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Klein Center
CMS overall rating Info 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.
Klein Center

Klein Center

CMS overall rating Info 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.
1307 S Gear Ave, West Burlington, IA 52655 View map
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Overview of Klein Center

Klein Center is an award-winning nursing home in West Burlington, IA, offering long-term care and rehabilitation. Fostering comfort and healing, the community ensures older adults are well-cared for in its supportive and welcoming environment. Residents also receive high-quality services, including round-the-clock care, nutritious meals, and recreational activities, ensuring a maintenance-free lifestyle. The community also strives to get to know residents’ needs and habits to help them recover and return to their routines with ease.

Social events, light exercises, and recreational opportunities encourage residents to explore interests and gain meaningful experiences. Well-maintained therapy gyms and spacious living areas also ensure residents’ relaxation and wellness. Residents also have quick access to necessities and leisure with the Southeast Iowa Regional Medical Center and public transportation in the area. As one of the best options for senior living in Iowa, this nursing home goes above and beyond in helping residents live to their potential in retirement.

Facility Direct Line (319) 768-4600

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 36.8% Below IA avg. ▼ 36.8% Below IA avg.IA average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 65.2% Below IA avg. ▼ 65.2% Below IA avg.IA average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 34.3% Above IA avg. ▲ 34.3% Above IA avg.IA average: 3.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 19.2% Above IA avg. ▲ 19.2% Above IA avg.IA average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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

Rank #9 / 228Nurse hours — State benchmarked This nursing home is ranked 9th out of 228 nursing homes we track in Iowa for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 228 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag. 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.

Total nursing care Info This nursing home is ranked 9th out of 228 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.

5h 51m

32% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
1h 45m
+99% State avg: 53m per day · National avg: 42m per day
LPN / LVN Info 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.
31m
−19% State avg: 38m per day · National avg: 52m per day
Nurse Aide Info 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.
3h 35m
+24% State avg: 2h 53m per day · National avg: 2h 24m per day
Weekend Total Nursing Info 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.
5h 15m
+35% State avg: 3h 54m per day · National avg: 3h 31m per day
Physical Therapist Info 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.
2m
−16% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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.
1h 0m
+87% State avg: 32m per day · National avg: 29m per day

2 of 6 metrics below state avg

Standout metric: Registered Nurse (RN) is +99% above Iowa average

By The Numbers

Community insights.

Bed count Info A mid-sized community that may balance personal attention with shared amenities and social activities. 160 Rank #3 / 237Bed count — State benchmarked This nursing home is ranked 3rd out of 237 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 Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #246 / 253Walk Score — State benchmarked This nursing home is ranked 246th out of 253 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.
5 / 100
Occupancy rate Info Occupancy between 85% and 95% suggests balanced demand. Rank #54 / 227Occupancy rate — State benchmarked This nursing home is ranked 54th out of 227 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 227. 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.
89.6% This home usually has limited availability

Based on residents per day and 160 beds.

Higher than the Iowa average: 78.8%
Residents per day (avg) Info 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.
143

Source: CMS Provider Information, average daily residents (data as of Aug 2026)

About this community

Additional Services

2 services
Housekeeping Services
On-Site Medical Care And Health Services

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsRehabilitative Support

Room Accommodations

Building Type2-story
Room Types
Private Rooms

Contact Klein Center

CMS Health Inspection History

Inspections Since 2024 · 2 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 7

Iowa average 5

Last Health inspection on Jun 2026

Total health citations
19 Rank #95 / 228Health citations — State benchmarked This nursing home is ranked 95th out of 228 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 228 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.

Iowa average 20.7

Citations per inspection
2.71 Rank #27 / 228Citations per inspection — State benchmarked This nursing home is ranked 27th out of 228 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 228 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.

Iowa average 3.85

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 19 citations resulted from standard inspections; 5 of 19 resulted from complaint investigations; and 3 of 19 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 2 years)
Critical health citations
2
300% worse than Iowa average

Iowa average: 0.5

Serious health citations
0
100% better than Iowa average

Iowa average: 0.9

2 critical citations Iowa average: 0.5
0 serious citations Iowa average: 0.9
17 moderate citations Iowa average: 19
0 minor citations Iowa average: 0.4
Citations history (last 2 years)
Abuse/Neglect moderate citation Jun 18, 2026
Corrected
Infection Control moderate citation Jun 18, 2026
Corrected
Nursing Services moderate citation Jun 18, 2026
Corrected
Quality of Care moderate citation Jun 18, 2026
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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 236
Employees 215
Contractors 21
Staff to resident ratio 2.03 : 1

236 total staff / 116 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).

0% compared with Iowa average
Iowa average ratio: 2.02 : 1 Iowa average ratio: 2.02 : 1See full Iowa ranking
Avg staff/day 95
Average shift 7.6 hours
0% compared with Iowa average
Iowa average: 7.5 hours Iowa average shift: 7.5 hoursSee full Iowa ranking
Total staff hours (quarter) 66,730

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 38 RN Staff are full-time employees. No contractors work on this role. 38
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 21 LPN Staff are full-time employees. No contractors work on this role. 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 142 total: 124 full-time employees and 18 contractors. 142
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

1.5%

1,012 contractor hours this quarter

Certified Nursing Assistant: 18 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant1241814237,40692100%7.3
Registered Nurse3803812,70192100%8.5
Licensed Practical Nurse210216,21692100%8.2
Clinical Nurse Specialist110114,6249199%7.9
Dietitian2029276672%7.8
Dental Services Staff2029046368%7.7
Physical Therapy Assistant3035806470%6.7
Speech Language Pathologist4045676470%6.9
Physical Therapy Aide4045566672%4.6
Nurse Practitioner1014966267%8
Other Social Services Staff1014756267%7.7
Administrator1014605964%7.8
Respiratory Therapy Technician3034316672%5.4
Occupational Therapy Aide0113244347%7.5
Occupational Therapy Assistant0114867%8
Medical Director0111733%5.5
142 Certified Nursing Assistant
% of Days 100%
38 Registered Nurse
% of Days 100%
21 Licensed Practical Nurse
% of Days 100%
11 Clinical Nurse Specialist
% of Days 99%
View All Staffing Data in Burlington

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)

Total fines on record $65K Rank #208 / 234Federal fines — State benchmarked This nursing home is ranked 208th out of 234 nursing homes we track in Iowa for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 234 facilities in the pool. Lower total dollars mean 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.
37% higher than Iowa average

Iowa average: $48K

Number of fines on record 2
41% more fines than Iowa average

Iowa average: 1.4

Payment denials on record Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison
Fines amount comparison
This facility $65K
Iowa average $48K
Penalty History

Penalties imposed by CMS in the past 3 years.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Dec 17, 2025
$57K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 12, 2024
$8K

Last updated: Aug 2026

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 8.6
6% better than Iowa average

Iowa average: 9.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 17.0
14% better than Iowa average

Iowa average: 19.8

Long-stay resident measures
Above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 18.2%
7% worse than Iowa average

Iowa average: 17.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 9.0%
46% better than Iowa average

Iowa average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 23.8%
7% better than Iowa average

Iowa average: 25.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.1%
8% worse than Iowa average

Iowa average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.1%
118% worse than Iowa average

Iowa average: 4.2%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.2%
7% better than Iowa average

Iowa average: 2.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.7%
40% better than Iowa average

Iowa average: 4.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.7%
59% better than Iowa average

Iowa average: 4.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.1%
28% better than Iowa average

Iowa average: 19.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.5%
In line with Iowa average

Iowa average: 94.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.3%
In line with Iowa average

Iowa average: 95.3%

Short-stay resident measures
Above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 71.3%
15% worse than Iowa average

Iowa average: 84.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.3%
86% better than Iowa average

Iowa average: 2.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 89.2%
22% better than Iowa average

Iowa average: 73.3%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)

Total residents 116
Medicare
7
6% of residents
Medicaid
60
51.7% of residents
Private pay or other
49
42.2% of residents
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.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 165110

Show certification details

What does this home offer?

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Places of interest near Klein Center

Address 1.6 miles from city center Info Estimated distance in miles from West Burlington's city center to Klein Center's address, calculated via Google Maps.

Calculate Travel Distance to Klein Center

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Address

Financial Assistance for
Nursing Home in Iowa

Klein Center is located in West Burlington, Iowa.
Here are the financial assistance programs available to residents in Iowa.

Get Financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+
General Iowa resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Rural focus; waitlists possible.

Benefits
In-home care (5-7 hours/day) Meals ($6/meal) Respite (240 hours/year) Adult day care ($60/day)

Iowa Family Caregiver Support

IA NFCSP

Age Caregiver of someone 60+
General Iowa resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
IA

Limited slots; rural emphasis.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled
General Iowa resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
IA

Three tiers; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+
General Iowa resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR, Medicaid-eligible
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Iowa resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
IA

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Able Up Iowa

Able Up Iowa

Age 65+ or disabled
General Iowa resident, ability to repay loan, need for assistive tech or mods.
Income Limits (2025) No strict limit; must demonstrate repayment capacity.
Asset Limits Not specified; credit-based.
IA

Loans up to $25,000; statewide via Easterseals partnership.

Benefits
Loans for wheelchairs Ramps Walk-in tubs (~$500-$10,000 avg.) Reducing reliance on paid care

Frequently Asked Questions about Klein Center

Is Klein Center in a walkable area?

Klein Center has a walk score of 5. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Klein Center?

Klein Center's occupancy is 89.6%.

Are pets allowed at Klein Center?

No, Klein Center has a no-pet policy.

Does Klein Center operate as a for-profit or non-profit?

Klein Center is registered as a non-profit.

What is the overall rating for Klein Center?

Klein Center received a 2-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 Klein Center have?

Klein Center has 160 beds.

Are there photos of Klein Center?

Yes — there is 1 photo of Klein Center in the photo gallery on this page.

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