Occupancy rate
76%
In line with Iowa averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Mill Valley Care Center
Mill Valley Care Center is a senior living community located in Bellevue, Iowa. It offers a variety of services including skilled rehabilitation, long-term care, and assisted living. The facility provides peace of mind for residents and families by allowing individuals to age in place with increased levels of care as needs change.
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
46
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
76.1%
Residents per day (avg)
42
Occupancy rate
76.1%
Residents per day (avg)
42
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
55% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
43% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
20 - 21 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$4.8M
Profit
$224.1K
Privately-owned community
Operated by a business corporation.
Home revenue
$4,831,071.00
Profit
$224,075.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.8M
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.
$3.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.3M
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
51 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy
In line with Iowa averageOccupied beds
35 / 46
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
November 11, 1974
County:
Jackson
Additional licensing details
License number:
490158
CMS Certification Number:
165374
Certification type:
FALSE
Ownership & operating entity
Mill Valley Care Center is administrated by Leanae Sieverding.
Care Services
Nursing Services
Rehabilitation Services
Independent Living
Skilled Nursing
24-Hour Staffing
Contact Information
Email:
[email protected]
Fax:
5638725609
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Rehabilitation, Long-term Care, Assisted Living, Outpatient Therapy, Activities & News, Newsletter, Contact Us, Careers
Dining & Nutrition
Food Description
Meals twice daily are provided for residents.
Meals Included
Yes
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.
17 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:October 9, 2025
23 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Mill Valley Care Center
The most recent inspection on October 9, 2025, found the facility to be in substantial compliance with no deficiencies noted. Earlier inspections showed a mixed pattern with several citations related primarily to resident care practices, including transfer techniques, pressure ulcer assessments, and timely reporting of abuse allegations. Prior deficiencies also involved documentation issues, care plan implementation, medication administration, and infection control. Complaint investigations were mostly unsubstantiated, with a few substantiated cases involving injury from transfer techniques, pressure ulcer care, and failure to report abuse promptly. The facility’s recent inspections indicate improvement, as the latest surveys have not identified new deficiencies.
Health Inspection History
Inspections
Total health inspections
4
Iowa average 4.9
Last Health inspection on Jul 2024
Total health citations
10
Iowa average 21.7
Citations per inspection
2.5
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 10 citations resulted from standard inspections; and 2 of 10 resulted from complaint investigations.
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
10 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 25, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 25, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 08, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 08, 2024
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
May 18, 2023
Issues related to the availability and quality of nursing staff and the care they provide.
May 18, 2023
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 18, 2023
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 18, 2023
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.
Mill Valley Care Center
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.
Bellevue
54
59.9%
-21%
4.79
+11%
0
10
0
42
Dempewolf, Robert
$4,7M
$1,8M
38.3%
165374
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
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 Mill Valley Care Center
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Bellevue, IA 520311911
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
122
Employees
62
Contractors
60
Staff to resident ratio
2.90:1
46% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
28
Average shift
7 hours
5% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
17,893
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
73
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 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
10.3%
1,838 contractor hours this quarter
Certified Nursing Assistant: 33
Licensed Practical Nurse: 5
Registered Nurse: 3
Physical Therapy Assistant: 3
Qualified Social Worker: 3
Respiratory Therapy Technician: 2
Occupational Therapy Aide: 2
Physical Therapy Aide: 2
Clinical Nurse Specialist: 2
Speech Language Pathologist: 1
Mental Health Service Worker: 1
Medication Aide/Technician: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 40 | 33 | 73 | 10,775 | 91 | 100% | 7.3 |
| Registered Nurse | 13 | 3 | 16 | 2,442 | 91 | 100% | 7.8 |
| Licensed Practical Nurse | 4 | 5 | 9 | 2,108 | 91 | 100% | 7.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 684 | 64 | 70% | 5.3 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 64 | 70% | 7.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 219 | 39 | 43% | 5.4 |
| Speech Language Pathologist | 0 | 1 | 1 | 169 | 44 | 48% | 3.8 |
| Clinical Nurse Specialist | 0 | 2 | 2 | 111 | 14 | 15% | 6.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 90 | 26 | 29% | 3.4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 86 | 29 | 32% | 3 |
| Qualified Social Worker | 0 | 3 | 3 | 58 | 31 | 34% | 1.9 |
| Mental Health Service Worker | 0 | 1 | 1 | 53 | 12 | 13% | 4.5 |
| Occupational Therapy Aide | 0 | 2 | 2 | 46 | 14 | 15% | 3.3 |
| Medication Aide/Technician | 0 | 1 | 1 | 27 | 3 | 3% | 8.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 17 | 6 | 7% | 2.9 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
73 Certified Nursing Assistant
% of Days
100%
16 Registered Nurse
% of Days
100%
9 Licensed Practical Nurse
% of Days
100%
3 Other Dietary Services Staff
% of Days
70%
1 Administrator
% of Days
69%
1 Nurse Practitioner
% of Days
70%
3 Physical Therapy Assistant
% of Days
43%
1 Speech Language Pathologist
% of Days
48%
2 Clinical Nurse Specialist
% of Days
15%
2 Physical Therapy Aide
% of Days
29%
2 Respiratory Therapy Technician
% of Days
32%
3 Qualified Social Worker
% of Days
34%
1 Mental Health Service Worker
% of Days
13%
2 Occupational Therapy Aide
% of Days
15%
1 Medication Aide/Technician
% of Days
3%
1 Occupational Therapy Assistant
% of Days
7%
1 Medical Director
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
42 residents
Residents by payment source
Medicare
3 residents (7.1%)
Medicaid
15 residents (35.7%)
Private pay or other
24 residents (57.1%)
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.
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.
9.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.7
5% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.2
11% better 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
16.7%
Percent of long-stay residents whose need for help with daily activities has increased
16.7%
11% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.4%
Percent of long-stay residents whose ability to move independently worsened
20.4%
In line with 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
20.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.5%
22% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.6%
Percent of long-stay residents experiencing one or more falls with major injury
5.6%
54% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.4%
Percent of long-stay high risk residents with pressure ulcers
2.4%
45% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.9%
Percent of long-stay residents with a urinary tract infection
4.9%
99% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.4%
Percent of long-stay residents who lose too much weight
3.4%
32% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.4%
Percent of long-stay residents who received an antipsychotic medication
10.4%
45% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.6%
5% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.2%
In line with 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
92.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.3%
26% 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.
Financial Trends
Historical financial and operational data for Mill Valley Care Center based on CMS SNF Cost Reports.
Occupancy Rate
59.9%
↑ 11.7pp vs 2022
Net Income
$224,075
↑ ~$531K vs 2022
Total Payroll
$3,348,059
↑ ~$936K vs 2022
Profit Margin
4.7%
↑ 13.4pp vs 2022
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