Total health inspections
6
Iowa average 4.9
Last Health inspection on Oct 2025
Klein Center
CMS overall rating
2/5
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.
2/5
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
CMS overall rating
2/5
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.
2/5
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 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.
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.
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
Total nursing care
This home is ranked 9th out of 231 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
36% above state avgStaff 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.
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
+105% State avg: 51m per day · National avg: 42m per day
LPN / LVN
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.
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: 39m per day · National avg: 52m per day
Nurse Aide
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.
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
+25% State avg: 2h 52m per day · National avg: 2h 24m per day
Weekend Total Nursing
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.
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
+36% State avg: 3h 52m per day · National avg: 3h 30m per day
Physical Therapist
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.
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
−20% State avg: 2m per day · National avg: 4m per day
Weekend RN
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.
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
+95% State avg: 31m per day · National avg: 29m per day
2 of 6 metrics below state avg
Capacity and availability
This home usually has limited availability
Occupancy rate
89.6%
Rank #53 / 362Occupancy rate — State benchmarkedThis home is ranked 53rd out of 362 homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 362. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities 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.
Residents per day (avg)
143
160-bed community Rank #16 / 403Bed count — State benchmarkedThis home is ranked 16th out of 403 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 cover every community we track in Iowa that reports data for that category. Communities 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.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score: 5 / 100 Rank #486 / 504Walk Score — State benchmarkedThis home is ranked 486th out of 504 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 cover every community we track in Iowa that reports data for that category. Communities 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.
Car-dependent. Most errands require a car, with limited nearby walkable options.
CMS Health Inspection History
Inspections
Total health citations
13
Rank #86 / 232Health citations — State benchmarkedThis home is ranked 86th out of 232 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 232 IA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities 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.
Iowa average 21.7
Citations per inspection
2.17
Rank #38 / 232Citations per inspection — State benchmarkedThis home is ranked 38th out of 232 homes we track in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 232 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities 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.
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 13 citations resulted from standard inspections; 4 of 13 resulted from complaint investigations; and 3 of 13 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical health citations
1
67% worse than Iowa averageIowa average: 0.6
Serious health citations
0
100% better than Iowa averageIowa average: 0.9
Citations history (last 3 years)
Quality of Care moderate citation
Oct 30, 2025
Quality of Care moderate citation
Jun 26, 2025
Corrected
Abuse/Neglect moderate citation
May 01, 2025
Corrected
Abuse/Neglect moderate citation
May 01, 2025
Corrected
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
0% compared with Iowa average
Avg staff/day
95
Average shift
7.6 hours
0% compared with Iowa average
Total staff hours (quarter)
66,730
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
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
All 38 RN Staff are full-time employees. No contractors work on this role.
38
All 38 RN Staff are full-time employees. No contractors work on this role.
38
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 21 LPN Staff are full-time employees. No contractors work on this role.
21
All 21 LPN Staff are full-time employees. No contractors work on this role.
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
142 total: 124 full-time employees and 18 contractors.
142
142 total: 124 full-time employees and 18 contractors.
142
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
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
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 124 | 18 | 142 | 37,406 | 92 | 100% | 7.3 |
| Registered Nurse | 38 | 0 | 38 | 12,701 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 21 | 0 | 21 | 6,216 | 92 | 100% | 8.2 |
| Clinical Nurse Specialist | 11 | 0 | 11 | 4,624 | 91 | 99% | 7.9 |
| Dietitian | 2 | 0 | 2 | 927 | 66 | 72% | 7.8 |
| Dental Services Staff | 2 | 0 | 2 | 904 | 63 | 68% | 7.7 |
| Physical Therapy Assistant | 3 | 0 | 3 | 580 | 64 | 70% | 6.7 |
| Speech Language Pathologist | 4 | 0 | 4 | 567 | 64 | 70% | 6.9 |
| Physical Therapy Aide | 4 | 0 | 4 | 556 | 66 | 72% | 4.6 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Other Social Services Staff | 1 | 0 | 1 | 475 | 62 | 67% | 7.7 |
| Administrator | 1 | 0 | 1 | 460 | 59 | 64% | 7.8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 431 | 66 | 72% | 5.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 324 | 43 | 47% | 7.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 48 | 6 | 7% | 8 |
| Medical Director | 0 | 1 | 1 | 17 | 3 | 3% | 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%
2 Dietitian
% of Days
72%
2 Dental Services Staff
% of Days
68%
3 Physical Therapy Assistant
% of Days
70%
4 Speech Language Pathologist
% of Days
70%
4 Physical Therapy Aide
% of Days
72%
1 Nurse Practitioner
% of Days
67%
1 Other Social Services Staff
% of Days
67%
1 Administrator
% of Days
64%
3 Respiratory Therapy Technician
% of Days
72%
1 Occupational Therapy Aide
% of Days
47%
1 Occupational Therapy Assistant
% of Days
7%
1 Medical Director
% of Days
3%
Penalties and fines
Includes penalties issued in 2024
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
$8K Rank #210 / 239Federal fines — State benchmarkedThis home is ranked 210th out of 239 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 239 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities 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.
83% lower than Iowa averageIowa average: $48K
Number of fines
1
41% fewer 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
$8K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Nov 12, 2024 · $8K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 12, 2024
$8K
Last updated: Jan 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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.0
In line with Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.5
5% better than Iowa averageIowa average: 21.6
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
24.7%
Percent of long-stay residents whose need for help with daily activities has increased
24.7%
31% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.2%
Percent of long-stay residents whose ability to move independently worsened
12.2%
38% better 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
24.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.5%
7% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
In line with Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.7%
Percent of long-stay high risk residents with pressure ulcers
5.7%
31% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.6%
Percent of long-stay residents with a urinary tract infection
1.6%
37% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.7%
Percent of long-stay residents who lose too much weight
3.7%
26% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.4%
Percent of long-stay residents who have depressive symptoms
5.4%
38% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.3%
Percent of long-stay residents who received an antipsychotic medication
14.3%
25% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.3%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.8%
17% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
22% better than Iowa averageIowa 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 Jan 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.
What does this home offer?
No pets allowed
Housing Options: Private Rooms
Building Type: 2-story
On-site Medical Care and Health Services
Rehabilitative Support
Housekeeping Services
Places of interest near Klein Center
1.6 miles from city center
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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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.
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.
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.
Are there photos of Klein Center?
Yes — there is 1 photo of Klein Center in the photo gallery on this page.
What is the address of Klein Center?
Klein Center is located at 1307 S Gear Ave, West Burlington, IA 52655.
What is the phone number of Klein Center?
(319) 768-4600 will put you in contact with the team at Klein Center.
Is Klein Center Medicare or Medicaid certified?
Yes — Klein Center is a CMS-certified provider of Medicare and Medicaid.
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