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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.
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.
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.
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.
This home is ranked 190th out of 241 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.
| Staff type | Hours / Day / Resident | 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.
| 34m per day | ▼ 23% State avg: 44m 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.
| 39m per day | ▲ 15% State avg: 34m 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 23m per day | ▼ 6% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 14m per day | ▼ 4% 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.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 26m per day | ▼ 13% State avg: 30m per day · National avg: 28m per day |
Higher than the Iowa average: 75.4%Altoona Nursing and Rehabilitation Center is administrated by Malori Martens.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 92 | 27 | This facility has 241% more total deficiencies than a typical Iowa nursing home (92 vs. IA avg 27).↑ 241% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 15.3 | 4.5 | This facility has 240% more deficiencies per year than a typical Iowa nursing home (15.3 vs. IA avg 4.5).↑ 240% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.6 | 1.8 | This facility has 44% more deficiencies per inspection than a typical Iowa nursing home (2.6 vs. IA avg 1.8).↑ 44% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 35 | 15 | This facility has 133% more total inspections than a typical Iowa nursing home (35 vs. IA avg 15).↑ 133% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 20, 2025, found the facility in substantial compliance with no deficiencies cited. Earlier inspections showed a mixed pattern, with several complaint investigations substantiating deficiencies related to resident-to-resident abuse, insufficient staffing, medication administration, infection control, and maintaining a safe environment. Notable issues included failure to prevent and document abuse incidents, inadequate nursing staff response, medication errors, and environmental concerns such as unsafe temperatures and unsecured treatment carts. Several complaint investigations were substantiated, particularly involving resident care and abuse prevention, while others were found unsubstantiated. The facility appears to have made some improvements over time, with the most recent report indicating compliance following prior citations.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa 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.
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).
100% better than Iowa averageIowa average: 0.6
100% better than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
6% better than Iowa average
9% better than Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,524 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.7
In line with Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.5
9% worse than Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.9%
5% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
22.8%
16% worse than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.7%
13% worse than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
25% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
3.0%
31% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
4.2%
71% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
5.5%
10% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.3%
92% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
16.5%
13% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
In line with Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.6%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.70
15% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.15
45% better than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.4%
In line with Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.3%
15% worse than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.9%
45% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.2%
53% better than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
45.5%
15% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
48.7%
In line with Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
29% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
94Residents 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Altoona Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #37 / 242Payroll — State benchmarkedThis home is ranked 37th out of 242 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
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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Altoona Nursing and Rehabilitation Center is located in Altoona, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
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| Altoona Nursing and Rehabilitation Center |
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. | Altoona | 106 | 91.5% | +21% | 3.69 | +1% | -14% | $15.0k | 59 | 7.4 | - | 97 | A+ | 48 | Holdco Goldfinch, LLC | $16.0M | $6.6M | 41% | 165162 |
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.
According to IA state health department records, Altoona Nursing and Rehabilitation Center's license number is 770022.
According to IA state health department records, Altoona Nursing and Rehabilitation Center's license expires on March 1, 2027.
Altoona Nursing and Rehabilitation Center's occupancy is 92%.
The team at Altoona Nursing and Rehabilitation Center can be reached at [email protected].
Malori Martens is the administrator of Altoona Nursing and Rehabilitation Center.
Altoona Nursing and Rehabilitation Center has 106 beds.
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