Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (48% of admissions), and a typical Medicaid stay runs around 7 - 8 months.

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Madrid Home for the Aging is a 64-bed non-profit skilled nursing community in Madrid, Boone County, Iowa. Occupancy at 81 percent exceeds Iowa’s 75.4 percent average. Operated by Western Home Services Inc, the facility offers skilled nursing, memory care, and rehabilitation along with independent living and assisted living services. Medicare, Medicaid, and private pay accepted.
Over six years on file, the facility averaged 4.2 deficiencies annually, essentially at the Iowa average of 4.4, with no immediate jeopardy findings, fines, or enforcement actions. Medication management is the clearest recurring theme in the record: errors were cited in the 2021 and 2023 annual surveys, an August 2025 complaint was substantiated for missing fentanyl patches and inaccurate narcotic counts affecting both residents reviewed, and narcotic destruction procedures were also cited in 2021. The March 2023 annual survey cited medication errors in all four residents reviewed for that area. Care planning gaps and food safety deficiencies have each appeared in multiple surveys as well. The CMS staffing sub-rating reflects case-mix adjusted hours 19.1 percent below Iowa’s average, meaning the resident acuity outpaces what the staffing hours deliver relative to peers, the one metric consistently below average in an otherwise mid-range profile. Quality Measures run 15.6 percent above Iowa average which is a positive clinical outcome signal.
Madrid Home for the Aging fits Boone County residents wanting skilled nursing, memory support, or post-acute rehabilitation within a non-profit continuum that extends from independent and assisted living through skilled care.
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
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
| 47 | 27 | This facility has 74% more total deficiencies than a typical Iowa nursing home (47 vs. IA avg 27).↑ 74% worse |
|
Deficiencies per year
| 7.8 | 4.5 | This facility has 73% more deficiencies per year than a typical Iowa nursing home (7.8 vs. IA avg 4.5).↑ 73% worse |
|
Deficiencies per inspection
| 2.6 | 1.8 | This facility has 44% more deficiencies per inspection than a typical Iowa nursing home (2.6 vs. IA avg 1.8).↑ 44% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
| 18 | 15 | This facility has 20% more total inspections than a typical Iowa nursing home (18 vs. IA avg 15).↑ 20% worse |
Iowa average 4.9
Last Health inspection on Mar 2025
Iowa average 21.7
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).
Iowa average: 0.6
Iowa average: 0.9
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,724 contractor hours this quarter
| Certified Nursing Assistant | 24 | 10 | 34 | 7,953 | 92 | 100% | 7.8 |
| Medication Aide/Technician | 17 | 0 | 17 | 6,142 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 7 | 4 | 11 | 2,077 | 92 | 100% | 9.6 |
| Registered Nurse | 6 | 10 | 16 | 1,936 | 91 | 99% | 8.8 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 734 | 69 | 75% | 6.2 |
| Dental Services Staff | 1 | 1 | 2 | 637 | 74 | 80% | 5.6 |
| Nurse Practitioner | 2 | 0 | 2 | 528 | 66 | 72% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Administrator | 0 | 1 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Speech Language Pathologist | 7 | 0 | 7 | 467 | 72 | 78% | 5.4 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 296 | 37 | 40% | 8 |
| Physical Therapy Aide | 6 | 0 | 6 | 245 | 36 | 39% | 6.1 |
| Qualified Social Worker | 1 | 0 | 1 | 219 | 49 | 53% | 4.5 |
| Physical Therapy Assistant | 3 | 0 | 3 | 69 | 22 | 24% | 3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 52 | 13 | 14% | 4 |
| Medical Director | 0 | 1 | 1 | 30 | 3 | 3% | 10 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 8 | 1 | 1% | 4.2 |
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 6, 2024 · 12 days
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive 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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Madrid Home for the Aging from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (48% of admissions), and a typical Medicaid stay runs around 7 - 8 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Madrid's city center to Madrid Home for the Aging's address, calculated via Google Maps.
Add your location
Madrid Home for the Aging is located in Madrid, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Mill Pond |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Ankeny | 60
Facility
60
IA AVG
71
Rank
#214 / 407 |
98.3%
Facility
98.3%
IA AVG
75.4%
Rank
#14 / 401 | +30% | 4.91
Facility
4.91
IA AVG
4.30
Rank
#52 / 241 | -16% | +14% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 9
Facility
9
IA AVG
21.7
Rank
#62 / 241 | 3.0
Facility
3.0
IA AVG
4.1
Rank
#81 / 241 | - | 57 | - |
16
Facility
16
IA AVG
45
Rank
#439 / 528 | Phs Management, LLC | $13.9M
Facility
$13.9M
IA AVG
$7.0M
Rank
#32 / 242 | $6.9M
Facility
$6.9M
IA AVG
$3.1M
Rank
#34 / 242 | 49.4%
Facility
49.4%
IA AVG
46.3%
Rank
#177 / 242 | 165261 | ||||
| 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NC Nursing Care | Madrid | 64
Facility
64
IA AVG
71
Rank
#191 / 407 |
81.3%
Facility
81.3%
IA AVG
75.4%
Rank
#114 / 401 | +8% | 4.35
Facility
4.35
IA AVG
4.30
Rank
#106 / 241 | +20% | +1% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 16
Facility
16
IA AVG
21.7
Rank
#122 / 241 | 4.0
Facility
4.0
IA AVG
4.1
Rank
#135 / 241 | - | 60 | - |
52
Facility
52
IA AVG
45
Rank
#202 / 528 | Western Home Services Inc | $5.7M
Facility
$5.7M
IA AVG
$7.0M
Rank
#152 / 242 | $2.8M
Facility
$2.8M
IA AVG
$3.1M
Rank
#170 / 242 | 49.4%
Facility
49.4%
IA AVG
46.3%
Rank
#177 / 242 | 165118 | ||||
| Valley View Village |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Des Moines (Fairmont Park) | 79
Facility
79
IA AVG
71
Rank
#117 / 407 |
100.0%
Facility
100.0%
IA AVG
75.4%
Rank
#1 / 401 | +33% | 5.52
Facility
5.52
IA AVG
4.30
Rank
#22 / 241 | +29% | +29% | $9.1k
Facility
$9.1k
IA AVG
$53.4k
Rank
#170 / 246 | 19
Facility
19
IA AVG
21.7
Rank
#139 / 241 | 3.2
Facility
3.2
IA AVG
4.1
Rank
#94 / 241 | 2 | 75 | - |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Elim Care Inc | $9.7M
Facility
$9.7M
IA AVG
$7.0M
Rank
#70 / 242 | $7.0M
Facility
$7.0M
IA AVG
$3.1M
Rank
#32 / 242 | 71.8%
Facility
71.8%
IA AVG
46.3%
Rank
#13 / 242 | 165507 | ||||
| Ramsey Village Continuing Care |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Des Moines (Drake) | 78
Facility
78
IA AVG
71
Rank
#119 / 407 |
85.8%
Facility
85.8%
IA AVG
75.4%
Rank
#93 / 401 | +14% | 4.04
Facility
4.04
IA AVG
4.30
Rank
#148 / 241 | -46% | -6% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 31
Facility
31
IA AVG
21.7
Rank
#188 / 241 | 4.4
Facility
4.4
IA AVG
4.1
Rank
#156 / 241 | 1 | 70 | - |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Claremont House Inc. | $12.4M
Facility
$12.4M
IA AVG
$7.0M
Rank
#43 / 242 | $8.5M
Facility
$8.5M
IA AVG
$3.1M
Rank
#20 / 242 | 68.5%
Facility
68.5%
IA AVG
46.3%
Rank
#29 / 242 | 165514 | ||||
| Ridgecrest Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Davenport (Northwest Boulevard) | 82
Facility
82
IA AVG
71
Rank
#100 / 407 |
67.1%
Facility
67.1%
IA AVG
75.4%
Rank
#202 / 401 | -11% | 3.98
Facility
3.98
IA AVG
4.30
Rank
#148 / 241 | +31% | -7% | $118.9k
Facility
$118.9k
IA AVG
$53.4k
Rank
#223 / 246 | 43
Facility
43
IA AVG
21.7
Rank
#213 / 241 | 7.2
Facility
7.2
IA AVG
4.1
Rank
#220 / 241 | 3 | 55 | - |
41
Facility
41
IA AVG
45
Rank
#287 / 528 | Michael Beaderstadt | $15.8M
Facility
$15.8M
IA AVG
$7.0M
Rank
#20 / 242 | $8.1M
Facility
$8.1M
IA AVG
$3.1M
Rank
#23 / 242 | 51.1%
Facility
51.1%
IA AVG
46.3%
Rank
#156 / 242 | 165049 |
Madrid Home for the Aging has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IA state health department records, Madrid Home for the Aging's license number is 80797.
Madrid Home for the Aging's occupancy is 81%.
The team at Madrid Home for the Aging can be reached at [email protected].
Rick Colby is the administrator of Madrid Home for the Aging.
Madrid Home for the Aging has 64 beds.
Madrid Home for the Aging is located at 613 West North Street.
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