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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.
May offer a more intimate, personalized care environment.
Lower occupancy suggests more openings may be available.
Most residents stay for extended periods and receive ongoing daily care.
40% of new residents, usually for short-term rehab.
13% of new residents, often for short stays.
48% 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Active
Madrid Home for the Aging is administrated by Rick Colby.
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.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
+15% +10% +30% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-40% +36% +7% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
+87% +1% -36% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-8% -12% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-33% +20% -7% 
Akron Care Center, INC
+15%
+10%
+30%
-40%
+36%
+7%
+87%
+1%
-36%
-8%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
Madrid, IA 501561059
Madrid, IA 501561059
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Source: CMS Payroll-Based Journal (Q2 2025)
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 24 | 9.9 | Yes |
| Licensed Practical Nurse | 14 | 8.7 | Yes |
| Certified Nursing Assistant | 33 | 8.2 | Yes |
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Last Health inspection on Mar 2025
4 citations per inspection (avg)
Citations can result from standard inspections or complaint-based investigations.
Corrected
Corrected
Corrected
Corrected
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
72% above Iowa average.
28% above Iowa average.
12% above Iowa average.
30% below Iowa average.
34% below Iowa average.
100% below Iowa average.
56% below Iowa average.
12% below Iowa average.
5% below Iowa average.
1% above Iowa average.
56% above Iowa average.
46% worse than Iowa average
100% better than Iowa average
45% worse than Iowa average
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
Last updated: Jan 2026
Historical financial and operational data for Madrid Home for the Aging based on CMS SNF Cost Reports.
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