Altoona Nursing and Rehabilitation Center

Nursing Home & Assisted Living · Altoona, IA

CMS overall rating

200 Seventh Avenue Sw, Altoona, Ia 500091630 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)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 41m per day

vs avg

5 of 6 metrics below state avg

Standout metric LPN / LVN is +15% above state avg

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

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.

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 Malori Martens.

Staffing

Key information about the people who lead and staff this community.

ContactCarla Hall (per BBB, record updated Jun 2026)

Rehabilitation Services

Respite Care

24-Hour Staffing

Skilled Nursing Care

Intermediate Care

Short-Term/Respite Care

Nursing Rehabilitation And Therapy Services

Fax5159674267

Pets Allowed

Best Life Enrichment Department

Beauty/Barber Services

Complimentary Wifi

Private Rooms Available

Complimentary Tv With Cable Package

Several Family Gathering Rooms

Pet-Friendly Facility

Complimentary Laundry Service

Lounge With Large Tv

Operating Hours24/7

Since 2020 · 6 years of data 161 deficiencies 35 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, 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

Latest Inspection November 20, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	161	27	This facility has 496% more total deficiencies than a typical Iowa assisted living residence (161 vs. IA avg 27).↑ 496% worse
Deficiencies per year Average deficiencies per year since 2020.	26.8	4.5	This facility has 496% more deficiencies per year than a typical Iowa assisted living residence (26.8 vs. IA avg 4.5).↑ 496% worse
Deficiencies per inspection Average deficiencies per inspection.	4.6	1.8	This facility has 156% more deficiencies per inspection than a typical Iowa assisted living residence (4.6 vs. IA avg 1.8).↑ 156% 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 routine and focused inspections. Excludes complaint investigations.	35	15	This facility has had 133% more total inspections than the Iowa average (35 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 133% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on November 20, 2025, certified the facility in compliance with no deficiencies cited.
The October 30, 2025 complaint investigation substantiated failures to prevent resident-to-resident abuse, insufficient nursing staff, and incomplete incident documentation.
The February 27, 2025 annual inspection found 10 deficiencies including staffing shortages, infection control lapses, and unsafe environment issues.

Show Inspection Reports

Inspections since 2022

Total health inspections 8

State average N/A

Last Health inspection on Oct 2025

Total health citations

State average N/A

Citations per inspection

7.38

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

58 moderate citations State average: N/A

1 minor citation State average: N/A

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

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 48

Average shift 8.1 hours

0% compared with State average

State average: 0 hours

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%

4 Other Dietary Services Staff

% of Days 96%

3 RN Director of Nursing

% of Days 70%

3 Dietitian

% of Days 70%

2 Clinical Nurse Specialist

% of Days 70%

2 Administrator

% of Days 67%

2 Nurse Practitioner

% of Days 66%

1 Physical Therapy Assistant

% of Days 65%

1 Mental Health Service Worker

% of Days 60%

2 Speech Language Pathologist

% of Days 61%

4 Respiratory Therapy Technician

% of Days 38%

1 Occupational Therapy Aide

% of Days 52%

3 Physical Therapy Aide

% of Days 23%

1 Qualified Social Worker

% of Days 26%

1 Occupational Therapy Assistant

% of Days 3%

1 Medical Director

% of Days 14%

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 State average

State average: 10.2

Functional decline score 23.5

9% worse than State average

State average: 21.6

Long-stay resident measures

Average

Need for Help with Daily Activities Increased 17.9%

5% better than State average

State average: 18.8%

Walking Ability Worsened 22.8%

16% worse than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 29.7%

13% worse than State average

State average: 26.2%

Falls with Major Injury 4.5%

25% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 3.0%

31% better than State average

State average: 4.4%

Urinary Tract Infection 4.2%

71% worse than State average

State average: 2.5%

Lost Too Much Weight 5.5%

10% worse than State average

State average: 5.0%

Depressive Symptoms 0.3%

92% better than State average

State average: 3.9%

Antipsychotic Use 16.5%

13% better than State average

State average: 19.0%

Pneumococcal Vaccine 96.1%

In line with State average

State average: 94.4%

Influenza Vaccine 92.6%

In line with State average

State average: 95.3%

Hospitalizations per 1,000 days 1.70

15% worse than State average

State average: 1.48

ED visits per 1,000 days 1.15

45% better than State average

State average: 2.09

Short-stay resident measures

Average

Pneumococcal Vaccine 88.4%

In line with State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Influenza Vaccine 62.3%

15% worse than State average

State average: 73.3%

Re-hospitalized after SNF stay 30.9%

45% worse than State average

State average: 21.3%

Emergency department visits 6.2%

53% better than State average

State average: 13.1%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 45.5%

15% worse than State average

State average: 53.7%

Successful return to home or community 48.7%

In line with State average

State 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	2020	2021	2022	2023
Occupancy %	92.7%	91.1%	86.8%	88.5%	85.1%	88.3%	85.3%	83.5%	89.4%	88.2%	89.1%	85.5%	87.4%
Beds	106	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	$936,720	$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	$8,955,819	$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	$6,828,314	$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	$514,475	$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	$7,342,789	$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	$3,410,661	$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%	7.0%	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%	9.5%	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%	68.5%	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%	22.0%	18.0%	22.0%	22.4%
Net Patient Revenue/Day	$204	$213	$224	$229	$243	$233	$228	$227	$226	$257	$248	$265	$285
Cost/Day	$186	$188	$205	$204	$232	$212	$227	$250	$230	$239	$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	386.4 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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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Sunrise Retirement Community	NH AL IL MC RC SNF	Sioux City	-	74	A+	22	Studio
Green Hills Retirement Community	NH AL IL MC SNF	Ames (Hamilton Drive)	-	56	-	18	1 Bed / 2 Bed
Mill Pond	NH AL IL MC SNF	Ankeny	-	60	-	16	Studio / 1 Bed / 2 Bed
Meth Wick Community	NH AL IL MC RC SNF	Cedar Rapids (The Meth-Wick Community)	-	69	-	23	-
Altoona Nursing and Rehabilitation Center	NH AL	Altoona	-	106	-	48	-

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%.

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.

Does Altoona Nursing and Rehabilitation Center operate as a for-profit or non-profit?

Altoona Nursing and Rehabilitation Center is registered as a for-profit in IA.

Who is the administrator of Altoona Nursing and Rehabilitation Center?

Malori Martens is the administrator of Altoona Nursing and Rehabilitation Center.

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Altoona Nursing and Rehabilitation Center

Overview of Altoona Nursing and Rehabilitation Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Leadership

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, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

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

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

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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