Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (45% of admissions), and a typical Medicaid stay runs around 6 - 7 months.
Located at 455 31st Street in Marion, Iowa, Silver Oak Nursing and Rehabilitation LLC is a nursing home owned by Ryan Coane and administered by Ailson De Jong. The 91-bed facility provides skilled nursing care, rehabilitation services, and dementia support. Medicare, Medicaid, and private pay are accepted, so families have several options for covering short-term rehabilitation and longer-term residential care.
The community has an occupancy rate of 77%, and residents stay an average of 134 days. The facility’s location in a highly walkable neighborhood offers convenient access to nearby services for visiting family members and staff.
Rehabilitation is a major focus of the community. Physical therapy staffing exceeds state averages. Daily nurse staffing averages 4 hours and 28 minutes per resident, combining registered nurse, licensed practical nurse, and certified nurse aide support. The facility operates 24 hours a day and provides care for residents needing dementia support, rehabilitation services, and skilled nursing care.
Meals are prepared by chefs and served according to every resident’s dietary requirements to accommodate a range of nutritional needs and preferences.
State inspections by the Iowa Department of Inspections, Appeals, and Licensing addressed recurring issues related to care delivery, documentation, and resident safety. The facility meets regulatory standards and welcomes family tours to discuss how these operational areas are managed.
Silver Oak Nursing and Rehabilitation LLC is administered by Ailson De Jong.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
| 196 | 27 | This facility has 626% more total deficiencies than a typical Iowa nursing home (196 vs. IA avg 27).↑ 626% worse |
|
Deficiencies per year
| 32.7 | 4.5 | This facility has 627% more deficiencies per year than a typical Iowa nursing home (32.7 vs. IA avg 4.5).↑ 627% worse |
|
Deficiencies per inspection
| 4.3 | 1.8 | This facility has 139% more deficiencies per inspection than a typical Iowa nursing home (4.3 vs. IA avg 1.8).↑ 139% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
| 46 | 15 | This facility has 207% more total inspections than a typical Iowa nursing home (46 vs. IA avg 15).↑ 207% worse |
Iowa average 4.9
Last Health inspection on Oct 2025
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 76 citations resulted from standard inspections; 30 of 76 resulted from complaint investigations; and 28 of 76 came from combined inspections (standard and complaint).
Iowa average: 0.6
Iowa average: 0.9
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
| Certified Nursing Assistant | 39 | 0 | 39 | 10,507 | 92 | 100% | 7.6 |
| Medication Aide/Technician | 13 | 0 | 13 | 4,191 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 11 | 0 | 11 | 3,688 | 92 | 100% | 9.2 |
| Registered Nurse | 8 | 0 | 8 | 3,227 | 92 | 100% | 8.3 |
| Speech Language Pathologist | 4 | 0 | 4 | 968 | 67 | 73% | 6.2 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Other Dietary Services Staff | 10 | 0 | 10 | 481 | 58 | 63% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 459 | 57 | 62% | 8.1 |
| Physical Therapy Assistant | 3 | 0 | 3 | 453 | 68 | 74% | 4.8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 405 | 61 | 66% | 6 |
| Physical Therapy Aide | 3 | 0 | 3 | 376 | 62 | 67% | 5.2 |
| Dietitian | 2 | 0 | 2 | 365 | 47 | 51% | 7.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 272 | 21 | 23% | 8 |
| Qualified Social Worker | 4 | 0 | 4 | 106 | 30 | 33% | 3.2 |
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
26% of new residents, usually for short-term rehab.
29% of new residents, often for short stays.
45% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Silver Oak Nursing and Rehabilitation LLC from 2012–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (45% of admissions), and a typical Medicaid stay runs around 6 - 7 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Marion's city center to Silver Oak Nursing and Rehabilitation LLC's address, calculated via Google Maps.
Add your location
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Winslow House Care Center | NH | Marion | 50
Facility
50
IA AVG
71
Rank
#258 / 407 |
94.0%
Facility
94.0%
IA AVG
75.4%
Rank
#35 / 407 | +25% | 4.00
Facility
4.00
IA AVG
4.30
Rank
#148 / 249 | +11% | -7% | $28.2k
Facility
$28.2k
IA AVG
$53.4k
Rank
#195 / 255 | 19
Facility
19
IA AVG
21.7
Rank
#140 / 250 | 3.2
Facility
3.2
IA AVG
4.1
Rank
#95 / 250 | 3 | 47 | - |
89
Facility
89
IA AVG
45
Rank
#17 / 528 | The Capstone Group Inc | $4.1M
Facility
$4.1M
IA AVG
$7.0M
Rank
#203 / 251 | $2.4M
Facility
$2.4M
IA AVG
$3.1M
Rank
#164 / 251 | 58.2%
Facility
58.2%
IA AVG
46.3%
Rank
#34 / 251 | 165440 | ||||
| Linn Manor Care Center | NH IL | Marion | 38
Facility
38
IA AVG
71
Rank
#352 / 407 |
92.1%
Facility
92.1%
IA AVG
75.4%
Rank
#48 / 407 | +22% | 3.66
Facility
3.66
IA AVG
4.30
Rank
#192 / 249 | -13% | -15% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 255 | 16
Facility
16
IA AVG
21.7
Rank
#122 / 250 | 5.3
Facility
5.3
IA AVG
4.1
Rank
#189 / 250 | 1 | 35 | - |
89
Facility
89
IA AVG
45
Rank
#17 / 528 | Grand Haven Homes, Inc | $3.9M
Facility
$3.9M
IA AVG
$7.0M
Rank
#218 / 251 | $2.5M
Facility
$2.5M
IA AVG
$3.1M
Rank
#199 / 251 | 63.1%
Facility
63.1%
IA AVG
46.3%
Rank
#63 / 251 | 165511 | ||||
| Silver Oak Nursing and Rehabilitation LLC | NH MC | Marion | 91
Facility
91
IA AVG
71
Rank
#81 / 407 |
76.9%
Facility
76.9%
IA AVG
75.4%
Rank
#150 / 407 | +2% | 4.47
Facility
4.47
IA AVG
4.30
Rank
#80 / 249 | -35% | +4% | $29.1k
Facility
$29.1k
IA AVG
$53.4k
Rank
#196 / 255 | 76
Facility
76
IA AVG
21.7
Rank
#245 / 250 | 5.9
Facility
5.9
IA AVG
4.1
Rank
#203 / 250 | 5 | 72 | - |
89
Facility
89
IA AVG
45
Rank
#17 / 528 | Ryan Coane | $7.8M
Facility
$7.8M
IA AVG
$7.0M
Rank
#91 / 251 | $4.0M
Facility
$4.0M
IA AVG
$3.1M
Rank
#117 / 251 | 51.3%
Facility
51.3%
IA AVG
46.3%
Rank
#191 / 251 | 165171 |
Silver Oak Nursing and Rehabilitation LLC is located in Marion, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Silver Oak Nursing and Rehabilitation LLC has a walk score of 89. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IA state health department records, Silver Oak Nursing and Rehabilitation LLC's license number is 570604.
According to IA state health department records, Silver Oak Nursing and Rehabilitation LLC's license expires on May 1, 2027.
Silver Oak Nursing and Rehabilitation LLC's occupancy is 77%.
The team at Silver Oak Nursing and Rehabilitation LLC can be reached at adejong@silveroaknursing.com.
Silver Oak Nursing and Rehabilitation LLC is registered as a for-profit in IA.
Ailson De Jong is the administrator of Silver Oak Nursing and Rehabilitation LLC.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance