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Madrid Home for the Aging
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Madrid, IA
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.

Madrid Home for the Aging

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Madrid, IA
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.
613 West North Street, Madrid, Ia 501561059 View map Calculator: See prices in your area
Madrid Home for the Aging accepts Medicare, Medicaid, and private pay.
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Madrid Home for the Aging accepts Medicare, Medicaid, and private pay.

Overview of Madrid Home for the Aging

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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.

Facility Direct Line (515) 795-3007
Facility Direct Line (515) 795-3007
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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.
▼ 2.1% Below IA avg. ▼ 2.1% Below IA avg.IA average: 3.1Click 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.
▲ 5.2% Above IA avg. ▲ 5.2% Above 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.
▼ 43.6% Below IA avg. ▼ 43.6% Below IA avg.IA average: 3.5Click 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.
▼ 8.4% Below IA avg. ▼ 8.4% Below IA avg.IA average: 3.3Click 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 #98 / 234Nurse hours — State benchmarkedThis home is ranked 98th out of 234 homes in Iowa for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 234 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 98th out of 234 homes 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.

4h 21m

At 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.
30m
−32% State avg: 44m per day · National avg: 41m 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.
28m
−17% State avg: 34m 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.
2h 32m
Avg State avg: 2h 32m per day · National avg: 2h 20m 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.
3h 0m
−10% State avg: 3h 21m per day · National avg: 3h 26m 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.
8m
+296% 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.
24m
−21% State avg: 30m per day · National avg: 28m per day

4 of 6 metrics below state avg

Standout metric: Physical Therapist is +296% above Iowa average

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
194 days
Bed community size
64-bed community Rank #190 / 404Bed count — State benchmarkedThis home is ranked 190th out of 404 homes 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 52 / 100 Rank #202 / 505Walk Score — State benchmarkedThis home is ranked 202nd out of 505 homes 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
81%
Rank #117 / 377Occupancy rate — State benchmarkedThis home is ranked 117th out of 377 homes in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 377. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Iowa average: 75.4%
Occupied beds
52 / 64
Average occupied beds in Iowa homes 51 beds

License Details

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility
StatusActive
CountyBoone
License Number80797
CMS Certification Number165118
Certification TypeFALSE

Ownership & Operating Entity

Madrid Home for the Aging is administered by Rick Colby.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Additional Services

1 service
Memory Support

Contact Information

Email rick.colby@westernhome.org
Fax5157952138

Amenities & Lifestyle

Touring HoursMonday-Friday: 8am-5pm, Saturday-Sunday: 9am-5pm

Contact Madrid Home for the Aging

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.

Since 2020 · 6 years of data 47 deficiencies 18 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average
Overall vs. IA average 1 Worse Metrics worse than Iowa average:
• Total deficiencies (74% above) 0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIA Averagevs. IA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 4727 This facility has 74% more total deficiencies than a typical Iowa nursing home (47 vs. IA avg 27).↑ 74% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityIA Averagevs. IA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1815 This facility has had 20% more total inspections than the Iowa average (18 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 20% more
Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 4

State average 4.9

Last Health inspection on Mar 2025

Total health citations
16 Rank #111 / 232Health citations — State benchmarkedThis home is ranked 111th out of 232 homes 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 21.7

Citations per inspection
4 Rank #123 / 232Citations per inspection — State benchmarkedThis home is ranked 123rd out of 232 homes 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State 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 4 years)
Critical health citations
0
100% better than State average

State average: 0.6

Serious health citations
0
100% better than State average

State average: 0.9

0 critical citations State average: 0.6
0 serious citations State average: 0.9
16 moderate citations State average: 19.7
0 minor citations State average: 0.5
Citations history (last 4 years)
Nutrition moderate citation Mar 20, 2025
Corrected
Pharmacy moderate citation Mar 20, 2025
Corrected
Quality of Care moderate citation Mar 20, 2025
Corrected
Care Planning moderate citation 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.

