Wellington Place
2479 River Road, Decorah, IA 52101 · Winneshiek County · 56 certified beds · avg 51 residents/day · certified since Mar 10, 2003
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Aug 10, 2023 · F-0755 · triggered by a complaint
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Why it matters: Weak pharmacy services lead to medication mistakes, delays, and missed drug interactions that can seriously harm residents.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 11, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 10, 2023 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 11, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (3)
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 |
|---|---|---|
| Aug 10, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Aug 10, 2023 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Aug 10, 2023 | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 2 | J ▲ |
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) | 4.63 | 4.37 | 3.95 | top 34% in Iowa; top 20% in the U.S. |
| Registered Nurse hours | 0.83 | 0.85 | 0.69 | top 44% in Iowa; top 25% in the U.S. |
| Weekend total nurse staffing | 3.90 | 3.86 | 3.50 | top 43% in Iowa; top 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.51 | 0.48 | bottom 29% in Iowa; bottom 45% in the U.S. |
| Total nursing staff turnover (%) | 48.1 | 44.0 | 45.8 | bottom 35% in Iowa; bottom 42% in the U.S. |
| RN turnover (%) | 30.0 | 42.1 | 42.9 | top 36% in Iowa; top 29% 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 3.47, RN 0.62, weekend 2.92. Staffing rating: 4/5.
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: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Askelson, Lester | Individual | Corporate Director | NOT APPLICABLE | 06/10/2021 |
| Benzing, Leah | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/02/2023 |
| Benzing, Leah | Individual | ADP of the SNF | NOT APPLICABLE | 02/02/2023 |
| Bierman, Scott | Individual | Corporate Director | NOT APPLICABLE | 11/13/2025 |
| Bohner, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Bohner, Scott | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Boyer, Jean | Individual | Corporate Director | NOT APPLICABLE | 11/13/2025 |
| Davis, Steven | Individual | Corporate Director | NOT APPLICABLE | 06/10/2021 |
| Duffy, Denise | Individual | Corporate Officer | NOT APPLICABLE | 06/10/2021 |
| Hageman, Nancy | Individual | Corporate Director | NOT APPLICABLE | 04/01/2017 |
| Hageman, Nancy | Individual | Corporate Officer | NOT APPLICABLE | 11/13/2025 |
| Hanson, Melinda | Individual | Corporate Officer | NOT APPLICABLE | 10/12/2006 |
| Johnson, Gary | Individual | Corporate Director | NOT APPLICABLE | 11/01/2012 |
| Wood, Katy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/25/2015 |
| Wood, Katy | Individual | ADP of the SNF | NOT APPLICABLE | 06/25/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| The Highlands | 2.9 mi | Decorah, IA | ★★☆☆☆ | 2/5 | |
| Ossian Care Center | 10.6 mi | Ossian, IA | ★★☆☆☆ | 2/5 | |
| Northgate Care Center | 13.3 mi | Waukon, IA | ★☆☆☆☆ | 1/5 | SFF |
| Good Samaritan - Waukon | 13.7 mi | Waukon, IA | ★★☆☆☆ | 2/5 | |
| Green Lea Senior Living | 15.7 mi | Mabel, MN | ★☆☆☆☆ | 1/5 | |
| Tweeten Lutheran Health Care Center | 18.9 mi | Spring Grove, MN | ★☆☆☆☆ | 1/5 | SFF |
| Evans Senior Living Community | 19.5 mi | Cresco, IA | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165475.