Show Inspection Reports
Total Health inspections
4
18% below Iowa average
Iowa average:
4.9
Last Health inspection on Sep 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Heartland Care Center
Heartland Care Center is a Nursing Home in Iowa
Heartland Care Center is a Nursing Home in Iowa
Heartland Care Center
Heartland Care Center is a Nursing Home in Iowa
Heartland Care Center is a Nursing Home in Iowa
Heartland Care Center is a nursing home facility located in Marcus, Iowa, offering a wide range of nursing care services including long-term care, hospice care, skilled nursing care, and assisted living. The facility has been serving the community since 1994 and is committed to providing personalized care to meet the needs of each resident. Heartland Care Center emphasizes dignity, privacy, and individual choice in its care approach.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
38
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
71.1%
Residents per day (avg)
30
Occupancy rate
71.1%
Residents per day (avg)
30
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
47% of new residents, usually for short-term rehab.
Typical stay
20 days
Private pay
30% of new residents, often for short stays.
Typical stay
9 months
Medicaid
23% of new residents, often for long-term daily care.
Typical stay
10 - 11 months
Finances and operations
Proprietary home
Corporation
Home revenue
$3.9M
Operating loss
-$218.9K
Proprietary home
Corporation
Home revenue
$3,927,401.00
Operating loss
$-218,902.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.4M
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.
$1.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.1M
38-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
31 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy Rate
76%
Occupied Beds
29 of 38
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Free Standing NF/SNF
License Date
August 1, 1994
Additional licensing details
License number:
180689
CMS Certification Number:
165397
Certification type:
FALSE
County:
Cherokee
Ownership & operating entity
Heartland Care Center is administrated by Tim Nielsen.
Safety & Compliance
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Contact Information
Email:
[email protected]
Fax:
7123762512
Amenities & Lifestyle
Programs & Activities
Specific Programs
Long-Term Nursing Home Care, Skilled Nursing Care, Assisted Living, Setup & Medication Administration, Medication Management, Therapeutic Services, Assistance With Activities of Daily Living, 24-Hour Nursing Care, Medicare & Medicaid Participation, Skilled Therapies, Wound Care Treatment, IV Management, Tracheotomy Care, Catheter Care, Oxygen Therapies, Dining Room Meals, Activity Program, Religious Services, In-House Beauty Salon, Housekeeping & Linen Services
Religious Services
Yes
Dining & Nutrition
Food Description
Dining room meals with special diets served.
Meals Included
Yes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
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.
13 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Latest inspection
Date:November 29, 2025
17 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Heartland Care Center
+42%
+10%
-6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510350608
38
No
HEARTLAND CARE CENTER INC
71.1%
$3,853,867.00
$2,418,537.00
62.8%
30.10
4.7277
-
15
-
+42%+10%-6%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Heartland Care Center
Type of care:
SNF
AL
Community:
IA 510350608
Bed Count:
38
Pets Allowed:
No
Operator:
HEARTLAND CARE CENTER INC
CCN:
165397
Occupancy:
71.1%
Home Revenue:
$3,853,867.00
Payroll Costs:
$2,418,537.00
Payroll %:
62.8%
Avg Residents/Day:
30.10
Overall Rating:
Adj Nurse Hours:
4.7277
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
15
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
-6%
-6%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near Heartland Care Center
Marcus, IA 510350608
Marcus, IA 510350608
Calculate Travel Distance to Heartland Care Center
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
55
Total Staff
44
Employees
11
Contractors
12,236
Total Hours (Quarter)
19
Avg Staff/Day
7.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 8.1 | No |
| Licensed Practical Nurse | 7 | 6.9 | No |
| Certified Nursing Assistant | 22 | 7.4 | No |
Staff by Category
Administration ⓘ
3 staff
6.5hs shift avg
Nursing Staff ⓘ
38 staff
7.5hs shift avg
Physicians & Practitioners ⓘ
1 staff
8hs shift avg
Therapy Services ⓘ
9 staff
3.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
2.1hs shift avg
Dietary Services ⓘ
3 staff
6.1hs shift avg
Other Services ⓘ
0 staff
0hs shift avg
Contractor Analysis
2.9%
of total hours from contractors
357 contractor hours this quarter
Respiratory Therapy Technician: 4
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 2
Medical Director: 1
Qualified Social Worker: 1
Physical Therapy Assistant: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 22 | 0 | 22 | 6,287 | 91 | 100% | 7.4 |
| Registered Nurse | 9 | 0 | 9 | 2,741 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 7 | 0 | 7 | 1,123 | 81 | 89% | 6.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 654 | 70 | 77% | 6.1 |
| Administrator | 2 | 0 | 2 | 563 | 62 | 68% | 6.6 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 287 | 64 | 70% | 3.9 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 31 | 3 | 3% | 6.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 15 | 7 | 8% | 2.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 10 | 4 | 4% | 2.6 |
| Medical Director | 0 | 1 | 1 | 9 | 3 | 3% | 3 |
| Qualified Social Worker | 0 | 1 | 1 | 6 | 3 | 3% | 2.1 |
Health Inspection History
Total Health citations
15
31% below Iowa average
Iowa average:
21.7
3.75 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
14 citations
Complaint investigations
1 citations
Breakdown of citations
Critical Health citations
0
100% below Iowa average
Iowa average:
0.6
Serious Health citations
0
100% below Iowa average
Iowa average:
0.9
Moderate Health citations
15
Minor Health citations
0
Citations history (last 3 years)
Quality of Care moderate citation
Sep 25, 2025
Corrected
Infection Control moderate citation
Apr 10, 2025
Corrected
Pharmacy moderate citation
Apr 10, 2025
Corrected
Care Planning moderate citation
Apr 10, 2025
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit - Other Nonprofit
Resident Census by Payment Source
33
Total Residents
Medicare
6
(18.2%)
ⓘ
Medicaid
13
(39.4%)
ⓘ
Private Pay/Other
14
(42.4%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
8.9
13% better than Iowa average
Iowa average:
10.2
Functional decline score
20.3
6% better than Iowa average
Iowa average:
21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
15.7%
17% below Iowa average.
Walking Ability Worsened
23.3%
19% above Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
22.0%
16% below Iowa average.
Safety & clinical stability
Falls with Major Injury
3.2%
12% below Iowa average.
High Risk Residents with Pressure Ulcers
0.0%
100% below Iowa average.
Urinary Tract Infection
0.0%
100% below Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms
4.5%
16% above Iowa average.
Antipsychotic Use
18.1%
5% below Iowa average.
Preventive care
Pneumococcal Vaccine
100.0%
6% above Iowa average.
Influenza Vaccine
84.0%
12% below Iowa average.
Nutrition & physical health
Lost Too Much Weight
2.4%
53% below Iowa average.Short-stay resident measures
Pneumococcal Vaccine
100.0%
18% better than Iowa average
Antipsychotic medication increase
1.5%
16% better than Iowa average
Influenza Vaccine
19.4%
73% worse than Iowa average Financial Trends
Historical financial and operational data for Heartland Care Center based on CMS SNF Cost Reports.
Occupancy Rate
71.1%
↑ 17.8pp vs 2023
Net Income
-$218,902
↑ ~$254K vs 2023
Total Payroll
$2,901,096
↑ ~$503K vs 2023
Profit Margin
-5.7%
↑ 8.5pp vs 2023
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Iowa Seniors
Get financial aid guidance
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Heartland Care Center
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