Staffing Data

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

Total staff 114
Employees 85
Contractors 29
Staff to resident ratio 2.19 : 1
7% more staff per resident than Iowa average
Iowa average ratio: 2.05 : 1 Iowa average ratio: 2.05 : 1See full Iowa ranking
Avg staff/day 32
Average shift 7.8 hours
5% better than Iowa average
Iowa average: 7.4 hours Iowa average shift: 7.4 hoursSee full Iowa ranking
Total staff hours (quarter) 22,944

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 16 total: 6 full-time employees and 10 contractors. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 11 total: 7 full-time employees and 4 contractors. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 34 total: 24 full-time employees and 10 contractors. 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 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

7.5%

1,724 contractor hours this quarter

Certified Nursing Assistant: 10 Registered Nurse: 10 Licensed Practical Nurse: 4 Dental Services Staff: 1 Administrator: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 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 Assistant2410347,95392100%7.8
Medication Aide/Technician170176,14292100%8.6
Licensed Practical Nurse74112,07792100%9.6
Registered Nurse610161,9369199%8.8
Respiratory Therapy Technician6067346975%6.2
Dental Services Staff1126377480%5.6
Nurse Practitioner2025286672%8
RN Director of Nursing1015286672%8
Administrator0115126470%8
Dietitian1014886166%8
Speech Language Pathologist7074677278%5.4
Clinical Nurse Specialist1012963740%8
Physical Therapy Aide6062453639%6.1
Qualified Social Worker1012194953%4.5
Physical Therapy Assistant303692224%3
Occupational Therapy Aide011521314%4
Medical Director0113033%10
Occupational Therapy Assistant0112433%8
Other Dietary Services Staff202811%4.2
34 Certified Nursing Assistant
% of Days 100%
17 Medication Aide/Technician
% of Days 100%
11 Licensed Practical Nurse
% of Days 100%
16 Registered Nurse
% of Days 99%
6 Respiratory Therapy Technician
% of Days 75%
2 Dental Services Staff
% of Days 80%
2 Nurse Practitioner
% of Days 72%
1 RN Director of Nursing
% of Days 72%
1 Administrator
% of Days 70%
1 Dietitian
% of Days 66%
7 Speech Language Pathologist
% of Days 78%
1 Clinical Nurse Specialist
% of Days 40%
6 Physical Therapy Aide
% of Days 39%
1 Qualified Social Worker
% of Days 53%
3 Physical Therapy Assistant
% of Days 24%
1 Occupational Therapy Aide
% of Days 14%
1 Medical Director
% of Days 3%
1 Occupational Therapy Assistant
% of Days 3%
2 Other Dietary Services Staff
% of Days 1%
View All Staffing Data

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 $0 Rank #1 / 239Federal fines — State benchmarkedThis home is ranked 1st out of 239 homes 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
100% lower than Iowa average

Iowa average: $48K

Number of fines 0
100% fewer fines than Iowa average

Iowa average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
88% more payment denials than Iowa average

Iowa 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.

1 penalty in the past 3 years

Jun 6, 2024 · 12 days

Payment Denial Info 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

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. 14.1
38% worse than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 29.0
34% worse than Iowa average

Iowa average: 21.6

Long-stay resident measures
Average Iowa avg: 3.3 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 32.3%
72% worse than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 25.2%
28% worse than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.5%
12% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.5%
30% better than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.9%
34% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.8%
56% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.7%
56% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.7%
12% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 89.9%
5% worse than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.1%
In line with Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.10
42% worse than Iowa average

Iowa average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.97
54% better than Iowa average

Iowa average: 2.09

Short-stay resident measures
Significantly above average Iowa avg: 2.6 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 46.2%
46% worse than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 40.0%
45% worse than Iowa average

Iowa average: 73.3%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 23.4%
10% worse than Iowa average

Iowa average: 21.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 7.2%
45% better than Iowa average

Iowa average: 13.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 77.8%
45% better than Iowa average

Iowa average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 53.5%
6% better than Iowa average

Iowa average: 50.6%

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

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

Facility Characteristics

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

Total residents 52
Medicare
5
9.6% of residents
Medicaid
34
65.4% of residents
Private pay or other
13
25% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.6M
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.0M Rank #143 / 224Net patient revenue — State benchmarkedThis home is ranked 143rd out of 224 homes in Iowa. Shows this facility's net patient revenue compared to the Iowa average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.6M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$112.1K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #143 / 224Payroll costs — State benchmarkedThis home is ranked 143rd out of 224 homes in Iowa. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Iowa average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.
$2.8M 55.9% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #134 / 224Payroll % of net patient revenue — State benchmarkedThis home is ranked 134th out of 224 homes in Iowa. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.8M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.6M
How we calculate these figures

This home is administered by Rick Colby.

This home is owned by Western Home Services Inc

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 165118

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Who this home usually serves

TYPE OF STAY

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.

Admissions
80 total

Coverage residents most often arrive under.

