Occupancy rate
81%
In line with Iowa averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home
Madrid Home for the Aging
Madrid Home for the Aging is a senior living community located in Madrid, Iowa. It offers a range of services including independent living, assisted living, memory support, and nursing care. The facility is dedicated to providing care tailored to the needs of its residents.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
64
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
81.3%
Residents per day (avg)
53
Occupancy rate
81.3%
Residents per day (avg)
53
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
40% of new residents, usually for short-term rehab.
Typical stay
17 days
Private pay
13% of new residents, often for short stays.
Typical stay
1 - 2 years
Medicaid
48% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Finances and operations
Voluntary non-profit community
Home revenue
$5.7M
Operating deficit
-$1.5M
Voluntary non-profit community
Home revenue
$5,674,965.00
Operating deficit
$-1,529,842.00
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.
$4.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.1M
64-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Iowa averageOccupied beds
52 / 64
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
County:
Boone
Additional licensing details
License number:
80797
CMS Certification Number:
165118
Certification type:
FALSE
Ownership & operating entity
Madrid Home for the Aging is administrated by Rick Colby.
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
5157952138
Programs & Activities
Specific Programs
Independent Living, Assisted Living, Memory Support, Nursing Care
Operating Hours
Monday-Friday: 8am-5pm, Saturday-Sunday: 9am-5pm
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.
18 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:September 25, 2025
18 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Madrid Home for the Aging
The most recent inspection on September 22, 2025 found the facility in substantial compliance following a complaint investigation. Earlier inspections showed a pattern of deficiencies related mainly to medication administration, care planning, and resident assessments, including issues with narcotic management and food safety. Complaint investigations included both substantiated and unsubstantiated findings, with some substantiated complaints involving medication errors and inadequate post-fall assessments. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record shows some improvement over time, with the latest inspection indicating compliance after prior citations.
Health Inspection History
Inspections
Total health inspections
4
Iowa average 4.9
Last Health inspection on Mar 2025
Total health citations
16
Iowa average 21.7
Citations per inspection
4
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 16 citations resulted from standard inspections; 1 of 16 resulted from complaint investigations; and 7 of 16 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
16 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 20, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 20, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 20, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 20, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 20, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 20, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 20, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 20, 2025
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.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
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
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
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
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Madrid Home for the Aging
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.
Madrid
88
48.2%
-36%
4.35
+1%
0
16
0
53
Western Home Services Inc
$5,6M
$2,4M
44%
165118
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
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
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).
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.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Madrid Home for the Aging
Madrid, IA 501561059
Madrid, IA 501561059
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
111
Employees
76
Contractors
35
Staff to resident ratio
2.13:1
7% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
31
Average shift
8 hours
8% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
22,458
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
24
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
33
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 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
7.8%
1,757 contractor hours this quarter
Registered Nurse: 17
Licensed Practical Nurse: 8
Certified Nursing Assistant: 5
Dental Services Staff: 1
Administrator: 1
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 28 | 5 | 33 | 7,733 | 91 | 100% | 8.2 |
| Medication Aide/Technician | 20 | 0 | 20 | 6,176 | 91 | 100% | 8.5 |
| Registered Nurse | 7 | 17 | 24 | 2,072 | 80 | 88% | 9.9 |
| Licensed Practical Nurse | 6 | 8 | 14 | 2,072 | 86 | 95% | 8.7 |
| Dental Services Staff | 2 | 1 | 3 | 1,149 | 80 | 88% | 6.6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 576 | 46 | 51% | 8 |
| Administrator | 0 | 1 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 513 | 65 | 71% | 7.9 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 483 | 75 | 82% | 6.2 |
| Physical Therapy Assistant | 2 | 0 | 2 | 360 | 56 | 62% | 6.4 |
| Speech Language Pathologist | 2 | 0 | 2 | 276 | 48 | 53% | 5.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 237 | 58 | 64% | 4.1 |
| Qualified Social Worker | 1 | 0 | 1 | 116 | 33 | 36% | 3.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 101 | 13 | 14% | 7.8 |
| Medical Director | 0 | 1 | 1 | 31 | 12 | 13% | 2.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Physical Therapy Aide | 2 | 0 | 2 | 19 | 8 | 9% | 2.4 |
33 Certified Nursing Assistant
% of Days
100%
20 Medication Aide/Technician
% of Days
100%
24 Registered Nurse
% of Days
88%
14 Licensed Practical Nurse
% of Days
95%
3 Dental Services Staff
% of Days
88%
2 Clinical Nurse Specialist
% of Days
51%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
71%
2 Respiratory Therapy Technician
% of Days
82%
2 Physical Therapy Assistant
% of Days
62%
2 Speech Language Pathologist
% of Days
53%
1 Other Dietary Services Staff
% of Days
64%
1 Qualified Social Worker
% of Days
36%
1 Occupational Therapy Aide
% of Days
14%
1 Medical Director
% of Days
13%
1 Occupational Therapy Assistant
% of Days
3%
2 Physical Therapy Aide
% of Days
9%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
52 residents
Residents by payment source
Medicare
5 residents (9.6%)
Medicaid
34 residents (65.4%)
Private pay or other
13 residents (25%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
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.
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.
14.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.1
38% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.0
34% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
32.3%
Percent of long-stay residents whose need for help with daily activities has increased
32.3%
72% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
25.2%
Percent of long-stay residents whose ability to move independently worsened
25.2%
28% worse 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
29.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.5%
12% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
30% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.9%
Percent of long-stay high risk residents with pressure ulcers
2.9%
34% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.8%
Percent of long-stay residents who lose too much weight
7.8%
56% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.7%
Percent of long-stay residents who have depressive symptoms
1.7%
56% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.7%
Percent of long-stay residents who received an antipsychotic medication
16.7%
12% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.9%
5% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
46.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
46.2%
46% 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
40.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
40.0%
45% worse 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.
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 Jan 2026)
Total fines amount
$0
100% lower than Iowa averageIowa average: $48K
Number of fines
0
100% 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.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$0
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 6, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 6, 2024
12 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Madrid Home for the Aging based on CMS SNF Cost Reports.
Occupancy Rate
48.2%
↓ 6.3pp vs 2022
Net Income
-$1,529,842
↑ ~$914K vs 2022
Total Payroll
$2,805,632
↓ ~$1.7M vs 2022
Profit Margin
-27.5%
↑ 1.3pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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