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Countryside Health Care Center accepts Medicare, Medicaid, and private pay.
Overview of Countryside Health Care Center
Countryside Health Care Center is a 101-bed nursing home on Morningside Ave in Sioux City, Iowa, single-story, private rooms throughout. Walk Score’s a 9, which is about as car-dependent as it gets, so nobody’s strolling to get coffee.
Reliant Rehab therapy plus short-term and long-term skilled nursing, plus respite care for families who need a bridge, not a permanent placement. Average stay clocks in at 81 days, which is short in nursing-home terms, more rehab timeline than settle-in timeline. Occupancy sits at 49.3% right now. Staffing breaks down to 32 minutes of RN time per resident per day, 1 hour 21 minutes of LPN time, and 2 hours 32 minutes from nurse aides, so the bulk of hands-on care comes from that aide layer, with LPNs doing the routine clinical work and RNs stepping in for oversight.
The payer mix backs up the two-track read: 35% of new residents come in on Medicare, and they’re mostly out again within about a month, which is textbook post-acute rehab. Private pay is the biggest group at 56%, staying 6 to 7 months on average, somewhere between short-stay and long-term. Medicaid residents, just 9% of new admissions, stick around 3 to 4 months. Medicare, Medicaid, and private pay are all accepted here, so the coverage door is open regardless of which track a family’s on.
Put it all next to each other and Countryside reads like two overlapping ones sharing a building: a rehab stopover for people recovering from something acute, and a slower-paced nursing option for people whose stay is going to run longer. Which one fits depends entirely on why someone’s walking through the door in the first place.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs Iowa averages
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.
32m
−18% State avg: 39m per day · National avg: 41m per day
LPN / LVNLicensed 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.
1h 21m
+40% State avg: 58m per day · National avg: 52m per day
Nurse AideCertified 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 32m
+12% State avg: 2h 16m per day · National avg: 2h 21m per day
Weekend Total NursingCombined 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.
4h 8m
+20% State avg: 3h 27m per day · National avg: 3h 26m per day
Physical TherapistHours 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.
5m
+25% State avg: 4m per day · National avg: 4m per day
Weekend RNRegistered 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.
25m
−11% State avg: 28m per day · National avg: 29m per day
2 of 6 metrics below state avg
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.101Rank#25 / 241Bed count — State benchmarkedThis nursing home is ranked 25th out of 241 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Medium-capacity home
· Offers a balance of services and community atmosphere.
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.Rank#241 / 260Walk Score — State benchmarkedThis nursing home is ranked 241st out of 260 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
9/ 100
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.
81days
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Long-stay resident measures
Significantly above averageIowa avg: 3.3CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Number of hospitalizations per 1,000 long-stay resident days.1.48
20% better than Iowa average
Iowa average: 1.86
ED visits per 1,000 days Number of outpatient emergency department visits per 1,000 long-stay resident days.1.31
15% better than Iowa average
Iowa average: 1.54
Short-stay resident measures
Above averageIowa avg: 2.6CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stayPercentage of short-stay residents who were re-hospitalized after their nursing home admission.33.0%
28% worse than Iowa average
Iowa average: 25.8%
Emergency department visitsPercentage of short-stay residents who had an outpatient emergency department visit.12.2%
In line with Iowa average
Iowa average: 11.8%
Falls with major injuryPercentage of SNF residents who experience falls with major injury during their stay.0.0%
100% better than Iowa average
Iowa average: 0.8%
Ability to care for self at dischargePercentage of residents at or above expected ability to care for themselves at discharge.50.6%
6% worse than Iowa average
Iowa average: 53.7%
Successful return to home or communityRate of successful return to home or community from a skilled nursing facility.65.8%
30% better than Iowa average
Iowa average: 50.6%
Breakdown by payment type
Medicare
35% of new residents, usually for short-term rehab.
Typical stay1 months
Private pay
56% of new residents, often for short stays.
Typical stay6 - 7 months
Medicaid
9% of new residents, often for long-term daily care.
