920 North Cherry Street, Shell Rock, IA 50670 (opens Google Maps) · Butler County · (319) 885-4341· 41 certified beds · avg 39 residents/day · certified since Jan 1, 1997 · 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: ACCURA HEALTHCARE (41 facilities, chain avg rating 2.5★)
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · 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.
▲ Immediate jeopardy, widespread · Jul 19, 2024 · F-0812 · triggered by a complaint
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.
Why it matters: Unsafe food handling is one of the most common causes of food poisoning, which can be dangerous for frail residents.
Severity (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 20, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · May 9, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 22, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 22 inspection findings. Open the full record below to read every finding.
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. · from a complaint F-0812
The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. F-0732
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. · from a complaint F-0803
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 |
|---|---|---|
| Sep 4, 2025 | F · Potential for more than minimal harm, widespread | 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. · from a complaint · F-0812 |
| Sep 4, 2025 | E · Potential for more than minimal harm, pattern | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| Sep 4, 2025 | 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. · from a complaint · F-0803 |
| Sep 4, 2025 | E · Potential for more than minimal harm, pattern | 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 4, 2025 | D · Potential for more than minimal harm, isolated | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637 |
| Sep 4, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Sep 4, 2025 | D · Potential for more than minimal harm, isolated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925 |
| Sep 15, 2024 | F · Potential for more than minimal harm, widespread | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint · F-0727 |
| Sep 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · from a complaint · F-0685 |
| Sep 15, 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. · from a complaint · F-0688 |
| Sep 15, 2024 | B · Potential for minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Jul 19, 2024 | ▲ L · Immediate jeopardy, widespread | 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. · from a complaint · F-0812 |
| Jul 19, 2024 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550 |
| May 9, 2024 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Oct 5, 2023 | F · Potential for more than minimal harm, widespread | 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 |
| Oct 5, 2023 | E · Potential for more than minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Oct 5, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Oct 5, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Oct 5, 2023 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Oct 5, 2023 | C · Potential for minimal harm, widespread | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Oct 5, 2023 | C · Potential for minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Oct 5, 2023 | C · Potential for minimal harm, widespread | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · F-0868 |
Citations from standard inspections increased between the last two inspection cycles (4 → 7).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | F |
| 2024 | 7 | 2 | L ▲ |
| 2025 | 7 | 0 | F |
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.
How to file a complaint about care →
1 fine totaling $17,167.
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.
| Date | Type | Amount / length |
|---|---|---|
| Jul 19, 2024 | Fine | $17,167 |
What these staffing numbers mean →
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) | 4.36 | 4.37 | 3.95 | top 46% in Iowa; top 27% in the U.S. |
| Registered Nurse hours | 0.48 | 0.85 | 0.69 | bottom 10% in Iowa; bottom 35% in the U.S. |
| Weekend total nurse staffing | 3.82 | 3.86 | 3.50 | top 47% in Iowa; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.51 | 0.48 | bottom 8% in Iowa; bottom 24% in the U.S. |
| Total nursing staff turnover (%) | 43.6 | 44.0 | 45.8 | bottom 46% in Iowa; top 46% in the U.S. |
| RN turnover (%) | — | 42.1 | 42.9 | — |
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 3.66, RN 0.40, weekend 3.20.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.66 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Shell Rock Senior Living. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Groff, Howard | Individual | 5% or Greater Indirect Ownership Interest | 50% | 09/03/2008 |
| Sheridan, Gail | Individual | 5% or Greater Indirect Ownership Interest | 50% | 09/03/2008 |
| Tealwood Enterprise INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2012 |
| American Healthcare Management Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2019 |
| Groff, Howard | Individual | Corporate Officer | NOT APPLICABLE | 09/03/2008 |
| Leneave, Ted | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Leneave, Ted | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2019 |
| Sheridan, Gail | Individual | Corporate Officer | NOT APPLICABLE | 09/03/2008 |
| Spurgin, Kassidy | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2023 |
All 9 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Accura Healthcare — 41 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. Showing 8 of the 40 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Woodland Terrace | 4.2 mi | Waverly, IA | ★★★★★ | 3/5 | |
| Clarksville Skilled Nursing & Rehab Center | 7.0 mi | Clarksville, IA | ★★★★☆ | 4/5 | |
| Rehabilitation Center of Allison | 11.9 mi | Allison, IA | ★★★☆☆ | 2/5 | |
| Denver Sunset Home | 12.4 mi | Denver, IA | ★★★★☆ | 4/5 | |
| Cedar Falls Health Care Center | 13.8 mi | Cedar Falls, IA | ★★☆☆☆ | 2/5 | |
| Martin Health Center, INC | 14.4 mi | Cedar Falls, IA | ★★★★★ | 4/5 | |
| Pillar of Cedar Valley | 14.5 mi | Waterloo, IA | ★☆☆☆☆ | 2/5 | |
| Newaldaya Lifescapes | 15.3 mi | Cedar Falls, IA | ★★☆☆☆ | 2/5 | |
| Tripoli Nursing & Rehab | 16.9 mi | Tripoli, IA | ★★☆☆☆ | 3/5 | |
| The Suites at Western Home Communities | 17.0 mi | Cedar Falls, IA | ★★★★★ | 5/5 | |
| Pinnacle Specialty Care | 17.1 mi | Cedar Falls, IA | ★★☆☆☆ | 2/5 | |
| Ams Memorial-Greene | 17.1 mi | Greene, IA | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Butler, IA — 5 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 165309.
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