Nursing Homes · Medicare certified
Shell Rock Senior Living
920 North Cherry Street · Shell Rock, IA 50670 · 41 certified beds
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About Shell Rock Senior Living
Shell Rock Senior Living is a nursing home in Shell Rock, Iowa. Its capacity is 41 beds, below the Butler County median of 42 for nursing homes. It is run by a for-profit operator and is part of Accura Healthcare. It is Medicare certified. Its public inspection record shows 29 citations, the most recent on September 4, 2025. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 3.73 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
4.0Quality measures
2.0CMS Care Compare, October 2026.
Inspection history (29)
Records from July 2023 to September 2025.
September 4, 2025
Tag F0637Assess the resident when there is a significant change in condition.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 22, 2025.
September 4, 2025
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 22, 2025.
September 4, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 22, 2025.
September 4, 2025
Tag F0732Post nurse staffing information every day.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 22, 2025.
September 4, 2025
Tag F0803Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 22, 2025.
September 4, 2025
Tag F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 22, 2025.
September 4, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 22, 2025.
September 15, 2024
Tag F0685Assist a resident in gaining access to vision and hearing services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 10, 2024.
September 15, 2024
Tag F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 10, 2024.
September 15, 2024
Tag F0641Ensure each resident receives an accurate assessment.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected October 10, 2024.
September 15, 2024
Tag F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 10, 2024.
July 19, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 20, 2024.
July 19, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity L: widespread, immediate jeopardy. Corrected July 20, 2024.
May 9, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected May 22, 2024.
October 5, 2023
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 13, 2023.
October 5, 2023
Tag F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected October 13, 2023.
October 5, 2023
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 13, 2023.
October 5, 2023
Tag F0814Dispose of garbage and refuse properly.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected October 13, 2023.
October 5, 2023
Tag F0641Ensure each resident receives an accurate assessment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 13, 2023.
October 5, 2023
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 13, 2023.
Penalties (1)
Total fines: $17,167
July 19, 2024 · Fine
CMS recorded a civil money penalty of $17,167 against this nursing home on July 19, 2024.
Staffing
3.73 nurse hours per resident per day in Q2 2026, up from 3.64 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Accura Healthcare, a chain of 44 nursing homes.
Average CMS star ratings across the chain: 2.7 overall, 2.6 for health inspections, 3.5 for staffing, 2.8 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
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