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SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Shell Rock Senior Living

920 North Cherry Street · Shell Rock, IA 50670 · 41 certified beds

3198854341

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1992793475. Look this up in the CMS NPPES registry (opens in a new tab)

Are you the operator? Claim this profile. Corrections are free, always.

About Shell Rock Senior Living

Shell Rock Senior Living is a nursing home in Shell Rock, Iowa, in Butler County. Public records list 41 beds. Ownership records list a for-profit operator and tie the listing to Accura Healthcare. It is Medicare certified. We hold 29 inspection citations for this listing, the most recent dated 4 September 2025. CMS also lists 1 fine or payment denial action against it. Reported staffing works out to 3.66 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

3.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

21

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

3.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

21

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

3.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

14

Inspection history (29)

Records from July 2023 to September 2025.

  • September 4, 2025 · D

    Citation F0637

    Federal surveyors cited this nursing home on 2025-09-04 under CMS tag F0637 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident when there is a significant change in condition. The deficiency was recorded as corrected on 2025-09-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOV
  • September 4, 2025 · D

    Citation F0692

    Federal surveyors cited this nursing home on 2025-09-04 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2025-09-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOV
  • September 4, 2025 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2025-09-04 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-09-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOV
  • September 4, 2025 · E

    Citation F0732

    Federal surveyors cited this nursing home on 2025-09-04 under CMS tag F0732 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2025-09-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOV
  • September 4, 2025 · E

    Citation F0803

    Federal surveyors cited this nursing home on 2025-09-04 under CMS tag F0803 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-09-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOV
  • September 4, 2025 · D

    Citation F0925

    Federal surveyors cited this nursing home on 2025-09-04 under CMS tag F0925 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. The deficiency was recorded as corrected on 2025-09-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOV
  • September 4, 2025 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2025-09-04 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-09-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOV
  • September 15, 2024 · D

    Citation F0685

    Federal surveyors cited this nursing home on 2024-09-15 under CMS tag F0685 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assist a resident in gaining access to vision and hearing services. The deficiency was recorded as corrected on 2024-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-15.GOV
  • September 15, 2024 · F

    Citation F0727

    Federal surveyors cited this nursing home on 2024-09-15 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have 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. The deficiency was recorded as corrected on 2024-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-15.GOV
  • September 15, 2024 · B

    Citation F0641

    Federal surveyors cited this nursing home on 2024-09-15 under CMS tag F0641 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-15.GOV
  • September 15, 2024 · D

    Citation F0688

    Federal surveyors cited this nursing home on 2024-09-15 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide 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. The deficiency was recorded as corrected on 2024-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-15.GOV
  • July 19, 2024 · D

    Citation F0550

    Federal surveyors cited this nursing home on 2024-07-19 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-07-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOV
  • July 19, 2024 · L

    Citation F0812

    Federal surveyors cited this nursing home on 2024-07-19 under CMS tag F0812 (CMS scope/severity L: widespread, immediate jeopardy) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-07-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOV
  • May 9, 2024 · G

    Citation F0689

    Federal surveyors cited this nursing home on 2024-05-09 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-09.GOV
  • October 5, 2023 · D

    Citation F0698

    Federal surveyors cited this nursing home on 2023-10-05 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2023-10-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-05.GOV
  • October 5, 2023 · C

    Citation F0868

    Federal surveyors cited this nursing home on 2023-10-05 under CMS tag F0868 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2023-10-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-05.GOV
  • October 5, 2023 · D

    Citation F0759

    Federal surveyors cited this nursing home on 2023-10-05 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2023-10-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-05.GOV
  • October 5, 2023 · C

    Citation F0814

    Federal surveyors cited this nursing home on 2023-10-05 under CMS tag F0814 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2023-10-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-05.GOV
  • October 5, 2023 · E

    Citation F0641

    Federal surveyors cited this nursing home on 2023-10-05 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2023-10-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-05.GOV
  • October 5, 2023 · D

    Citation F0684

    Federal surveyors cited this nursing home on 2023-10-05 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2023-10-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-05.GOV

Penalties (1)

Total fines on file: $17,167

  • July 19, 2024 · Fine

    Citation FINE-79460

    CMS recorded a civil money penalty of $17,167 against this nursing home on 2024-07-19 (Fine ID: 79460). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOV

Staffing

Latest: 3.66 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q43.64 hrs/resident/day
  2. 2026-06-013.64 hrs/resident/day
  3. 2026-07-013.66 hrs/resident/day
  4. 2026-08-013.66 hrs/resident/day
  5. 2026Q13.66 hrs/resident/day

Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

CMS Care Compare chain: Accura Healthcare

Chain ID 8 · 41 facilities in chain (CMS)

  • Chain average overall rating: 2.5
  • Chain average health inspection rating: 2.6
  • Chain average staffing rating: 3.1
  • Chain average quality measure rating: 2.8

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Corporation".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Corporation".

    Reported by CMS nursing homes (provider info)

  5. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · IA$9,277/mo
See full IA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

What Medicaid pays nursing homes

Iowa publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.

Median facility daily rate

$307.06per day

That works out to about $9,335 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.

Median we calculated from the state's own facility rate file. Period: January 1, 2026. Calculated across 381 facilities in the state's rate file.

Nearby alternatives

No other listed providers in Shell Rock yet.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

Check availability and pricing at Shell Rock Senior Living

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.

Shell Rock Senior Living in Shell Rock, IA · ElderCareCosts