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.
October 5, 2023
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 October 13, 2023.
October 5, 2023
Tag F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected October 13, 2023.
July 19, 2023
Tag F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2023.
July 19, 2023
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2023.
July 19, 2023
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 D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2023.
July 19, 2023
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2023.
July 19, 2023
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 16, 2023.
July 19, 2023
Tag F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2023.
July 19, 2023
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 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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