Mount Ayr Health Care Center

Name: Mount Ayr Health Care Center
Address: 1504 East South Street, Mount Ayr, IA, 50854, US
Telephone: 6414643204

1504 East South Street, Mount Ayr, IA 50854 · Ringgold County · 46 certified beds · avg 24 residents/day · certified since Jul 15, 1994

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.03

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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 (11)

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
Apr 14, 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.
Apr 14, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Apr 14, 2026	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.
Apr 14, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Apr 14, 2026	D · Potential for harm, one-off	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.
Apr 9, 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.
Apr 9, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Apr 9, 2025	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.
Apr 9, 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.
Jun 27, 2024	E · Potential for harm, repeated	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.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).

Year	Citations	Worst severity that year
2024	2	E
2025	4	E
2026	5	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)

No fines or payment denials in the published 3-year window.

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)	4.03	4.37	3.95	bottom 39% in Iowa; top 38% in the U.S.
Registered Nurse hours	1.07	0.85	0.69	top 21% in Iowa; top 13% in the U.S.
Weekend total nurse staffing	3.56	3.86	3.50	bottom 40% in Iowa; top 39% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.72	0.51	0.48	top 14% in Iowa; top 15% in the U.S.
Total nursing staff turnover (%)	37.0	44.0	45.8	top 34% in Iowa; top 29% 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, 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 3.68, RN 0.98, weekend 3.26. Staffing rating: 5/5.

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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Hinz, Marlene	Individual	5% or Greater Direct Ownership Interest	15%	01/01/1994
Hinz, Robert	Individual	5% or Greater Direct Ownership Interest	15%	11/03/2011
Brooks, Kiley	Individual	Corporate Officer	NOT APPLICABLE	03/22/2022
Brooks, Kiley	Individual	Operational/Managerial Control	NOT APPLICABLE	03/22/2022
Hinz, Marlene	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/1994
Hinz, Robert	Individual	W-2 Managing Employee	NOT APPLICABLE	11/03/2011
Hinz, Travis	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2014
Hinz, Travis	Individual	Corporate Director	NOT APPLICABLE	01/01/2014
Walnut Creek Management Company LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/22/2022

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"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
Clearview Home	0.8 mi	Mount Ayr, IA	★★★★☆	4/5
Lamoni Specialty Care	16.6 mi	Lamoni, IA	★★★★★	5/5
Worth County Convalescent Center	18.2 mi	Grant City, MO	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Mount Ayr →

Facility data as of CMS processing date 2026-08-01. CCN 165224.

The Care File

Visit checklist — Mount Ayr Health Care Center

1504 East South Street, Mount Ayr, IA 50854 · 6414643204

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165224 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)