Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
120
107 employees · 13 contractors · 43 on an average day Alverno Senior Care Community
Nursing Home & Memory Care · Clinton, IA
ALM Inspection Grade
B-
ALM's inspection grade is 80 / 100, a B- — 3 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 80 / 100, a B- — 3 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
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.
3/5
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.
Alverno Senior Care Community
Nursing Home & Memory Care · Clinton, IA
ALM Inspection Grade
B-
ALM's inspection grade is 80 / 100, a B- — 3 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 80 / 100, a B- — 3 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
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.
3/5
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.
Alverno Senior Care Community accepts Medicare, Medicaid, and private pay.
Alverno Senior Care Community is a 112-bed nursing facility in Clinton, Iowa, serving the surrounding region with skilled nursing and rehabilitation services. Owned by Letha Dolph, it takes Medicare, Medicaid, and private pay. Families then have several routes to fund short-term rehabilitation and longer-term care needs.
The facility strongly emphasizes rehabilitation and short-term care, with on-staff physicians and dedicated therapy services. Daily nursing support averages roughly 4 hours 32 minutes per resident, providing substantial, diligent care alongside clinical oversight. This staffing level supports occupants healing from surgery, hospitalization, or acute health events, plus those needing active skilled nursing. Alverno’s physical setting has practical amenities for daily living: a fitness gym, salon, and dining room. The home maintains 24-hour staffing and personal care services, bolstering residents needing consistent assistance with daily activities. An array of clubs, classes, committees, and social activities encourages residents to engage and connect in the community. The Clinton location scores 35 on the walkability scale, meaning some errands can be done on foot, with most outings requiring a car or ride. The immediate neighborhood is moderately developed, giving the facility access to local services and healthcare providers.
Quality ratings
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 95th out of 225 nursing 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 32m
This nursing home is ranked 95th out of 225 nursing 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 32mStandout metric: Physical therapist is +59% above Iowa average
1 of 6 metrics below Iowa average
Daily care time per resident, by role
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. All 16 are the facility's own employees; no agency contractors work in this role.
16 staff · 9.3-hour shifts
52m
↑ 17% · IA 44mThis facility: 52m per resident per day, 17% above the Iowa average of 44m (among Iowa facilities reporting a recent figure).
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. All 16 are the facility's own employees; no agency contractors work in this role.
16 staff · 9.3-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. All 14 are the facility's own employees; no agency contractors work in this role.
14 staff · 9.4-hour shifts
46m
↑ 37% · IA 34mThis facility: 46m per resident per day, 37% above the Iowa average of 34m (among Iowa facilities reporting a recent figure).
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. All 14 are the facility's own employees; no agency contractors work in this role.
14 staff · 9.4-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 61 are the facility's own employees; no agency contractors work in this role.
61 staff · 8.7-hour shifts
2h 54m
↑ 14% · IA 2h 32mThis facility: 2h 54m per resident per day, 14% above the Iowa average of 2h 32m (among Iowa facilities reporting a recent figure).
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. All 61 are the facility's own employees; no agency contractors work in this role.
61 staff · 8.7-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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.
3m
↑ 59% · IA 2mThis facility: 3m per resident per day, 59% above the Iowa average of 2m (among Iowa facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 57m
↑ 18% · IA 3h 21mThis facility: 3h 57m per resident per day, 18% above the Iowa average of 3h 21m (among Iowa facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
21m
↓ 30% · IA 30mThis facility: 21m per resident per day, 30% below the Iowa average of 30m (among Iowa facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
120
107 employees · 13 contractors · 43 on an average day
120 total staff / 87 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.38 : 1
↓ 32% · IA 2.02This facility: 1.38 staff per resident, 32% below the Iowa average of 2.02 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
120 staff ÷ 87 residents
See full Iowa ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.4 h
↑ 12% · IA 7.5 hThis facility: 8.4 h, 12% above the Iowa average of 7.5 h (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
33,096 staff hours this quarter
See full Iowa ranking →94.6% of staff hours were worked by the facility's own employees
Iowa average: 92.3% · Contractors this quarter: Speech Language Pathologist (3), Physical Therapy Assistant (3), Respiratory Therapy Technician (3), Qualified Social Worker (1), Medical Director (1), Occupational Therapy Assistant (1), Physical Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
112
Rank #14 / 235Bed count — State benchmarked This nursing home is ranked 14th out of 235 nursing 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 compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
112
Rank #14 / 235Bed count — State benchmarked This nursing home is ranked 14th out of 235 nursing 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 compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #176 / 249Walk Score — State benchmarked This nursing home is ranked 176th out of 249 nursing 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 compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #176 / 249Walk Score — State benchmarked This nursing home is ranked 176th out of 249 nursing 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 compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
35
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #156 / 226Occupancy rate — State benchmarked This nursing home is ranked 156th out of 226 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 226. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #156 / 226Occupancy rate — State benchmarked This nursing home is ranked 156th out of 226 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 226. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
73.5%
This home usually has availability
Based on residents per day and 112 beds.
Lower than the Iowa average: 79.1%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
82
Source: CMS Provider Information, average daily residents
Avg. Length of Stay
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.
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.
94
days
About This Community
Resident Council
Hoyer Lift
Accept Medicaid
Short-Term Rehab
Doctor on Staff
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Admission CriteriaAssessment by staff to determine assistance needed
Linen ServiceYes
Fitness Center
Beauty Salon
Activities
Alverno Offers a Variety of Clubs
Room Types
Private Room
Semi-Private / Shared Room
CMS Health Inspection History
ALM Inspection Grade
80 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
3 points below the Iowa average for CMS-certified facilities (83/100)
Category breakdown
Citations
Typical
53 severity-weighted points (21 deficiencies) · 39% higher than the typical CMS-certified IA facility (median: 38)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Concern
32 days to fix issues · slower than the typical CMS-certified IA facility (median: 22)
Total health inspections
5
≈ 0% · IA 5This facility: 5, level with the Iowa average of 5 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
21
Rank #141 / 226Health citations — State benchmarked This nursing home is ranked 141st out of 226 nursing 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 226 IA facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 1% · IA 20.7This facility: 21, 1% above the Iowa average of 20.7 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.2
Rank #136 / 226Citations per inspection — State benchmarked This nursing home is ranked 136th out of 226 nursing homes we track in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 226 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 9% · IA 3.85This facility: 4.2, 9% above the Iowa average of 3.85 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
21 of 21 citations corrected
Critical
J–L
0
↓ 100% · IA 0.5This facility: 0, 100% below the Iowa average of 0.5 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · IA 0.9This facility: 0, 100% below the Iowa average of 0.9 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
21
↑ 11% · IA 19This facility: 21, 11% above the Iowa average of 19 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · IA 0.4This facility: 0, 100% below the Iowa average of 0.4 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Feb 19, 2026 · 5 citations, all corrected
Most cited category: Pharmacy Services, 7 of 21 citations · 9 categories in total
Citations history
Most recent first
Feb 19, 2026
5 citations
Administration moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Aug 07, 2025
4 citations
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Feb 06, 2025
5 citations
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
May 02, 2024
6 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Feb 01, 2024
1 citation
Nutrition moderate citation
Corrected
Corrected
Top deficiency categories
Share of 21 citations
Pharmacy Services
7 deficiencies (33%)
Infection Control
3 deficiencies (14%)
Quality of Life & Care
3 deficiencies (14%)
Resident Rights
2 deficiencies (10%)
Nutrition & Dietary
2 deficiencies (10%)
Resident Assessment & Care Planning
1 deficiency (5%)
Administration
1 deficiency (5%)
Abuse, Neglect & Exploitation
1 deficiency (5%)
Nursing & Physician Services
1 deficiency (5%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 21 citations resulted from standard inspections; 5 of 21 resulted from complaint investigations; and 5 of 21 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. 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.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
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 Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Total fines
$0
IA avg $48KIowa average: $47,684. Average among the 157 Iowa facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0
IA avg 1.42Iowa average: 1.42. Average among the 157 Iowa facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
IA avg 0.47Iowa average: 0.47. Average among the 157 Iowa facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Iowa average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
8.8
Score · lower is better
↓ 5% · IA 9.2This facility: 8.8, 5% below the IA average of 9.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
15.4
Score · lower is better
↓ 22% · IA 19.8This facility: 15.4, 22% below the IA average of 19.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 4 worse, 2 near IA average
8 short-stay measures: 3 better, 2 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
↓ 9% · IA 17.1This facility: 15.6, 9% below the IA average of 17.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
↓ 9% · IA 17.1This facility: 15.6, 9% below the IA average of 17.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
13.5%
↓ 19% · IA 16.6This facility: 13.5, 19% below the IA average of 16.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
13.5%
↓ 19% · IA 16.6This facility: 13.5, 19% below the IA average of 16.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.3%
↓ 33% · IA 25.6This facility: 17.3, 33% below the IA average of 25.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.3%
↓ 33% · IA 25.6This facility: 17.3, 33% below the IA average of 25.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
3.1%
↑ 31% · IA 2.4This facility: 3.1, 31% above the IA average of 2.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
3.1%
↑ 31% · IA 2.4This facility: 3.1, 31% above the IA average of 2.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
↓ 3% · IA 3.8This facility: 3.7, 3% below the IA average of 3.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
↓ 3% · IA 3.8This facility: 3.7, 3% below the IA average of 3.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
5.1%
↑ 22% · IA 4.2This facility: 5.1, 22% above the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
5.1%
↑ 22% · IA 4.2This facility: 5.1, 22% above the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
6.0%
↑ 31% · IA 4.6This facility: 6.0, 31% above the IA average of 4.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
6.0%
↑ 31% · IA 4.6This facility: 6.0, 31% above the IA average of 4.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · IA 4.2This facility: 0.0, 100% below the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · IA 4.2This facility: 0.0, 100% below the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
17.2%
↓ 12% · IA 19.5This facility: 17.2, 12% below the IA average of 19.5 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
17.2%
↓ 12% · IA 19.5This facility: 17.2, 12% below the IA average of 19.5 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
↑ 6% · IA 94.0This facility: 99.7, 6% above the IA average of 94.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
↑ 6% · IA 94.0This facility: 99.7, 6% above the IA average of 94.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
↑ 4% · IA 95.3This facility: 98.7, 4% above the IA average of 95.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
↑ 4% · IA 95.3This facility: 98.7, 4% above the IA average of 95.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.36
↑ 59% · IA 1.48This facility: 2.36, 59% above the IA average of 1.48 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
2.36
↑ 59% · IA 1.48This facility: 2.36, 59% above the IA average of 1.48 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.95
↓ 7% · IA 2.09This facility: 1.95, 7% below the IA average of 2.09 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.95
↓ 7% · IA 2.09This facility: 1.95, 7% below the IA average of 2.09 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
41.0%
↓ 24% · US 53.7This facility: 41.0, 24% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
41.0%
↓ 24% · US 53.7This facility: 41.0, 24% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
66.8%
↑ 32% · US 50.6This facility: 66.8, 32% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
66.8%
↑ 32% · US 50.6This facility: 66.8, 32% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
↑ 53% · US 0.8This facility: 1.2, 53% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
↑ 53% · US 0.8This facility: 1.2, 53% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
↓ 71% · IA 2.1This facility: 0.6, 71% below the IA average of 2.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
↓ 71% · IA 2.1This facility: 0.6, 71% below the IA average of 2.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
↑ 19% · IA 84.0This facility: 99.8, 19% above the IA average of 84.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
↑ 19% · IA 84.0This facility: 99.8, 19% above the IA average of 84.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.8%
↑ 25% · IA 73.3This facility: 91.8, 25% above the IA average of 73.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.8%
↑ 25% · IA 73.3This facility: 91.8, 25% above the IA average of 73.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.5%
↑ 19% · IA 21.4This facility: 25.5, 19% above the IA average of 21.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.5%
↑ 19% · IA 21.4This facility: 25.5, 19% above the IA average of 21.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
21.1%
↑ 61% · IA 13.1This facility: 21.1, 61% above the IA average of 13.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
21.1%
↑ 61% · IA 13.1This facility: 21.1, 61% above the IA average of 13.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Alverno Senior Care Community’s finances from its CMS cost report for the fiscal year ending June 2025, compared with 223 Iowa nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Jun 2025
Is it financially stable?
Losing money on care, and more than last year
−0.7% operating margin
−2.2 pts vs prior year
An operating loss in 4 of the last 8 reported years. Other income ($0.1M) trims the net loss to −$0.0M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Iowa homes
57.6% payroll share of revenue
IA average 60.9%Rank #134 / 223Payroll % of net patient revenue — State benchmarked This nursing home is ranked 134th out of 223 nursing homes we track in Iowa for payroll % of net patient revenue. 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 compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.7M while revenue rose $0.7M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Iowa homes.
Revenue & profit
Big revenue, persistent losses
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $12.4M | +$0.7M | Trend 20182025 | IA median $6.3M | Rank in IA Rank #22 / 223Net patient revenue — State benchmarked This nursing home is ranked 22nd out of 223 nursing homes we track in Iowa for net patient revenue. 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 compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 91% of homes | Top 9% in IA Higher net patient revenue than 91% of IA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $12.5M | +$1.0M | Trend 20182025 | IA median — | Rank in IA Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.1M | −$0.3M | Trend 20182025 | IA median — | Rank in IA Not ranked | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −0.7% | −2.2 pts | Trend 20182025 | IA median — | Rank in IA Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | IA median — | Rank in IA Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.0M | −$0.3M | Trend — | IA median — | Rank in IA Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends less of revenue on staff than most Iowa homes
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $7.1M | +$0.7M | Trend 20182025 | IA median $3.8M | Rank in IA Rank #27 / 223Payroll costs — State benchmarked This nursing home is ranked 27th out of 223 nursing homes we track in Iowa for payroll costs. 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 compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 88% of homes | Above IA median Higher payroll than 88% of IA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 57.6% | +2.7 pts | Trend 20182025 | IA median 59.0% | Rank in IA Rank #134 / 223Payroll % of net patient revenue — State benchmarked This nursing home is ranked 134th out of 223 nursing homes we track in Iowa for payroll % of net patient revenue. 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 compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 40% of homes | 3.3 pts under IA average The IA average is 60.9% of revenue. Within 3 points of it reads as near the average. |
Charts, 2018–2025 2 charts · IA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Iowa payroll average.
% of net patient revenue
Payroll share Operating margin IA payroll average
Year-by-year data, 2018–2025 every reported year · latest first, scroll sideways
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $9.6M | $8.1M | $10.4M | $10.0M | $11.2M | $10.0M | $11.7M | $12.4M |
| Operating expenses | $10.7M | $9.1M | $9.9M | $9.6M | $10.4M | $10.1M | $11.5M | $12.5M |
| Net patient income | −$1.1M | −$1.0M | $0.5M | $0.5M | $0.9M | −$0.1M | $0.2M | −$0.1M |
| Operating margin | −11.1% | −12.1% | 4.7% | 4.7% | 7.7% | −0.8% | 1.5% | −0.7% |
| Net income | −$1.0M | −$0.9M | $1.0M | $0.9M | $1.3M | $0.0M | $0.3M | −$0.0M |
| Payroll costs | $6.1M | $5.4M | $5.7M | $5.4M | $5.9M | $5.6M | $6.4M | $7.1M |
| Payroll share of revenue | 63.3% | 66.5% | 54.8% | 53.4% | 52.6% | 55.9% | 54.9% | 57.6% |
| Beds | 132 | 125 | 125 | 125 | 125 | 125 | 126 | 128 |
| Gross revenue | $13.5M | $10.4M | $12.6M | $11.7M | $13.8M | $12.0M | $13.7M | $14.7M |
| Salaries | $4.8M | $4.2M | $4.7M | $4.5M | $4.9M | $4.7M | $5.3M | $5.9M |
| Wage-related costs | $1.3M | $1.2M | $1.0M | $0.9M | $1.0M | $0.9M | $1.1M | $1.2M |
| Contract labor | $0.7M | $0.3M | $0.5M | $0.5M | $0.6M | $0.5M | $0.5M | $0.8M |
| Other operating costs | $4.6M | $3.7M | $4.2M | $4.2M | $4.5M | $4.5M | $5.1M | $5.3M |
| Net patient revenue per day | $240 | $218 | $258 | $274 | $279 | $288 | $323 | $330 |
| Cost per day | $267 | $244 | $246 | $261 | $257 | $290 | $318 | $332 |
| Average length of stay | 157.3 days | 295.9 days | 14.3 days | 96.1 days | 79.5 days | 75.2 days | 96.7 days | 94.2 days |
Showing 2025–2023 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
323 admissions · FY2025
Residents admitted during the year.
Medicare
154 · 48%
Medicaid
8 · 2%
Private pay & other
161 · 50%
Resident snapshot
87 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
12 · 14%
Medicaid
44 · 51%
Private pay & other
31 · 36%
Leaving
340 discharges · FY2025
Residents discharged during the year.
Medicare
150 · 44%
Medicaid
10 · 3%
Private pay & other
180 · 53%
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Places of interest near Alverno Senior Care Community
1.3 miles from city center
Estimated distance in miles from Clinton's city center to Alverno Senior Care Community's address, calculated via Google Maps.
Calculate Travel Distance to Alverno Senior Care Community
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Financial Assistance for
Nursing Home in Iowa
Alverno Senior Care Community is located in Clinton, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Frequently Asked Questions about Alverno Senior Care Community
Is Alverno Senior Care Community in a walkable area?
Alverno Senior Care Community has a walk score of 35. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
What is the occupancy rate at Alverno Senior Care Community?
Alverno Senior Care Community's occupancy is 73.5%.
Are pets allowed at Alverno Senior Care Community?
No, Alverno Senior Care Community has a no-pet policy.
What is the best email address for Alverno Senior Care Community?
The team at Alverno Senior Care Community can be reached at alvernoinfo@mercyhealth.com.
Does Alverno Senior Care Community operate as a for-profit or non-profit?
Alverno Senior Care Community is registered as a non-profit.
What is the overall rating for Alverno Senior Care Community?
Alverno Senior Care Community received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
How many beds does Alverno Senior Care Community have?
Alverno Senior Care Community has 112 beds.
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