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Heartland Care Center
604 East Fenton Po Box 608, Marcus, IA 51035 (opens Google Maps) · Cherokee County · (712) 376-2500· 38 certified beds · avg 25 residents/day · certified since Aug 1, 1998 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected May 7, 2026
0
Serious findings on record
$0
Fines, last 3 years
5.80
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 5/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.
The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. F-0801
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. F-0580
View all 18 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 7, 2026 | E · Potential for more than minimal harm, pattern | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| May 7, 2026 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| May 7, 2026 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| May 7, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725 |
| May 7, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Sep 25, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint · F-0695 |
| Apr 10, 2025 | E · Potential for more than minimal harm, pattern | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Apr 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625 |
| Apr 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Apr 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Apr 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Apr 4, 2024 | E · Potential for more than minimal harm, pattern | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803 |
| Apr 4, 2024 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Apr 4, 2024 | D · Potential for more than minimal harm, isolated | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · F-0661 |
| Apr 4, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Apr 4, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Apr 4, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Apr 4, 2024 | D · Potential for more than minimal harm, isolated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
All citationsSerious citations (G–L)
2024
All citations: 7
Serious citations (G–L): 0
2025
All citations: 6
Serious citations (G–L): 0
2026
All citations: 5
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 0 | E |
| 2025 | 6 | 0 | E |
| 2026 | 5 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.80
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 2.51
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.63
Iowa average: 3.86
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.80 | 4.37 | 3.95 | top 4% in Iowa; top 5% in the U.S. |
| Registered Nurse hours | 2.51 | 0.85 | 0.69 | top 1% in Iowa; top 1% in the U.S. |
| Weekend total nurse staffing | 4.63 | 3.86 | 3.50 | top 12% in Iowa; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.26 | 0.51 | 0.48 | top 1% in Iowa; top 3% in the U.S. |
| Total nursing staff turnover (%) | 35.5 | 44.0 | 45.8 | top 31% in Iowa; top 25% in the U.S. |
| RN turnover (%) | 14.3 | 42.1 | 42.9 | top 11% in Iowa; top 7% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.45, RN 1.93, weekend 3.55.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.45 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Heartland Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Sioux Valley Memorial Hospital Association | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/19/2023 |
| Alesch, Lisa | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Brady, Dennis | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Geha, Andrew | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/19/2019 |
| Geha, Andrew | Individual | ADP of the SNF | NOT APPLICABLE | 09/19/2019 |
| Gross, Rozanne | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Heartland Care Center INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/19/2023 |
| Heartland Care Center INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/19/2023 |
| Irwin, Kristi | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Jordan, Gary | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Leavitt, Robert | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Nielsen, Tim | Individual | Corporate Officer | NOT APPLICABLE | 10/20/2025 |
| Nielsen, Tim | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/20/2025 |
| Nielsen, Tim | Individual | ADP of the SNF | NOT APPLICABLE | 10/20/2025 |
| Schlenger, Edward | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Schneider, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Sioux Valley Memorial Hospital Association | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/19/2023 |
| Sioux Valley Memorial Hospital Association | Organization | ADP of the SNF | NOT APPLICABLE | 07/19/2023 |
All 18 owning or managing parties CMS has on file are shown — none excluded.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 36% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Happy Siesta Health Care Center | 8.3 mi | Remsen, IA | ★★★★☆ | 4/5 | |
| Careage Hills Rehabilitation and Healthcare | 13.5 mi | Cherokee, IA | ★★☆☆☆ | 2/5 | |
| Cherokee Specialty Care | 13.7 mi | Cherokee, IA | ★★★☆☆ | 3/5 | |
| Accura Healthcare of Cherokee, LLC | 14.3 mi | Cherokee, IA | ★★★☆☆ | 3/5 | |
| Good Samaritan - Lemars | 17.5 mi | Le Mars, IA | ★★★★☆ | 4/5 | |
| Accura Healthcare of Le Mars | 18.0 mi | Le Mars, IA | ★★★★☆ | 3/5 | |
| Kingsley Specialty Care | 18.0 mi | Kingsley, IA | ★☆☆☆☆ | 1/5 | |
| Prairie Ridge Care Center | 18.0 mi | Orange City, IA | ★★★★★ | 4/5 | |
| Accura Healthcare of Aurelia, LLC | 19.8 mi | Aurelia, IA | ★★★☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 165397.
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