Total health inspections
3
Iowa average 4.9
Last Health inspection on Nov 2024
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Rolling Green Village
Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Rolling Green Village
Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Rolling Green Village is a senior living community in Nevada, Iowa. It offers independent and assisted living, rehabilitation services, and orthopedic care. The facility focuses on healing, wellness, and enriching lives through compassionate care.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 122nd out of 240 homes in Iowa.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 122nd out of 240 homes in Iowa.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 14m per day
Rank #122 / 240Nurse hours — state benchmarkedThis home is ranked 122nd out of 240 homes in Iowa.Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 240 Iowa SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Iowa avg
-1%
Standout metric
Physical Therapist is +300% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 2h 4m per day | ▲ 226% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 2h 44m per day | ▲ 169% State avg: 1h 1m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 46m per day | ▲ 25% State avg: 2h 13m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 34m per day | ▲ 7% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 20m per day | ▲ 300% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 16m per day | ▲ 217% State avg: 24m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
57.8%
Rank #220 / 246Occupancy rate — state benchmarkedThis home is ranked 220th out of 246 homes in Iowa.Shows this facility's occupancy rate versus the Iowa average, with its statewide rank out of 246. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
99 days
Occupancy rate
57.8%
Rank #220 / 246Occupancy rate — state benchmarkedThis home is ranked 220th out of 246 homes in Iowa.Shows this facility's occupancy rate versus the Iowa average, with its statewide rank out of 246. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
99 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
33% of new residents, usually for short-term rehab.
Typical stay
24 days
Private pay
55% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
12% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.4M
Profit
$706.1K
Privately-owned community
Operated by a business corporation.
Home revenue
$5.4M Rank #165 / 241Revenue — state benchmarkedThis home is ranked 165th out of 241 homes in Iowa.Shows this facility's annual revenue compared to the Iowa SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Profit
$706.1K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #160 / 241Payroll — state benchmarkedThis home is ranked 160th out of 241 homes in Iowa.Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$2.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #160 / 241Payroll — state benchmarkedThis home is ranked 160th out of 241 homes in Iowa.Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.0M
About this community
Rehabilitation Services
Short-Term Rehab
Orthopedic Care
Specific ProgramsHealthcare Services, Suites & Accommodations, Gallery & Virtual Tour, Testimonials, Schedule a Tour
Health Inspection History
Inspections
Total health citations
15
Rank #108 / 240Health citations — state benchmarkedThis home is ranked 108th out of 240 homes in Iowa.Shows this facility's total health deficiency citations benchmarked to the Iowa state average, with a ranking across all 240 IA SNFs. Lower citation counts earn a better rank.
Iowa average 21.7
Citations per inspection
5
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 15 citations resulted from standard inspections; and 6 of 15 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
Rank #1 / 139Severe citations — state benchmarkedThis home is ranked 1st out of 139 homes in Iowa.Shows citations where actual resident harm occurred, compared to the Iowa average and ranked across 139 SNFs statewide. Even a single severe citation is significant — lower is always better.
100% better than Iowa averageIowa average: 0.6
Serious Health citations
1
1
11% worse than Iowa averageIowa average: 0.9
0 critical citations
1 serious citation
14 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 14, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 14, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 14, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 14, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 14, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 14, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 14, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 14, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
| Akron Care Center, INC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Akron | 45 | 98.1% | +30% | 4.71 | +15% | +10% | 0 | 4 | 2.0 | 0 | 42 | - | - | City Of Akron | $4.7M | $2.1M | 45.1% | 165595 | ||||
| Accura HealthCare of Carlisle |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Carlisle | 80 | 80.5% | +7% | 5.85 | -40% | +36% | 0 | 17 | 5.7 | 2 | 39 | - | - | American Healthcare Associates Inc | $4.1M | $2.5M | 59.6% | 165311 | ||||
| Rolling Green Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | - | 69 | 57.8% | -23% | 4.24 | +11% | -1% | 0 | 15 | 5.0 | 1 | 45 | - | - | - | $5.4M | $2.5M | 45.7% | 165361 | ||||
| Accura Healthcare of Spirit Lake |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Spirit Lake | 85 | 66.6% | -12% | 4.29 | -8% | 0% | 1 | 21 | 7.0 | 1 | 65 | - | - | - | $7.1M | $3.0M | 42.3% | 165528 | ||||
| Accura Healthcare of Lake City, LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lake City | 46 | 70.4% | -7% | 5.17 | -33% | +20% | 4 | 39 | 3.9 | 4 | 40 | - | - | Accura Healthcare Of The Heartland Llc | $2.1M | $1.0M | 46.7% | 165082 |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
139
Employees
88
Contractors
51
Staff to resident ratio
2.96:1
48% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
30
Average shift
7.4 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
20,124
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
72
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
3.8%
769 contractor hours this quarter
Certified Nursing Assistant: 34
Registered Nurse: 11
Licensed Practical Nurse: 3
Occupational Therapy Assistant: 1
Medical Director: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 38 | 34 | 72 | 9,172 | 91 | 100% | 7.2 |
| Medication Aide/Technician | 14 | 0 | 14 | 2,769 | 91 | 100% | 8 |
| Registered Nurse | 7 | 11 | 18 | 2,193 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 5 | 3 | 8 | 1,575 | 87 | 96% | 8.5 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 862 | 66 | 73% | 8.2 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 487 | 65 | 71% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 478 | 61 | 67% | 7.8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 405 | 61 | 67% | 6.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 386 | 61 | 67% | 6.3 |
| Physical Therapy Aide | 5 | 0 | 5 | 297 | 47 | 52% | 6.2 |
| Physical Therapy Assistant | 5 | 0 | 5 | 187 | 43 | 47% | 4.3 |
| Qualified Social Worker | 1 | 0 | 1 | 157 | 48 | 53% | 3.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 71 | 13 | 14% | 5.4 |
| Medical Director | 0 | 1 | 1 | 24 | 18 | 20% | 1.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 15 | 3 | 3% | 5 |
| RN Director of Nursing | 1 | 0 | 1 | 10 | 1 | 1% | 9.8 |
| Speech Language Pathologist | 1 | 0 | 1 | 7 | 1 | 1% | 7 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 7 | 5 | 5% | 1.3 |
72 Certified Nursing Assistant
% of Days
100%
14 Medication Aide/Technician
% of Days
100%
18 Registered Nurse
% of Days
100%
8 Licensed Practical Nurse
% of Days
96%
3 Clinical Nurse Specialist
% of Days
73%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 Dietitian
% of Days
71%
1 Dental Services Staff
% of Days
67%
2 Respiratory Therapy Technician
% of Days
67%
1 Other Dietary Services Staff
% of Days
67%
5 Physical Therapy Aide
% of Days
52%
5 Physical Therapy Assistant
% of Days
47%
1 Qualified Social Worker
% of Days
53%
1 Occupational Therapy Aide
% of Days
14%
1 Medical Director
% of Days
20%
1 Occupational Therapy Assistant
% of Days
3%
1 RN Director of Nursing
% of Days
1%
1 Speech Language Pathologist
% of Days
1%
1 Therapeutic Recreation Specialist
% of Days
5%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
47
Medicare
6
12.8% of residents
Medicaid
14
29.8% of residents
Private pay or other
27
57.4% of residents
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.1
20% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.7
In line with Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.7%
Percent of long-stay residents whose need for help with daily activities has increased
15.7%
17% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.2%
Percent of long-stay residents whose ability to move independently worsened
16.2%
18% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.3%
16% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
48% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.9%
Percent of long-stay high risk residents with pressure ulcers
1.9%
57% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.0%
Percent of long-stay residents who lose too much weight
5.0%
In line with Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.4%
Percent of long-stay residents who have depressive symptoms
1.4%
64% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.4%
Percent of long-stay residents who received an antipsychotic medication
19.4%
In line with Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
78.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
78.3%
18% worse than Iowa averageIowa average: 95.3%
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
13% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
49% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
35.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
35.7%
51% worse than Iowa averageIowa average: 73.3%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.6%
In line with Iowa averageIowa average: 24.7%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.7%
In line with Iowa averageIowa average: 14.1%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
66% worse than Iowa averageIowa average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
72.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
72.1%
34% better than Iowa averageIowa average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
63.3%
Rate of successful return to home or community from a skilled nursing facility.
63.3%
25% better than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Rolling Green Village based on CMS SNF Cost Reports.
Occupancy Rate
57.8%
↓ 0.3pp vs 2023
Net Income
$706.1K
↑ ~$826.9K vs 2023
Total Payroll
$2.9M
↓ ~$85.3K vs 2023
Profit Margin
13.1%
↑ 15.6pp vs 2023
Loading trend charts...
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