Iowa ›Madrid

Madrid Home for the Aged

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613 West North Street, Madrid, IA 50156 (opens Google Maps) · Boone County · (515) 795-3007· 64 certified beds · avg 58 residents/day · certified since Dec 1, 1983 · 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 →

Part of chain: WESTERN HOME COMMUNITIES (6 facilities, chain avg rating 3.7★)

3/5
Health inspection rating (on-site)
inspected Mar 26, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.41
Nurse hours/resident/day (adjusted)

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: 3/5 · 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 14 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. F-0605

  2. 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

  3. D · Potential for more than minimal harm, isolated

    The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint F-0609

View all 14 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.

DateSeverityWhat the facility was cited for
Mar 26, 2026E · Potential for more than minimal harm, patternThe facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605
Mar 26, 2026E · Potential for more than minimal harm, patternThe 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
Mar 26, 2026D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Mar 26, 2026D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0656
Mar 26, 2026D · Potential for more than minimal harm, isolatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Mar 26, 2026D · Potential for more than minimal harm, isolatedThe facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851
Mar 20, 2025E · Potential for more than minimal harm, patternThe 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
Mar 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
Mar 20, 2025D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Mar 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Mar 20, 2025D · Potential for more than minimal harm, isolatedThe 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
Jun 6, 2024D · Potential for more than minimal harm, isolatedThe 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
Jun 6, 2024D · Potential for more than minimal harm, isolatedThe 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
Jun 6, 2024D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations: 3
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0
2026
All citations: 6
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202430D
202550E
202660E

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)

How to file a complaint about care →

0 fines totaling $0, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Jun 6, 2024Payment Denial12 days from Jun 28, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.41
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.75
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.07
Iowa average: 3.86
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityIowa avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.414.373.95top 44% in Iowa; top 26% in the U.S.
Registered Nurse hours0.750.850.69bottom 44% in Iowa; top 32% in the U.S.
Weekend total nurse staffing4.073.863.50top 36% in Iowa; top 21% in the U.S.
Weekend RN hours (not acuity-adjusted)0.640.510.48top 21% in Iowa; top 20% in the U.S.
Total nursing staff turnover (%)46.844.045.8bottom 38% in Iowa; bottom 45% in the U.S.
RN turnover (%)83.342.142.9bottom 6% in Iowa; bottom 4% 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 3.70, RN 0.63, weekend 3.41.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.70 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 2/5 · 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 Madrid Home for the Aged. 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 / managerTypeRoleStakeSince
Ager, WendyIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2022
Ager, WendyIndividualADP of the SNFNOT APPLICABLE01/01/2022
Bank IowaOrganization5% or Greater Mortgage InterestNOT APPLICABLE01/01/2025
Bank IowaOrganizationADP of the SNFNOT APPLICABLE01/01/2025
Bollinger, HannahIndividualOperational/Managerial ControlNOT APPLICABLE11/08/2023
Brighton Consulting Group LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2024
Brockelsby, SheriIndividualCorporate OfficerNOT APPLICABLE01/18/2018
Brown, SarahIndividualCorporate OfficerNOT APPLICABLE01/01/2021
CBS Staffing LLCOrganizationADP of the SNFNOT APPLICABLE04/01/2023
Cliftonlarsonallen LLPOrganizationADP of the SNFNOT APPLICABLE08/25/2021
Colby, RichardIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2025
Colby, RichardIndividualADP of the SNFNOT APPLICABLE03/18/2026
Elsberry, BrandonIndividualOperational/Managerial ControlNOT APPLICABLE09/06/2022
Evans, AngelaIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2022
Evans, AngelaIndividualADP of the SNFNOT APPLICABLE01/01/2022
Frankhauser, RichardIndividualCorporate OfficerNOT APPLICABLE01/01/2021
Gaines, RonaldIndividualCorporate OfficerNOT APPLICABLE01/01/2021
Grape Tree Medical Staffing LLCOrganizationADP of the SNFNOT APPLICABLE04/01/2023
Hansen, KrisIndividualCorporate OfficerNOT APPLICABLE01/01/2022
Hansen, KrisIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2002

Showing 20 of 51 parties CMS has on file for this facility; 31 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Western Home Communities — 6 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "Could I join residents for a meal to see the food quality and temperature for myself?"
  • "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
  • "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
  • "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"

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 47% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 51 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 (12 closest of 24 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Granger Nursing & Rehabilitation Center8.0 miGranger, IA★★★☆☆3/5
On with Life Long Term Care9.1 miPolk City, IA★★★★★5/5
Green Hills Health Care Center12.7 miAmes, IA★★★★★4/5
Westhaven Community13.1 miBoone, IA★★★☆☆3/5
Perry Lutheran Homes Eden Acres Campus13.1 miPerry, IA★★☆☆☆2/5abuse
Eastern Star Masonic Home13.1 miBoone, IA★★★☆☆3/5
Kennybrook Village13.1 miGrimes, IA★★★☆☆3/5
Perry Lutheran Home13.9 miPerry, IA★☆☆☆☆1/5
Brio of Johnston, LLC13.9 miJohnston, IA★★★☆☆3/5
Accura Healthcare of Ogden, LLC14.8 miOgden, IA★★★★☆3/5
Northridge Village15.1 miAmes, IA★★★★★4/5
Sunny View Care Center15.2 miAnkeny, IA★★☆☆☆2/5

Compare this facility with the 3 closest →

All facilities in Madrid →

Facility data as of CMS processing date 2026-08-01. CCN 165118.

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