Typical stay3 - 4 months
Financial Trends
Historical financial and operational data for Countryside Health Care Center from 2011–2022, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 07/2022 — the home's most recent complete cost report, an older period than most facilities report.
Net Patient Income-$1.9M↓ ~$1.3M vs 2020
Payroll Costs$3.5M↑ ~$1.5M vs 2020
Operating Margin-44.8%↓ 28.6pp vs 2020
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2011
2012
2013
2015
2016
2017
2018
2019
2020
2022
Occupancy %
69.1%
63.2%
66.7%
32.9%
28.2%
24.3%
23.6%
28.4%
28.2%
45.0%
Beds
222
222
222
145
135
135
135
135
135
101
Net Income
$1,333,993
$850,819
$415,612
-$734,502
-$1,116,863
-$1,053,696
-$624,261
-$577,227
-$296,743
-$1,881,639
Gross Revenue
$6,971,731
$6,316,019
$6,330,482
$4,861,881
$3,987,224
$2,942,666
$3,566,455
$4,128,575
$4,236,648
$6,838,909
Operating Expenses
$5,637,738
$5,465,200
$5,914,870
$4,390,429
$4,606,042
$3,747,236
$3,870,985
$4,258,935
$4,490,506
$6,135,309
Net Patient Income
$1,333,993
$850,819
$415,612
-$740,388
-$1,124,610
-$1,061,503
-$589,327
-$457,311
-$625,392
-$1,897,825
Net Patient Revenue
$6,971,731
$6,316,019
$6,330,482
$3,650,041
$3,481,432
$2,685,733
$3,281,658
$3,801,624
$3,865,114
$4,237,484
Payroll Costs
$2,767,299
$2,525,124
$2,712,149
$2,470,117
$2,001,581
$1,849,392
$1,871,059
$2,010,563
$2,050,074
$3,537,170
Operating Margin %
19.1%
13.5%
6.6%
-20.3%
-32.3%
-39.5%
-18.0%
-12.0%
-16.2%
-44.8%
Medicare %
6.1%
5.9%
4.7%
12.4%
18.2%
10.6%
12.1%
11.7%
15.5%
10.7%
Medicaid %
41.3%
10.3%
11.4%
24.3%
33.9%
58.6%
59.6%
51.5%
51.6%
5.6%
Private %
52.6%
83.8%
83.9%
63.4%
47.9%
30.8%
28.3%
36.8%
32.8%
83.7%
Net Patient Revenue/Day
$125
$123
$117
$203
$250
$225
$283
$272
$278
$256
Cost/Day
$101
$106
$109
$244
$331
$314
$333
$304
$323
$370
Avg Length of Stay
42.0 days
53.4 days
62.2 days
56.0 days
96.7 days
144.0 days
143.4 days
189.2 days
128.9 days
152.1 days
Finances and operations
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 07/2022. This is an older period than most facilities report, so compare with that in mind.
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.2M
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.9M
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.2M
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.9M
Payroll costsStaff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
$3.5M
83.5% of net patient revenue
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Other operating costsEverything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.6M
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.1M
Certification details
License Number:165540
Rural vs. Urban:Urban
County:Woodbury
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
What does this home offer?
Housing Options: Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Who this home usually serves
TYPE OF STAY
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.
Most new residents arrive under private pay (56% of admissions), and a typical private pay stay runs around 6 - 7 months.
Admissions
79 total
Coverage residents most often arrive under.
Medicare35%
Private pay56%
Medicaid9%
Discharges
127 total
Coverage residents most often leave under.
Medicare19%
Private pay69%
Medicaid13%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How we calculate length of stay
We calculate length of stay separately for each payment type (Medicare, Medicaid and private) by dividing total number of nights by total number of admissions.
Places of interest near Countryside Health Care Center
4.5 miles from city center Estimated distance in miles from Sioux City's city center to Countryside Health Care Center's address, calculated via Google Maps.
— 1.11 miles to nearest hospital (Unity Point Health)
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Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$4.2M*Fiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.5M*Fiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
83.5%*Fiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
165540
Rank badges are statewide and care-type specific: each nursing home is ranked against every other IA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities