Home›Iowa›Cherokee County›Heartland Care Center
F
Critical

Heartland Care Center

604 East Fenton PO Box 608 · Marcus, IA 51035

7123762500 · Non profit - Other

38 beds28.1 residents45 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
F
Critical
Total Staff
A
Very Good
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Heartland Care Center receives an overall staffing grade of F (Critical). With 2.4228 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 1.47 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.89% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Had 30 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.4228 HPRD — needs 1.06 more hours per resident per day.
📊Staffing levels are highly variable day to day (consistency score: 1.808). This means the care experience can be very different depending on the day.

✨ Strengths (2)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
2.4228hrs/resident/day▼ 1.47
CMS benchmark: 3.48
RN HPRD
0.8898hrs/resident/day▲ 0.21
Recommended: 0.75
Weekend Drop-off
18.89%
2.5594 weekday → 2.076 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
30days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
1.1874hrs/resident/day
Direct care aides
LPN HPRD
0.3456hrs/resident/day
Licensed practical nurses
Consistency
1.808std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Cherokee County Average-1.04 HPRD
3.46
02.42 HPRD
vs. Iowa State Average-1.39 HPRD
3.82
02.42 HPRD
vs. National Average-1.47 HPRD
3.90
02.42 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Heartland Care Center ★
Marcus · This facility
—
F
2.42280.8898★★☆☆☆
Cherokee Specialty Care
Cherokee
13.7 mi
D
3.48970.3441★★☆☆☆
Good Samaritan Society - Lemars
Le Mars
17.5 mi
C
3.21180.6704★★★☆☆
Accura Healthcare of Le Mars
Le Mars
18 mi
A
4.79330.8927★★★★☆
Kingsley Specialty Care
Kingsley
18.4 mi
C
3.08351.1241★★☆☆☆
Correctionville Specialty Care
Correctionville
23.3 mi
C
3.21480.5237★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
15
Total Deficiencies
$0
Fines Assessed
Sep 25, 2025Health
1 deficiency cited
▼
Apr 10, 2025Health
5 deficiencies cited
▼
Apr 4, 2024Health
7 deficiencies cited
▼
Jan 12, 2023Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.