Altoona Nursing and Rehabilitation Center

Nursing Home, Respite Care & Skilled Nursing · Altoona, IA

CMS overall rating

200 Seventh Avenue Sw, Altoona, IA 50009-1630 View map

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Altoona Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Altoona Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Altoona Nursing and Rehabilitation Center

Altoona Nursing and Rehabilitation Center is a 106-bed skilled nursing facility at 200 Seventh Avenue SW in Altoona, Iowa. Managed by Campbell Street Services and led by administrator Malori Fisher, the community provides a broad clinical spectrum for medically complex residents, including tracheostomy care, enteral nutrition, and infusion therapy. The campus maintains a high occupancy rate of 92%, reflecting consistent demand within the Polk County area.

Federal and state oversight currently assigns the facility a 1-star overall rating, which signifies performance categorized as “Much Below Average”. Historical data through early 2026 indicate a deficiency rate significantly higher than the Iowa state average, with recurring citations related to resident dignity, medication errors, and safety protocols. While a November 2025 follow-up survey concluded with zero new deficiencies at that time, previous investigations substantiated concerns regarding resident-to-resident abuse and elopement risks. To date, no federal fines or payment denials have been issued against this facility in the past three years.

Direct care is provided through a staffing model that delivers approximately 3 hours 39 minutes of total nursing time per resident day. Registered Nurse (RN) presence is currently 23 minutes per resident day, roughly 23% below the Iowa average of 30 minutes. Despite these gaps, the center coordinates specialized memory care and respiratory support, and its quality measures for long-stay residents are rated at 3 stars for pain management and physical function outcomes.

The facility environment includes specialized wellness programming and a resident council to address quality-of-life concerns. Residents have access to private rooms, on-site beauty and barber services, and family gathering spaces designed to support social engagement. Amenities such as complimentary Wi-Fi, cable TV, and pet-friendly accommodations are provided to maintain a residential atmosphere. As a non-CCRC facility, the community focuses on providing 24-hour skilled nursing and respite care for those transitioning from acute hospital settings.

Prospective residents and their representatives should evaluate the current bedside care standards and safety protocols during an on-site visit. It is advisable to ask the administrator for specific details on the corrective actions regarding the 2025 dignity and elopement findings and to confirm that the clinical staffing levels for 2026 are sufficient to meet the resident’s specific medical or recovery goals.

Facility Direct Line (515) 967-4267

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Capacity and availability

153 days

106-bed community

A larger shared setting that may offer more common spaces and organized community services.

42 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 48 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate

92%

Higher than the Iowa average: 75.4%

Occupied beds

97 / 106

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationMarch 1, 2027

CountyPolk

License Number770022

CMS Certification Number165162

Certification TypeFALSE

Altoona Nursing and Rehabilitation Center is administered by Carla Hall.

Rehabilitation Services

Respite Care

24-Hour Staffing

Skilled Nursing Care

Intermediate Care

Short-Term/Respite Care

Nursing Rehabilitation And Therapy Services

Email chall@altoonanursingandrehab.com

Fax5159674267

Pets Allowed

Salon

Wi-Fi

Cable Tv

Pet Friendly

Laundry

Best Life Enrichment Department

Tv Lounge

Operating Hours24/7

Inspection Scorecard 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.

Overall vs. IA average

Violations Violations are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Violations Total violations cited across all inspections on record. Iowa reports these as a federal and a state component, shown below; the two add up to this total.	107	27	This facility has 296% more violations than a typical Iowa nursing home (107 vs. IA avg 27).↑ 296% worse
Federal violations Part of the Violations total above — the share cited under federal nursing-home requirements, which apply to Medicare/Medicaid-certified facilities. Federal + state add up to the total.	101	31	This facility has 226% more federal violations than a typical Iowa nursing home (101 vs. IA avg 31).↑ 226% worse
State violations Part of the Violations total above — the share cited under Iowa state licensing requirements. Federal + state add up to the total.	6	7	This facility has 14% fewer state violations than a typical Iowa nursing home (6 vs. IA avg 7).↓ 14% better
Violations per inspection Average violations per inspection.	2.7	2.1	This facility has 29% more violations per inspection than a typical Iowa nursing home (2.7 vs. IA avg 2.1).↑ 29% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all inspections conducted at this facility.	39	13	This facility has had 200% more total inspections than the Iowa average (39 vs. IA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 200% more

