Occupancy rate
73%
In line with Iowa averageMix 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.
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Nursing Home
Community Memorial Health Center
Community Memorial Health Center is a premier skilled nursing and rehabilitation facility located in Hartley, Iowa. It provides a full range of care services designed to support both health and independence, including skilled nursing, rehabilitation, and memory care. The facility emphasizes a holistic plan of care for each resident, ensuring their spiritual, physical, and emotional needs are met.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
62
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
72.6%
Residents per day (avg)
43
Occupancy rate
72.6%
Residents per day (avg)
43
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
34% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
41% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
25% of new residents, often for long-term daily care.
Typical stay
7 months
Finances and operations
Voluntary non-profit community
Home revenue
$7.0M
Operating deficit
-$1.3M
Voluntary non-profit community
Home revenue
$6,962,100.00
Operating deficit
$-1,281,364.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.8M
62-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy
In line with Iowa averageOccupied beds
45 / 62
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
August 31, 1992
County:
O'Brien
Additional licensing details
License number:
710779
CMS Certification Number:
165177
Certification type:
FALSE
Ownership & operating entity
Community Memorial Health Center is administrated by Steven Ziller.
Owner name:
Community Memorial AL(ALP) | S0150
Safety & Compliance
Safety Features:
Emergency Response Call System Pendants.
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
7127282429
Programs & Activities
Activities
A monthly activity calendar is provided to each resident to keep them informed of upcoming events.
Specific Programs
Assisted Living, Skilled Nursing, Rehabilitation, Memory Care, Activities, Social Services
Dining & Nutrition
Food Description
3 meals per day provided.
Meals Included
Yes
Meals Per Day
3
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
23 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:December 22, 2025
48 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Community Memorial Health Center
The most recent inspection on December 22, 2025, did not identify any deficiencies, reflecting certification of compliance. Earlier inspections showed a pattern of deficiencies related primarily to resident rights, abuse reporting, care planning, and timely interventions following incidents such as falls and abuse. Complaint investigations substantiated issues including failure to protect residents from abuse, inadequate supervision, and failure to ensure residents’ rights to self-determination regarding waking and dressing times. Enforcement actions such as staff suspension and retraining were noted, but fines or license suspensions were not listed in the available reports. The facility appears to have made improvements over time, with recent plans of correction accepted and no deficiencies cited in the latest survey.
Health Inspection History
Inspections
Total health inspections
6
Iowa average 4.9
Last Health inspection on Oct 2025
Total health citations
27
Iowa average 21.7
Citations per inspection
4.5
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 27 citations resulted from standard inspections; and 8 of 27 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
67% worse than Iowa averageIowa average: 0.6
Serious Health citations
3
3
233% worse than Iowa averageIowa average: 0.9
1 critical citation
3 serious citations
23 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 07, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 07, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 07, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 07, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Nov 07, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Nov 07, 2024
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 08, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 08, 2024
Corrected
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.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
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.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Accura HealthCare of Carlisle
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.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Community Memorial Health 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.
Hartley
68
76.2%
+1%
4.83
+12%
2
27
4
43
Community Memorial Healthcenter Association
$6,8M
$3,8M
55.8%
165177
Accura Healthcare of Spirit Lake
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.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
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.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Community Memorial Health Center
Hartley, IA 513460188
Hartley, IA 513460188
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
88
Employees
57
Contractors
31
Staff to resident ratio
1.76:1
12% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
27
Average shift
7.4 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
18,186
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
48
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
5.2%
942 contractor hours this quarter
Certified Nursing Assistant: 14
Physical Therapy Assistant: 6
Respiratory Therapy Technician: 3
Qualified Social Worker: 2
Registered Nurse: 1
Speech Language Pathologist: 1
Licensed Practical Nurse: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 34 | 14 | 48 | 9,683 | 91 | 100% | 7 |
| Registered Nurse | 8 | 1 | 9 | 2,511 | 91 | 100% | 10.4 |
| Licensed Practical Nurse | 5 | 1 | 6 | 1,691 | 86 | 95% | 9.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 979 | 64 | 70% | 9 |
| Medication Aide/Technician | 2 | 0 | 2 | 792 | 81 | 89% | 8.5 |
| Nurse Practitioner | 2 | 0 | 2 | 677 | 64 | 70% | 7.9 |
| Administrator | 1 | 0 | 1 | 492 | 62 | 68% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 413 | 51 | 56% | 8.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 257 | 36 | 40% | 7.1 |
| Dietitian | 1 | 0 | 1 | 233 | 30 | 33% | 7.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 168 | 59 | 65% | 2.8 |
| Physical Therapy Assistant | 0 | 6 | 6 | 125 | 65 | 71% | 1.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 55 | 13 | 14% | 4.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 43 | 23 | 25% | 1.9 |
| Medical Director | 0 | 1 | 1 | 38 | 6 | 7% | 6.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 8 | 9% | 2.7 |
| Qualified Social Worker | 0 | 2 | 2 | 9 | 16 | 18% | 0.5 |
48 Certified Nursing Assistant
% of Days
100%
9 Registered Nurse
% of Days
100%
6 Licensed Practical Nurse
% of Days
95%
2 Clinical Nurse Specialist
% of Days
70%
2 Medication Aide/Technician
% of Days
89%
2 Nurse Practitioner
% of Days
70%
1 Administrator
% of Days
68%
1 Mental Health Service Worker
% of Days
56%
1 Other Dietary Services Staff
% of Days
40%
1 Dietitian
% of Days
33%
1 Speech Language Pathologist
% of Days
65%
6 Physical Therapy Assistant
% of Days
71%
1 Occupational Therapy Aide
% of Days
14%
3 Respiratory Therapy Technician
% of Days
25%
1 Medical Director
% of Days
7%
1 Occupational Therapy Assistant
% of Days
9%
2 Qualified Social Worker
% of Days
18%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
50 residents
Residents by payment source
Medicare
1 resident (2%)
Medicaid
25 residents (50%)
Private pay or other
24 residents (48%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.5
32% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.1
12% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
30.0%
Percent of long-stay residents whose need for help with daily activities has increased
30.0%
60% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
24.6%
Percent of long-stay residents whose ability to move independently worsened
24.6%
25% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.7%
33% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.8%
Percent of long-stay residents experiencing one or more falls with major injury
6.8%
89% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.8%
Percent of long-stay high risk residents with pressure ulcers
4.8%
10% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.2%
Percent of long-stay residents with a urinary tract infection
5.2%
111% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.2%
Percent of long-stay residents who lose too much weight
1.2%
75% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
25.6%
Percent of long-stay residents who received an antipsychotic medication
25.6%
35% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.8%
31% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
55% worse than Iowa averageIowa average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 Jan 2026)
Total fines amount
$45K
7% lower than Iowa averageIowa average: $48K
Number of fines
2
18% more fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$45K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 8, 2024
$36K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 22, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 22, 2023
$8K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Community Memorial Health Center based on CMS SNF Cost Reports.
Occupancy Rate
76.2%
↓ 6.9pp vs 2022
Net Income
-$1,281,364
↑ ~$153K vs 2022
Total Payroll
$5,466,210
↑ ~$218K vs 2022
Profit Margin
-18.9%
↑ 5.4pp vs 2022
Loading trend charts...
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