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C
Below Standard

Shell Rock Senior Living

920 North Cherry Street · Shell Rock, IA 50670

3198854341 · For profit - Corporation

41 beds34 residents59 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Shell Rock Senior Living receives an overall staffing grade of C (Below Standard). With 3.7912 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5262 HPRD, below the recommended 0.75. It is 0.11 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.26% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5262 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.7912hrs/resident/day▼ 0.11
CMS benchmark: 3.48
RN HPRD
0.5262hrs/resident/day▼ 0.16
Recommended: 0.75
Weekend Drop-off
14.26%
3.9504 weekday → 3.387 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.3061hrs/resident/day
Direct care aides
LPN HPRD
0.6212hrs/resident/day
Licensed practical nurses
Consistency
0.4372std 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. Butler County Average+0.23 HPRD
3.56
03.79 HPRD
vs. Iowa State Average-0.03 HPRD
3.82
03.79 HPRD
vs. National Average-0.11 HPRD
3.90
03.79 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
Shell Rock Senior Living ★
Shell Rock · This facility
—
C
3.79120.5262★☆☆☆☆
Rehabilitation Center of Allison
Allison
11.9 mi
C
3.68270.5177★★★☆☆
Cedar Falls Health Care Center
Cedar Falls
13.8 mi
C
3.02550.7366★★★☆☆
Pillar of Cedar Valley
Waterloo
14.5 mi
D
2.95440.4161★★☆☆☆
Pinnacle Specialty Care
Cedar Falls
17 mi
C
3.47460.5824★★★☆☆
AMS Memorial-Greene
Greene
17.1 mi
—
00★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
29
Total Deficiencies
$17,167
Fines Assessed
Sep 4, 2025Health
7 deficiencies cited
▼
Sep 15, 2024Health
4 deficiencies cited
▼
Jul 19, 2024Health
2 deficiencies cited· Includes actual harm
▼
May 9, 2024Health
1 deficiency cited· Includes actual harm
▼
Oct 5, 2023Health
8 deficiencies cited
▼
Jul 19, 2023Health
7 deficiencies cited
▼

Penalty History

Jul 19, 2024Fine
$17,167
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.