Show Inspection Reports

Inspections Since 2022 · 4 years of data

Total health inspections 8

State average 4.9

Last Health inspection on Oct 2025

Total health citations

State average 21.7

Citations per inspection

7.38

State average 4.11

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

20 of 59 citations resulted from standard inspections; 21 of 59 resulted from complaint investigations; and 18 of 59 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)

Critical health citations

100% better than State average

State average: 0.6

Serious health citations

100% better than State average

State average: 0.9

0 critical citations State average: 0.6

0 serious citations State average: 0.9

58 moderate citations State average: 19.7

1 minor citation State average: 0.5

Citations history (last 4 years)

Abuse/Neglect moderate citation Oct 30, 2025

Corrected

Nursing Services moderate citation Oct 30, 2025

Corrected

Care Planning moderate citation Oct 30, 2025

Corrected

Pharmacy moderate citation Jun 26, 2025

Corrected

Total staff 203

Employees 188

Contractors 15

Staff to resident ratio 2.16 : 1

6% more staff per resident than Iowa average

Avg staff/day 48

Average shift 8.1 hours

9% better than Iowa average

Total staff hours (quarter) 35,873

Nursing staff breakdown

8.3 hours

9.1 hours

102

7.9 hours

Contractor staffing

1,524 contractor hours this quarter

Respiratory Therapy Technician: 4 Physical Therapy Aide: 3 Speech Language Pathologist: 2 Occupational Therapy Aide: 1 RN Director of Nursing: 1 Qualified Social Worker: 1 Physical Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	102	0	102	18,587	92	100%	7.9
Licensed Practical Nurse	33	0	33	5,256	92	100%	9.1
Registered Nurse	24	0	24	4,547	92	100%	8.3
Medication Aide/Technician	13	0	13	1,969	85	92%	10.9
Other Dietary Services Staff	4	0	4	918	88	96%	7.8
RN Director of Nursing	2	1	3	587	64	70%	8.3
Dietitian	3	0	3	540	64	70%	8
Clinical Nurse Specialist	2	0	2	530	64	70%	8.3
Administrator	2	0	2	520	62	67%	8
Nurse Practitioner	2	0	2	512	61	66%	8
Physical Therapy Assistant	0	1	1	471	60	65%	7.9
Mental Health Service Worker	1	0	1	448	55	60%	8.1
Speech Language Pathologist	0	2	2	445	56	61%	7.9
Respiratory Therapy Technician	0	4	4	213	35	38%	6.1
Occupational Therapy Aide	0	1	1	111	48	52%	2.3
Physical Therapy Aide	0	3	3	106	21	23%	5
Qualified Social Worker	0	1	1	61	24	26%	2.5
Occupational Therapy Assistant	0	1	1	42	3	3%	13.8
Medical Director	0	1	1	13	13	14%	1

