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Madrid Home for the Aging
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Madrid, IA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Madrid Home for the Aging

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Madrid, IA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
613 West North Street, Madrid, IA 50156-1059 View map Calculator: See prices in your area
Madrid Home for the Aging accepts Medicare, Medicaid, and private pay.
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Madrid Home for the Aging accepts Medicare, Medicaid, and private pay.

Overview of Madrid Home for the Aging

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Madrid Home for the Aging offers independent living, assisted living, memory care, and nursing care, including skilled nursing, in Madrid, IA. Independent living means private living with community services and no daily care, while assisted living provides help with tasks such as dressing, bathing, and medication. Memory care is provided in a secured setting with supervision for someone at risk of wandering. Skilled nursing brings licensed nursing care on site around the clock.

Several care levels are available within the community. A resident whose needs grow over time may be able to remain here rather than move to a different community. The 64 bed home may also suit someone seeking a setting with multiple levels of support. Its Memory Support program is a specifically named service for residents receiving memory care, and rehabilitation services are available for residents who need recovery or functional support.

Pets are allowed, so a resident may be able to bring a pet when moving in. The community accepts Medicare, Medicaid, and private pay, giving families several listed ways to cover care. Total nurse staffing is 4 hours and 25 minutes per resident per day, representing the daily hands on nursing time allocated per resident. A Walk Score of 52 places the area in the somewhat walkable band, meaning some errands can be done on foot and a resident who no longer drives may be able to complete some outings independently. Rick Colby serves as the administrator.

Facility Direct Line (515) 795-3007
Facility Direct Line (515) 795-3007
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 2.1% Below IA avg. ▼ 2.1% Below IA avg.IA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 5.2% Above IA avg. ▲ 5.2% Above IA avg.IA average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 15.4% Below IA avg. ▼ 15.4% Below IA avg.IA average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 22.2% Above IA avg. ▲ 22.2% Above IA avg.IA average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Iowa averages

Rank #100 / 231Nurse hours — State benchmarkedThis home is ranked 100th out of 231 homes we track in Iowa for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 231 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 100th out of 231 homes we track in Iowa for nurse hours. 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 25m

3% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
45m
Avg State avg: 44m per day · National avg: 41m per day
LPN / LVN Info 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.
29m
−15% State avg: 34m per day · National avg: 52m per day
Nurse Aide Info 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.
3h 11m
+26% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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.
4h 4m
+22% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
2m
−4% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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.
39m
+29% State avg: 30m per day · National avg: 28m per day

2 of 6 metrics below state avg

Standout metric: Weekend RN is +29% above Iowa average

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 64 Rank #101 / 241Bed count — State benchmarkedThis home is ranked 101st out of 241 homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities. Rank #112 / 260Walk Score — State benchmarkedThis home is ranked 112th out of 260 homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
52 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #113 / 229Occupancy rate — State benchmarkedThis home is ranked 113th out of 229 homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 229. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
81.3% This home usually has availability
Similar to the Iowa average: 77.9%
Occupied beds
52 / 64
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
194 days

About this community

License Details

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility
StatusActive
CountyBoone
License Number80797
CMS Certification Number165118
Certification TypeFALSE

Ownership & Operating Entity

Madrid Home for the Aging is administered by Rick Colby.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Additional Services

1 service
Memory Support

Contact Information

Email rick.colby@westernhome.org
Fax5157952138

Amenities & Lifestyle

Touring HoursMonday-Friday: 8am-5pm, Saturday-Sunday: 9am-5pm

Contact Madrid Home for the Aging

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

Inspection History

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.

Since 2020 · 6 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 47 violations 15 inspections

Inspection Scorecard Info This scorecard compares key inspection, violation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average
Overall vs. IA average 2 Worse Metrics worse than Iowa average:
• Total violations (74% above)
• Violations per inspection (76% above) 0 Better No metrics in this bucket.

Violations Info Violations are formal regulatory issues recorded during state inspections.

This FacilityIA Averagevs. IA Avg
Total violations Info Formal regulatory issues recorded by inspectors across all inspection types. 4727 This facility has 74% more total violations than a typical Iowa nursing home (47 vs. IA avg 27).↑ 74% worse
Violations per inspection Info Average violations per inspection. 3.11.76 This facility has 76% more violations per inspection than a typical Iowa nursing home (3.1 vs. IA avg 1.76).↑ 76% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityIA Averagevs. IA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1513 This facility has had 15% more total inspections than the Iowa average (15 vs. IA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 15% more
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2024 · 2 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 3

State average 4.9

Last Health inspection on Mar 2026

Total health citations
14 Rank #111 / 232Health citations — State benchmarkedThis home is ranked 111th out of 232 homes we track in Iowa for health citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 232 IA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 20.6

Citations per inspection
4.67 Rank #123 / 232Citations per inspection — State benchmarkedThis home is ranked 123rd out of 232 homes we track in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 232 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 3.87

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 14 citations resulted from standard inspections; and 3 of 14 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 2 years)
Critical health citations
0
100% better than State average

State average: 0.5

Serious health citations
0
100% better than State average

State average: 0.9

0 critical citations State average: 0.5
0 serious citations State average: 0.9
14 moderate citations State average: 18.9
0 minor citations State average: 0.4
Citations history (last 2 years)
Abuse/Neglect moderate citation Mar 26, 2026
Corrected
Abuse/Neglect moderate citation Mar 26, 2026
Administration moderate citation Mar 26, 2026
Nutrition moderate citation Mar 26, 2026
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 114
Employees 85
Contractors 29
Staff to resident ratio 2.19 : 1
7% more staff per resident than Iowa average
Iowa average ratio: 2.05 : 1 Iowa average ratio: 2.05 : 1See full Iowa ranking
Avg staff/day 32
Average shift 7.8 hours
5% better than Iowa average
Iowa average: 7.4 hours Iowa average shift: 7.4 hoursSee full Iowa ranking
Total staff hours (quarter) 22,944

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 16 total: 6 full-time employees and 10 contractors. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 11 total: 7 full-time employees and 4 contractors. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 34 total: 24 full-time employees and 10 contractors. 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

7.5%

1,724 contractor hours this quarter

Certified Nursing Assistant: 10 Registered Nurse: 10 Licensed Practical Nurse: 4 Dental Services Staff: 1 Administrator: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant2410347,95392100%7.8
Medication Aide/Technician170176,14292100%8.6
Licensed Practical Nurse74112,07792100%9.6
Registered Nurse610161,9369199%8.8
Respiratory Therapy Technician6067346975%6.2
Dental Services Staff1126377480%5.6
Nurse Practitioner2025286672%8
RN Director of Nursing1015286672%8
Administrator0115126470%8
Dietitian1014886166%8
Speech Language Pathologist7074677278%5.4
Clinical Nurse Specialist1012963740%8
Physical Therapy Aide6062453639%6.1
Qualified Social Worker1012194953%4.5
Physical Therapy Assistant303692224%3
Occupational Therapy Aide011521314%4
Medical Director0113033%10
Occupational Therapy Assistant0112433%8
Other Dietary Services Staff202811%4.2
34 Certified Nursing Assistant
% of Days 100%
17 Medication Aide/Technician
% of Days 100%
11 Licensed Practical Nurse
% of Days 100%
16 Registered Nurse
% of Days 99%
View All Staffing Data

Penalties and fines

Includes penalties issued in 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)

Total fines amount $0 Rank #1 / 239Federal fines — State benchmarkedThis home is ranked 1st out of 239 homes we track in Iowa for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 239 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
100% lower than Iowa average

Iowa average: $48K

Number of fines 0
100% fewer fines than Iowa average

Iowa average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
88% more payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison
Fines amount comparison
This facility $0
Iowa average $48K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jun 6, 2024 · 12 days

Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Jun 6, 2024
12 days

Last updated: Jan 2026

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.1
38% worse than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 29.0
34% worse than Iowa average

Iowa average: 21.6

Long-stay resident measures
Below average Iowa avg: 3.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 32.3%
72% worse than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 25.2%
28% worse than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.5%
12% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.5%
30% better than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.9%
34% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.8%
56% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.7%
56% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.7%
12% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 89.9%
5% worse than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.1%
In line with Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.10
42% worse than Iowa average

Iowa average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.97
54% better than Iowa average

Iowa average: 2.09

Short-stay resident measures
Significantly above average Iowa avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 46.2%
46% worse than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 40.0%
45% worse than Iowa average

Iowa average: 73.3%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 23.4%
10% worse than Iowa average

Iowa average: 21.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 7.2%
45% better than Iowa average

Iowa average: 13.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 77.8%
45% better than Iowa average

Iowa average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 53.5%
6% better than Iowa average

Iowa average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

40% of new residents, usually for short-term rehab.

Typical stay 17 days

Private pay

13% of new residents, often for short stays.

Typical stay 1 - 2 years

Medicaid

48% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 52
Medicare
5
9.6% of residents
Medicaid
34
65.4% of residents
Private pay or other
13
25% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Operated by a nonprofit corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.6M
Nonprofit Operated by a nonprofit corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.0M Rank #143 / 224Net patient revenue — State benchmarkedThis home is ranked 143rd out of 224 homes we track in Iowa. Shows this facility's net patient revenue compared to the Iowa average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.6M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$112.1K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #143 / 224Payroll costs — State benchmarkedThis home is ranked 143rd out of 224 homes we track in Iowa. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Iowa average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$2.8M 55.9% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #134 / 224Payroll % of net patient revenue — State benchmarkedThis home is ranked 134th out of 224 homes we track in Iowa. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.8M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.6M
How we calculate these figures

This home is administered by Rick Colby.

This home is owned by Western Home Services Inc

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 165118

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (48% of admissions), and a typical Medicaid stay runs around 7 - 8 months.

Admissions
80 total

Coverage residents most often arrive under.

Medicare 40%
Private pay 13%
Medicaid 48%
Discharges
80 total

Coverage residents most often leave under.

Medicare 26%
Private pay 31%
Medicaid 43%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 0.0 miles from city center Info Estimated distance in miles from Madrid's city center to Madrid Home for the Aging's address, calculated via Google Maps.

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Compare Nursing Homes around the area

Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Friendship Village ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Waterloo
72
Facility 72
IA AVG 67
Rank #72 / 241
91.7%
Facility 91.7%
IA AVG 77.9%
Rank #36 / 229
+18%
5.78
Facility 5.78
IA AVG 4.30
Rank #9 / 231
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ +5%+34%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
8
Facility 8
IA AVG 21.7
Rank #44 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #19 / 232
166-
52
Facility 52
IA AVG 49
Rank #112 / 260
Friends Of Faith Retirement Homes, Inc
$14.2MFiscal year ending 03/2024
Facility $14.2MFiscal year ending 03/2024
IA AVG $6.9M
Rank #10 / 224
$11.6MFiscal year ending 03/2024
Facility $11.6MFiscal year ending 03/2024
IA AVG $4.2M
Rank #6 / 224
81.4%Fiscal year ending 03/2024
Facility 81.4%Fiscal year ending 03/2024
IA AVG 60.3%
Rank #14 / 224
165081
St Francis Manor ★ ★ ★ ★ ★
NH
AL
HOS
SNF
Grinnell
78
Facility 78
IA AVG 67
Rank #56 / 241
69.2%
Facility 69.2%
IA AVG 77.9%
Rank #182 / 229
-11%
5.66
Facility 5.66
IA AVG 4.30
Rank #13 / 231
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +34%+32%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
2
Facility 2
IA AVG 21.7
Rank #1 / 232
1.0
Facility 1.0
IA AVG 4.1
Rank #1 / 232
-54-
82
Facility 82
IA AVG 49
Rank #27 / 260
St Francis Manor Inc
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #82 / 224
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
IA AVG $4.2M
Rank #50 / 224
69.4%Fiscal year ending 12/2023
Facility 69.4%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #38 / 224
165480
Stonehill Care Center ★ ★ ★ ★ ☆
NH
AL
IL
MC
SNF
Dubuque
185
Facility 185
IA AVG 67
Rank #2 / 241
85.4%
Facility 85.4%
IA AVG 77.9%
Rank #84 / 229
+10%
4.83
Facility 4.83
IA AVG 4.30
Rank #57 / 231
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ +2%+12%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
4
Facility 4
IA AVG 21.7
Rank #13 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #19 / 232
-158-
89
Facility 89
IA AVG 49
Rank #13 / 260
Peggy Stockel
$26.5MFiscal year ending 06/2024
Facility $26.5MFiscal year ending 06/2024
IA AVG $6.9M
Rank #2 / 224
$16.6MFiscal year ending 06/2024
Facility $16.6MFiscal year ending 06/2024
IA AVG $4.2M
Rank #2 / 224
62.7%Fiscal year ending 06/2024
Facility 62.7%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #75 / 224
165471
Madrid Home for the Aging ★ ★ ★ ☆ ☆
NH
AL
IL
MC
SNF
Madrid
64
Facility 64
IA AVG 67
Rank #101 / 241
81.3%
Facility 81.3%
IA AVG 77.9%
Rank #113 / 229
+4%
4.41
Facility 4.41
IA AVG 4.30
Rank #100 / 231
 ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ +20%+3%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
14
Facility 14
IA AVG 21.7
Rank #111 / 232
4.7
Facility 4.7
IA AVG 4.1
Rank #123 / 232
-52-
52
Facility 52
IA AVG 49
Rank #112 / 260
Western Home Services Inc
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
IA AVG $6.9M
Rank #143 / 224
$2.8MFiscal year ending 12/2023
Facility $2.8MFiscal year ending 12/2023
IA AVG $4.2M
Rank #143 / 224
55.9%Fiscal year ending 12/2023
Facility 55.9%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #134 / 224
165118
Bethany Lutheran Home ★ ☆ ☆ ☆ ☆
NH
AL
MC
SNF
Council Bluffs
112
Facility 112
IA AVG 67
Rank #16 / 241
80.4%
Facility 80.4%
IA AVG 77.9%
Rank #118 / 229
+3%
4.68
Facility 4.68
IA AVG 4.30
Rank #70 / 231
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ +28%+9%
$46.9k
Facility $46.9k
IA AVG $53.4k
Rank #204 / 239
43
Facility 43
IA AVG 21.7
Rank #207 / 232
4.8
Facility 4.8
IA AVG 4.1
Rank #166 / 232
590-
77
Facility 77
IA AVG 49
Rank #37 / 260
Diana Roberts
$10.6MFiscal year ending 09/2023
Facility $10.6MFiscal year ending 09/2023
IA AVG $6.9M
Rank #29 / 224
$6.4MFiscal year ending 09/2023
Facility $6.4MFiscal year ending 09/2023
IA AVG $4.2M
Rank #31 / 224
60.5%Fiscal year ending 09/2023
Facility 60.5%Fiscal year ending 09/2023
IA AVG 60.3%
Rank #96 / 224
165524

Rank badges are statewide: each nursing home is ranked against every IA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

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Frequently Asked Questions about Madrid Home for the Aging

Is Madrid Home for the Aging in a walkable area?

Madrid Home for the Aging has a walk score of 52. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Madrid Home for the Aging?

According to IA state health department records, Madrid Home for the Aging's license number is 80797.

What is the occupancy rate at Madrid Home for the Aging?

Madrid Home for the Aging's occupancy is 81.3%.

Are pets allowed at Madrid Home for the Aging?

Yes, Madrid Home for the Aging allows residents to bring their pets.

What is the best email address for Madrid Home for the Aging?

The team at Madrid Home for the Aging can be reached at rick.colby@westernhome.org.

Does Madrid Home for the Aging operate as a for-profit or non-profit?

Madrid Home for the Aging is registered as a non-profit in IA.

Who is the administrator of Madrid Home for the Aging?

Rick Colby is the administrator of Madrid Home for the Aging.

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