Brase 6 years ago

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!).

Bethany Herr's profile photo
Bethany Herr 8 years ago

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.

View All 11 Google Reviews

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