Medicare 40%
Private pay 13%
Medicaid 48%
Discharges
80 total

Coverage residents most often leave under.

Medicare 26%
Private pay 31%
Medicaid 43%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Madrid Home for the Aging

Address 0.0 miles from city center Info Estimated distance in miles from Madrid's city center to Madrid Home for the Aging's address, calculated via Google Maps.

Calculate Travel Distance to Madrid Home for the Aging

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Address

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IA AVG 4.1
Rank #1 / 232
-54-
82
Facility 82
IA AVG 47
Rank #39 / 505
St Francis Manor Inc
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #82 / 224
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
IA AVG $4.2M
Rank #50 / 224
69.4%Fiscal year ending 12/2023
Facility 69.4%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #38 / 224
165480
Friendship Village
NH
AL
IL
MC
SNF
Waterloo
72
Facility 72
IA AVG 72
Rank #143 / 404
91.7%
Facility 91.7%
IA AVG 64.7
Rank #41 / 377
+42%
6.17
Facility 6.17
IA AVG 4.30
Rank #3 / 234
 +5%+44%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
8
Facility 8
IA AVG 21.7
Rank #44 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #19 / 232
166-
52
Facility 52
IA AVG 47
Rank #202 / 505
Friends Of Faith Retirement Homes, Inc
$14.2MFiscal year ending 03/2024
Facility $14.2MFiscal year ending 03/2024
IA AVG $6.9M
Rank #10 / 224
$11.6MFiscal year ending 03/2024
Facility $11.6MFiscal year ending 03/2024
IA AVG $4.2M
Rank #6 / 224
81.4%Fiscal year ending 03/2024
Facility 81.4%Fiscal year ending 03/2024
IA AVG 60.3%
Rank #14 / 224
165081
Prairie Vista Village
NH
AL
IL
SNF
South Altoona
68
Facility 68
IA AVG 72
Rank #170 / 404
50.0%
Facility 50.0%
IA AVG 64.7
Rank #254 / 377
-23%
4.71
Facility 4.71
IA AVG 4.30
Rank #58 / 234
 -20%+10%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
5
Facility 5
IA AVG 21.7
Rank #17 / 232
1.3
Facility 1.3
IA AVG 4.1
Rank #8 / 232
-34A
29
Facility 29
IA AVG 47
Rank #372 / 505
John Freeman
$9.1MFiscal year ending 12/2023
Facility $9.1MFiscal year ending 12/2023
IA AVG $6.9M
Rank #43 / 224
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
IA AVG $4.2M
Rank #102 / 224
40.8%Fiscal year ending 12/2023
Facility 40.8%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #221 / 224
165610
Madrid Home for the Aging
NH
AL
IL
MC
SNF
Madrid
64
Facility 64
IA AVG 72
Rank #190 / 404
81.3%
Facility 81.3%
IA AVG 64.7
Rank #117 / 377
+26%
4.35
Facility 4.35
IA AVG 4.30
Rank #98 / 234
 +20%+1%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
16
Facility 16
IA AVG 21.7
Rank #111 / 232
4.0
Facility 4.0
IA AVG 4.1
Rank #123 / 232
-52-
52
Facility 52
IA AVG 47
Rank #202 / 505
Western Home Services Inc
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
IA AVG $6.9M
Rank #143 / 224
$2.8MFiscal year ending 12/2023
Facility $2.8MFiscal year ending 12/2023
IA AVG $4.2M
Rank #143 / 224
55.9%Fiscal year ending 12/2023
Facility 55.9%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #134 / 224
165118
Nursing Home Explorer

Frequently Asked Questions about Madrid Home for the Aging

Is Madrid Home for the Aging in a walkable area?

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.

What is the license number of Madrid Home for the Aging?

According to IA state health department records, Madrid Home for the Aging's license number is 80797.

What is the occupancy rate at Madrid Home for the Aging?

Madrid Home for the Aging's occupancy is 81%.

Are pets allowed at Madrid Home for the Aging?

Yes, Madrid Home for the Aging allows residents to bring their pets.

What is the best email address for Madrid Home for the Aging?

The team at Madrid Home for the Aging can be reached at rick.colby@westernhome.org.

Does Madrid Home for the Aging operate as a for-profit or non-profit?

Madrid Home for the Aging is registered as a non-profit in IA.

Who is the administrator of Madrid Home for the Aging?

Rick Colby is the administrator of Madrid Home for the Aging.

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