Occupancy rate
55%
In line with Iowa averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home
Rockwell Community Nursing Home
Rockwell Community Nursing Home is a nursing home located in Rockwell, Iowa. It offers a variety of services including physical, occupational, and speech therapy, as well as 24-hour nursing care. The facility also provides home-cooked meals and transportation availability.
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
40
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
55%
Residents per day (avg)
21
Occupancy rate
55%
Residents per day (avg)
21
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
37% of new residents, usually for short-term rehab.
Typical stay
20 days
Private pay
50% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
13% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$3.0M
Operating loss
-$68.8K
Privately-owned community
Operated by a business corporation.
Home revenue
$2,993,848.00
Operating loss
$-68,769.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.4M
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.
$1.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.0M
40-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
22 / 40
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
County:
Cerro Gordo
Additional licensing details
License number:
170575
CMS Certification Number:
165406
Certification type:
FALSE
Ownership & operating entity
Rockwell Community Nursing Home is administrated by Kassidy Spurgin.
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
Contact Information
Email:
[email protected]
Fax:
6418223200
Programs & Activities
Specific Programs
Physical, Occupational, and Speech Therapy, Outpatient Therapy, 24-Hour Nursing Care, Discharge Planning, In-House Restorative Nursing, Individual Care Planning, Group and Individual Activities, Whirlpool Therapy, Beautician/Barber Service, Entertainment, Meals On Wheels, Lymphedema Care, Hospice Care
Dining & Nutrition
Food Description
Home-Cooked Meals Featuring a Variety of Menu Choices
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.
12 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:November 17, 2025
2 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Rockwell Community Nursing Home
The most recent inspection on November 17, 2025, found the facility to be in compliance with health requirements and did not list any deficiencies. Earlier inspections showed some deficiencies, including a failure to have a Registered Nurse on duty for at least 8 consecutive hours during the September 4, 2025 annual survey and a care plan issue in December 2020 that resulted in a resident fall and injury. Complaint investigations conducted in 2024 and 2025 were unsubstantiated and did not result in deficiencies. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility’s inspection history shows improvement with recent compliance following earlier isolated issues related mainly to nursing coverage and resident care planning.
Health Inspection History
Inspections
Total health inspections
1
Iowa average 4.9
Last Health inspection on Sep 2025
Total health citations
1
Iowa average 21.7
Citations per inspection
1
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 1 citation resulted from standard inspections.
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
1 moderate citation
0 minor citations
Citations history (last 3 years)
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Sep 04, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Sep 04, 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.
Rockwell Community Nursing Home
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.
Rockwell
40
59.8%
-21%
5.57
+30%
0
1
0
21
International Association Of Lions - 4091 Rockwell
$2,9M
$1,4M
46.2%
165406
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 Rockwell Community Nursing Home
Rockwell, IA 504690270
Rockwell, IA 504690270
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
73
Employees
48
Contractors
25
Staff to resident ratio
3.32:1
66% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
18
Average shift
6.6 hours
11% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
10,760
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hoursNo contractors work on this role.
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.
6.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 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.
6.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.4 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
3.6%
389 contractor hours this quarter
Certified Nursing Assistant: 11
Physical Therapy Aide: 3
Occupational Therapy Assistant: 3
Physical Therapy Assistant: 2
Licensed Practical Nurse: 2
Speech Language Pathologist: 1
Respiratory Therapy Technician: 1
Qualified Social Worker: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 22 | 11 | 33 | 4,161 | 91 | 100% | 6.4 |
| Licensed Practical Nurse | 7 | 2 | 9 | 2,001 | 91 | 100% | 6.8 |
| Medication Aide/Technician | 5 | 0 | 5 | 896 | 73 | 80% | 6.8 |
| Registered Nurse | 3 | 0 | 3 | 779 | 86 | 95% | 6.7 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 438 | 58 | 64% | 7.3 |
| Speech Language Pathologist | 1 | 1 | 2 | 417 | 63 | 69% | 4.8 |
| Nurse Practitioner | 1 | 0 | 1 | 392 | 49 | 54% | 8 |
| Dietitian | 1 | 0 | 1 | 386 | 52 | 57% | 7.4 |
| Other Dietary Services Staff | 1 | 0 | 1 | 359 | 52 | 57% | 6.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 208 | 25 | 27% | 8.3 |
| RN Director of Nursing | 2 | 0 | 2 | 87 | 12 | 13% | 6.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 39 | 10 | 11% | 3.9 |
| Physical Therapy Assistant | 0 | 2 | 2 | 31 | 25 | 27% | 1.2 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 22 | 4 | 4% | 5.4 |
| Nurse Aide in Training | 1 | 0 | 1 | 21 | 3 | 3% | 6.9 |
| Qualified Social Worker | 0 | 1 | 1 | 13 | 11 | 12% | 1.2 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 11 | 11 | 12% | 1 |
| Physical Therapy Aide | 0 | 3 | 3 | 5 | 6 | 7% | 0.8 |
33 Certified Nursing Assistant
% of Days
100%
9 Licensed Practical Nurse
% of Days
100%
5 Medication Aide/Technician
% of Days
80%
3 Registered Nurse
% of Days
95%
1 Administrator
% of Days
68%
2 Clinical Nurse Specialist
% of Days
64%
2 Speech Language Pathologist
% of Days
69%
1 Nurse Practitioner
% of Days
54%
1 Dietitian
% of Days
57%
1 Other Dietary Services Staff
% of Days
57%
1 Mental Health Service Worker
% of Days
27%
2 RN Director of Nursing
% of Days
13%
1 Occupational Therapy Aide
% of Days
11%
2 Physical Therapy Assistant
% of Days
27%
3 Occupational Therapy Assistant
% of Days
4%
1 Nurse Aide in Training
% of Days
3%
1 Qualified Social Worker
% of Days
12%
1 Respiratory Therapy Technician
% of Days
12%
3 Physical Therapy Aide
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
22 residents
Residents by payment source
Medicare
3 residents (13.6%)
Medicaid
7 residents (31.8%)
Private pay or other
12 residents (54.5%)
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.
6.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
34% 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.
12.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.8
41% 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
14.5%
Percent of long-stay residents whose need for help with daily activities has increased
14.5%
23% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.9%
Percent of long-stay residents whose ability to move independently worsened
15.9%
19% better 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
8.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.0%
69% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.2%
Percent of long-stay residents with a urinary tract infection
3.2%
29% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.6%
Percent of long-stay residents who lose too much weight
3.6%
29% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.1%
Percent of long-stay residents who have depressive symptoms
1.1%
73% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
27.4%
Percent of long-stay residents who received an antipsychotic medication
27.4%
44% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better 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
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better 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%
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 Rockwell Community Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
59.8%
↑ 2.9pp vs 2023
Net Income
-$68,769
↑ ~$95K vs 2023
Total Payroll
$1,825,808
↑ ~$51K vs 2023
Profit Margin
-2.4%
↑ 4.6pp vs 2023
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