Madrid Home for the Aged
613 West North Street, Madrid, IA 50156 · Boone County · 64 certified beds · avg 58 residents/day · certified since Dec 1, 1983
Part of chain: WESTERN HOME COMMUNITIES (6 facilities, chain avg rating 3.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 self-reported quality measures.
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 26, 2026 | E · Potential for harm, repeated | 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. |
| Mar 26, 2026 | E · Potential for harm, repeated | 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. |
| Mar 26, 2026 | D · Potential for harm, one-off | 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 |
| Mar 26, 2026 | D · Potential for harm, one-off | 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. · from a complaint |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Mar 20, 2025 | E · Potential for harm, repeated | 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. |
| Mar 20, 2025 | D · Potential for harm, one-off | The 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. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 20, 2025 | D · Potential for harm, one-off | The 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 |
| Mar 20, 2025 | D · Potential for harm, one-off | 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. |
| Jun 6, 2024 | D · Potential for harm, one-off | 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. |
| Jun 6, 2024 | D · Potential for harm, one-off | 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. |
| Jun 6, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | D |
| 2025 | 5 | 0 | E |
| 2026 | 6 | 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)
0 fines totaling $0, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jun 6, 2024 | Payment Denial | 12 days from Jun 28, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.41 | 4.37 | 3.95 | top 44% in Iowa; top 26% in the U.S. |
| Registered Nurse hours | 0.75 | 0.85 | 0.69 | bottom 44% in Iowa; top 32% in the U.S. |
| Weekend total nurse staffing | 4.07 | 3.86 | 3.50 | top 36% in Iowa; top 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.64 | 0.51 | 0.48 | top 21% in Iowa; top 20% in the U.S. |
| Total nursing staff turnover (%) | 46.8 | 44.0 | 45.8 | bottom 38% in Iowa; bottom 45% in the U.S. |
| RN turnover (%) | 83.3 | 42.1 | 42.9 | bottom 6% in Iowa; bottom 4% in the U.S. |
Hours are per resident per day, 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. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ager, Wendy | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Ager, Wendy | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Bank Iowa | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/01/2025 |
| Bank Iowa | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Bollinger, Hannah | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/08/2023 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Brockelsby, Sheri | Individual | Corporate Officer | NOT APPLICABLE | 01/18/2018 |
| Brown, Sarah | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| CBS Staffing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Cliftonlarsonallen LLP | Organization | ADP of the SNF | NOT APPLICABLE | 08/25/2021 |
| Colby, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Colby, Richard | Individual | ADP of the SNF | NOT APPLICABLE | 03/18/2026 |
| Elsberry, Brandon | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/06/2022 |
| Evans, Angela | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Evans, Angela | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Frankhauser, Richard | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Gaines, Ronald | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Grape Tree Medical Staffing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Hansen, Kris | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Hansen, Kris | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2002 |
Questions to ask on your visit
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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Granger Nursing & Rehabilitation Center | 8.0 mi | Granger, IA | ★★★☆☆ | 3/5 | |
| On with Life Long Term Care | 9.1 mi | Polk City, IA | ★★★★★ | 5/5 | |
| Green Hills Health Care Center | 12.7 mi | Ames, IA | ★★★★★ | 4/5 | |
| Perry Lutheran Homes Eden Acres Campus | 13.0 mi | Perry, IA | ★★☆☆☆ | 2/5 | abuse |
| Westhaven Community | 13.1 mi | Boone, IA | ★★★☆☆ | 3/5 | |
| Eastern Star Masonic Home | 13.1 mi | Boone, IA | ★★★☆☆ | 3/5 | |
| Kennybrook Village | 13.1 mi | Grimes, IA | ★★★☆☆ | 3/5 | |
| Perry Lutheran Home | 13.9 mi | Perry, IA | ★☆☆☆☆ | 1/5 | |
| Brio of Johnston, LLC | 13.9 mi | Johnston, IA | ★★★☆☆ | 3/5 | |
| Accura Healthcare of Ogden, LLC | 14.8 mi | Ogden, IA | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165118.