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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 160th out of 224 homes in Iowa.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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.
| 2h 52m per day | ▼ 15% State avg: 3h 21m per day · National avg: 3h 26m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
22% of new residents, usually for short-term rehab.
61% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #196 / 226Payroll — state benchmarkedThis home is ranked 196th out of 226 homes in Iowa.Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Iowa average: 75.4%English Valley Nursing Care Center is administrated by Jalissa Winn.
Ways to qualify for care at this community, including accepted programs.
This facility is certified for eligible Medicare services.
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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
The most recent inspection on November 21, 2024 found the facility to be in substantial compliance with no deficiencies noted. Earlier inspections showed a mix of results, including a fall prevention issue with major injuries cited in October 2023 and some documentation and procedural deficiencies in 2021 and 2022. The main themes of deficiencies involved resident safety related to fall prevention, medication administration, and documentation of veteran status. Complaint investigations were not noted in the available reports, and no fines, immediate jeopardy findings, or enforcement actions were listed. The facility appears to have addressed prior deficiencies over time, with the most recent inspections showing improvement and compliance.
Iowa average 4.9
Last Health inspection on Oct 2023
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
1 of 1 came from combined inspections (standard and complaint).
100% better than Iowa averageIowa average: 0.6
1
11% worse than Iowa averageIowa average: 0.9
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 19, 2023
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.
English Valley Nursing Care Center is located in North English, Iowa.
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0.0 miles from city center
Estimated distance in miles from North English's city center to English Valley Nursing Care Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
6% better than Iowa averageIowa average ratio: 2.00:1
14% worse than Iowa averageIowa average: 7.4 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.5 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursThis role is partially covered by contractors.
Total hours from contractors
582 contractor hours this quarter
| Certified Nursing Assistant | 24 | 1 | 25 | 6,644 | 91 | 100% | 7.2 |
| Physical Therapist | 10 | 0 | 10 | 1,603 | 90 | 99% | 5.7 |
| Registered Nurse | 10 | 3 | 13 | 1,562 | 88 | 97% | 6.5 |
| Licensed Practical Nurse | 6 | 0 | 6 | 1,509 | 90 | 99% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 510 | 68 | 75% | 7.5 |
| Administrator | 1 | 0 | 1 | 476 | 61 | 67% | 7.8 |
| Dietitian | 1 | 0 | 1 | 446 | 60 | 66% | 7.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 408 | 56 | 62% | 7.3 |
| Physical Therapy Aide | 0 | 2 | 2 | 60 | 50 | 55% | 1.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 48 | 13 | 14% | 3.7 |
| Qualified Social Worker | 0 | 1 | 1 | 42 | 50 | 55% | 0.8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 30 | 22 | 24% | 1.4 |
| Other Physician | 0 | 1 | 1 | 26 | 13 | 14% | 2 |
| Speech Language Pathologist | 0 | 2 | 2 | 25 | 23 | 25% | 1.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 7.8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 12 | 14 | 15% | 0.8 |
| Medical Director | 0 | 1 | 1 | 8 | 3 | 3% | 2.7 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
34Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.2
49% better than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.4
24% better than Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
7.4%
60% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
4.8%
76% better than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
37.0%
41% worse than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
69% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
5.1%
17% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
2.6%
47% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.8%
80% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
17.8%
6% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.17
21% better than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.38
14% worse than Iowa averageIowa average: 2.09
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
12% better than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
87% worse than Iowa averageIowa average: 1.8%
Percentage of SNF residents who experience falls with major injury during their stay.
4.2%
442% worse than Iowa averageIowa average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
| English Valley Nursing Care 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. | North English | 44 | 79.5% | +5% | 3.86 | +56% | -10% | 0 | 1 | 1.0 | 1 | 35 | - | Elwood, Michael | $3.4M | $1.8M | 52.6% | 165456 | ||||
| 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 | +15% | +10% | 0 | 4 | 2.0 | 0 | 42 | - | City Of Akron | $4.7M | $2.1M | 45.1% | 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 | 80 | 80.5% | +7% | 5.85 | -40% | +36% | 0 | 17 | 5.7 | 2 | 39 | - | American Healthcare Associates Inc | $4.1M | $2.5M | 59.6% | 165311 | ||||
| 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 | -8% | 0% | 1 | 21 | 7.0 | 1 | 65 | - | - | $7.1M | $3.0M | 42.3% | 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).
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Historical financial and operational data for English Valley Nursing Care Center based on CMS SNF Cost Reports.
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