102 Certified Nursing Assistant

% of Days 100%

33 Licensed Practical Nurse

% of Days 100%

24 Registered Nurse

% of Days 100%

13 Medication Aide/Technician

% of Days 92%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 10.7

In line with Iowa average

Iowa average: 10.2

Functional decline score 23.5

9% worse than Iowa average

Iowa average: 21.6

Long-stay resident measures

Above average

Need for Help with Daily Activities Increased 17.9%

5% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened 22.8%

16% worse than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 29.7%

13% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury 4.5%

25% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers 3.0%

31% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection 4.2%

71% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight 5.5%

10% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms 0.3%

92% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use 16.5%

13% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine 96.1%

In line with Iowa average

Iowa average: 94.4%

Influenza Vaccine 92.6%

In line with Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days 1.70

15% worse than Iowa average

Iowa average: 1.48

ED visits per 1,000 days 1.15

45% better than Iowa average

Iowa average: 2.09

Short-stay resident measures

Significantly below average

Pneumococcal Vaccine 88.4%

In line with Iowa average

Iowa average: 85.1%

Antipsychotic medication increase 0.0%

100% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine 62.3%

15% worse than Iowa average

Iowa average: 73.3%

Re-hospitalized after SNF stay 30.9%

45% worse than Iowa average

Iowa average: 21.3%

Emergency department visits 6.2%

53% better than Iowa average

Iowa average: 13.1%

Falls with major injury 0.0%

100% better than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge 45.5%

15% worse than Iowa average

Iowa average: 53.7%

Successful return to home or community 48.7%

In line with Iowa average

Iowa average: 50.6%

Breakdown by payment type

Medicare

29% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

45% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

26% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 94

Medicare

10.6% of residents

Medicaid

76.6% of residents

Private pay or other

12.8% of residents

Programs & Services

Residents Group

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

Active Resident Council

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

Financial Trends

Historical financial and operational data for Altoona Nursing and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 87.4% ↑ 1.9pp vs 2022

Net Patient Income $100.1K ↑ ~$458.6K vs 2022

Payroll Costs $5.7M ↑ ~$488.9K vs 2022

Operating Margin 1.0% ↑ 5.1pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2021	2022	2023
Occupancy %	92.7%	91.1%	86.8%	88.5%	85.1%	88.3%	85.3%	83.5%	89.4%	89.1%	85.5%	87.4%
Beds	106	106	106	106	106	106	106	106	106	106	106	106
Net Income	$693,097	$881,003	$672,807	$668,241	$452,500	$746,865	$130,116	-$502,728	-$142,849	$424,082	-$342,404	$124,273
Gross Revenue	$10,618,834	$11,675,273	$11,755,604	$12,322,912	$12,706,461	$12,193,220	$11,374,433	$10,911,607	$10,666,205	$14,520,341	$15,499,945	$16,015,148
Operating Expenses	$6,658,427	$6,660,705	$6,869,572	$6,990,635	$7,631,877	$7,250,020	$7,484,509	$8,066,028	$7,969,144	$8,126,273	$9,134,453	$9,541,302
Net Patient Income	$675,560	$872,225	$635,009	$830,945	$381,076	$736,678	$36,533	-$722,657	-$144,299	$429,864	-$358,468	$100,136
Net Patient Revenue	$7,333,987	$7,532,930	$7,504,581	$7,821,580	$8,012,953	$7,986,698	$7,521,042	$7,343,371	$7,824,845	$8,556,137	$8,775,985	$9,641,438
Payroll Costs	$3,861,061	$3,830,060	$3,821,912	$3,669,798	$4,275,960	$3,428,844	$3,535,676	$3,800,345	$4,042,103	$4,743,066	$5,230,177	$5,719,121
Operating Margin %	9.2%	11.6%	8.5%	10.6%	4.8%	9.2%	0.5%	-9.8%	-1.8%	5.0%	-4.1%	1.0%
Medicare %	12.2%	15.1%	15.0%	13.4%	14.8%	12.7%	10.1%	10.1%	5.8%	4.8%	7.5%	5.6%
Medicaid %	65.1%	64.0%	62.2%	61.7%	66.5%	66.4%	68.1%	71.4%	77.4%	77.1%	70.5%	72.0%
Private %	22.7%	20.9%	22.7%	24.9%	18.7%	20.9%	21.8%	18.5%	16.9%	18.0%	22.0%	22.4%
Net Patient Revenue/Day	$204	$213	$224	$229	$243	$233	$228	$227	$226	$248	$265	$285
Cost/Day	$186	$188	$205	$204	$232	$212	$227	$250	$230	$236	$276	$282
Avg Length of Stay	154.0 days	182.2 days	109.4 days	120.1 days	102.6 days	128.8 days	106.5 days	106.2 days	151.8 days	273.5 days	184.8 days	153.1 days

Finances and operations

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

Net patient revenue

$9.6M

Net patient income

$100.1K

For-profit Operated by a single business entity.

Net patient revenue

$9.6M

Net patient income

$100.1K

Other income

$24.1K

Payroll costs

$5.7M 59.3% of net patient revenue

Other operating costs

$3.8M

Total costs

$9.5M

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 private pay (45% of admissions), and a typical private pay stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 29%

Private pay 45%

Medicaid 26%

Coverage residents most often leave under.

Medicare 15%

Private pay 43%

Medicaid 42%

0.0 miles from city center Estimated distance in miles from Altoona's city center to Altoona Nursing and Rehabilitation Center's address, calculated via Google Maps.

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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 to lowest based on our ranking methodology.


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Meth Wick Community	★ ★ ★ ★ ★	NH AL IL MC RC SNF	Cedar Rapids	69 Facility 69 IA AVG 72 Rank #167 / 403	83.0% Facility 83.0% IA AVG 67% Rank #103 / 362	+24%	5.76 Facility 5.76 IA AVG 4.30 Rank #9 / 231	★ ★ ★ ★ ★	★ ★ ★ ★ ★	★ ★ ★ ★ ★	+23%	+34%	$0 Facility $0 IA AVG $53.4k Rank #1 / 239	3 Facility 3 IA AVG 21.7 Rank #8 / 232	1.5 Facility 1.5 IA AVG 4.1 Rank #12 / 232	-	57	-	23 Facility 23 IA AVG 47 Rank #404 / 504	Meth Wick Community	$18.2MFiscal year ending 03/2024 Facility $18.2MFiscal year ending 03/2024 IA AVG $6.9M Rank #6 / 224	$10.3MFiscal year ending 03/2024 Facility $10.3MFiscal year ending 03/2024 IA AVG $4.2M Rank #8 / 224	56.4%Fiscal year ending 03/2024 Facility 56.4%Fiscal year ending 03/2024 IA AVG 60.3% Rank #130 / 224	165542
Sunrise Retirement Community	★ ★ ★ ★ ★	NH AL IL MC RC SNF	Sioux City	74 Facility 74 IA AVG 72 Rank #136 / 403	90.5% Facility 90.5% IA AVG 67% Rank #49 / 362	+35%	5.70 Facility 5.70 IA AVG 4.30 Rank #13 / 231	★ ★ ★ ★ ☆	★ ★ ★ ★ ★	★ ★ ★ ☆ ☆	-23%	+33%	$0 Facility $0 IA AVG $53.4k Rank #1 / 239	11 Facility 11 IA AVG 21.7 Rank #72 / 232	3.7 Facility 3.7 IA AVG 4.1 Rank #107 / 232	-	67	A+	22 Facility 22 IA AVG 47 Rank #410 / 504	Samantha Roth	$13.6MFiscal year ending 12/2023 Facility $13.6MFiscal year ending 12/2023 IA AVG $6.9M Rank #11 / 224	$8.5MFiscal year ending 12/2023 Facility $8.5MFiscal year ending 12/2023 IA AVG $4.2M Rank #14 / 224	62.2%Fiscal year ending 12/2023 Facility 62.2%Fiscal year ending 12/2023 IA AVG 60.3% Rank #80 / 224	165473
Mill Pond	★ ★ ★ ★ ★	NH AL IL MC SNF	Ankeny	60 Facility 60 IA AVG 72 Rank #213 / 403	98.3% Facility 98.3% IA AVG 67% Rank #6 / 362	+47%	5.21 Facility 5.21 IA AVG 4.30 Rank #30 / 231	★ ★ ★ ★ ☆	★ ★ ★ ★ ★	★ ★ ★ ★ ☆	-16%	+21%	$0 Facility $0 IA AVG $53.4k Rank #1 / 239	9 Facility 9 IA AVG 21.7 Rank #56 / 232	3.0 Facility 3.0 IA AVG 4.1 Rank #73 / 232	-	59	-	16 Facility 16 IA AVG 47 Rank #437 / 504	Phs Management, LLC	$6.8MFiscal year ending 09/2023 Facility $6.8MFiscal year ending 09/2023 IA AVG $6.9M Rank #92 / 224	$6.5MFiscal year ending 09/2023 Facility $6.5MFiscal year ending 09/2023 IA AVG $4.2M Rank #29 / 224	96.3%Fiscal year ending 09/2023 Facility 96.3%Fiscal year ending 09/2023 IA AVG 60.3% Rank #6 / 224	165261
Altoona Nursing and Rehabilitation Center	★ ☆ ☆ ☆ ☆	NH RC SNF	Sw Altoona	106 Facility 106 IA AVG 72 Rank #60 / 403	91.5% Facility 91.5% IA AVG 67% Rank #41 / 362	+37%	-	★ ★ ☆ ☆ ☆	★ ☆ ☆ ☆ ☆	★ ★ ☆ ☆ ☆	+1%	-	$0 Facility $0 IA AVG $53.4k Rank #1 / 239	59 Facility 59 IA AVG 21.7 Rank #213 / 232	7.4 Facility 7.4 IA AVG 4.1 Rank #214 / 232	-	97	A+	48 Facility 48 IA AVG 47 Rank #240 / 504	Holdco Goldfinch, LLC	$9.6MFiscal year ending 12/2023 Facility $9.6MFiscal year ending 12/2023 IA AVG $6.9M Rank #35 / 224	$5.7MFiscal year ending 12/2023 Facility $5.7MFiscal year ending 12/2023 IA AVG $4.2M Rank #38 / 224	59.3%Fiscal year ending 12/2023 Facility 59.3%Fiscal year ending 12/2023 IA AVG 60.3% Rank #100 / 224	165162

Nursing Home Explorer

Is Altoona Nursing and Rehabilitation Center in a walkable area?

Altoona Nursing and Rehabilitation Center has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Altoona Nursing and Rehabilitation Center?

According to IA state health department records, Altoona Nursing and Rehabilitation Center's license number is 770022.

When does Altoona Nursing and Rehabilitation Center's license expire?

According to IA state health department records, Altoona Nursing and Rehabilitation Center's license expires on March 1, 2027.

What is the occupancy rate at Altoona Nursing and Rehabilitation Center?

Altoona Nursing and Rehabilitation Center's occupancy is 92%.

How long has Altoona Nursing and Rehabilitation Center been in business?

Altoona Nursing and Rehabilitation Center has been operating for approximately 42 years, based on available licensing and registration records.

Are pets allowed at Altoona Nursing and Rehabilitation Center?

No, Altoona Nursing and Rehabilitation Center has a no-pet policy.

What is the best email address for Altoona Nursing and Rehabilitation Center?

The team at Altoona Nursing and Rehabilitation Center can be reached at chall@altoonanursingandrehab.com.

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Altoona Nursing and Rehabilitation Center

Overview of Altoona Nursing and Rehabilitation Center

Quality ratings

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Altoona Nursing and Rehabilitation Center

Inspection History

Inspection Scorecard 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.

Violations Violations are formal regulatory issues recorded during state inspections.

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

CMS Health Inspection History

Inspections Since 2022 · 4 years of data

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

102 Certified Nursing Assistant

33 Licensed Practical Nurse

24 Registered Nurse

13 Medication Aide/Technician

4 Other Dietary Services Staff

3 RN Director of Nursing

3 Dietitian

2 Clinical Nurse Specialist

2 Administrator

2 Nurse Practitioner

1 Physical Therapy Assistant

1 Mental Health Service Worker

2 Speech Language Pathologist

4 Respiratory Therapy Technician

1 Occupational Therapy Aide

3 Physical Therapy Aide

1 Qualified Social Worker

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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