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B
Good

Madrid Home for the Aged

613 West North Street · Madrid, IA 50156

5157953007 · Non profit - Corporation

64 beds54.2 residents104 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Madrid Home for the Aged receives an overall staffing grade of B (Good). With 4.1252 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6967 HPRD, below the recommended 0.75. It is 0.23 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 17.37% compared to weekdays. The facility has low agency staff usage (6.59% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.6967 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.1252hrs/resident/day▲ 0.23
CMS benchmark: 3.48
RN HPRD
0.6967hrs/resident/day▲ 0.01
Recommended: 0.75
Weekend Drop-off
17.37%
4.3382 weekday → 3.5846 weekend
Agency Staff
6.59%
25.89% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6967hrs/resident/day
Direct care aides
LPN HPRD
0.4844hrs/resident/day
Licensed practical nurses
Consistency
0.4299std 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. Boone County Average+0.29 HPRD
3.84
04.13 HPRD
vs. Iowa State Average+0.31 HPRD
3.82
04.13 HPRD
vs. National Average+0.23 HPRD
3.90
04.13 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
Madrid Home for the Aged ★
Madrid · This facility
—
B
4.12520.6967★★★★☆
Granger Nursing & Rehabilitation Center
Granger
8 mi
B
3.53390.5584★☆☆☆☆
On With Life Long Term Care
Polk City
9.1 mi
A+
8.26951.9743★★★★☆
Mill-Pond
Ankeny
16.5 mi
A
4.3330.8892★★★★★
On With Life
ANKENY
16.7 mi
—
00★★★★★
Pine Acres Rehabilitation and Care Center
WEST DES MOINES
20.5 mi
D
2.86040.4554☆☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
15
Total Deficiencies
$0
Fines Assessed
Mar 20, 2025Health
5 deficiencies cited
▼
Jun 6, 2024Health
3 deficiencies cited
▼
Mar 27, 2023Health
7 deficiencies cited
▼

Penalty History

Jun 6, 2024Payment Denial
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.