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Shell Rock Healthcare Center

Nursing Home Facility

920 North Cherry Street, Shell Rock, IA 50670

Assisted Living Nursing Home Care Senior Living

Shell Rock Healthcare Center is a senior care community located in Shell Rock, IA. It provides assisted living, nursing home care, and senior living for older adults in the Shell Rock area. To learn more or schedule a tour, call (319) 885-4341.

Operated by Accura Healthcare, which runs 39 communities in our directory.

Employer rating 2.6 out of 5 110 reviews from their own employees on Indeed. See what they say.

Shell Rock Healthcare Center is licensed for 41 beds, about typical for the area, where senior care communities in Butler County average about 40 beds.

Federal reporting puts occupancy at about 96% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Butler County average about 2.6 stars. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in September 2025 and recorded 7 deficiencies.

Residents receive about 3.7 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 44%.

The community is located in Butler County, IA.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 3/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 22 problems at Shell Rock Healthcare Center. 2 findings involved harm to a resident, including 1 that put residents in immediate danger. 9 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $17,167.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected September 2025, after a complaint. Corrected by September 22, 2025.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    Post nurse staffing information every day.

    Inspected September 2025. Corrected by September 22, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Inspected September 2025, after a complaint. Corrected by September 22, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected September 2025. Corrected by September 22, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Assess the resident when there is a significant change in condition

    Inspected September 2025. Corrected by September 22, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected September 2025. Corrected by September 22, 2025.

  • Could cause more than minimal harm, one or a few residents Environmental

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Inspected September 2025, after a complaint. Corrected by September 22, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Shell Rock Healthcare Center offers assisted living, nursing home care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 41
  • Occupancy 96%
  • Nursing hours per resident/day 3.7
  • Annual staff turnover 44%
  • Last health inspection September 2025

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Resident & family reviews

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