Rockwell Community Nursing Home

Nursing Home in Iowa

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.
Rockwell Community Nursing Home

Nursing Home in Iowa

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.

Overview of 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.
(641) 822-3203

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.
5/5 ▲ 1.8 Iowa average: 3.3/5
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.
5/5 ▲ 2.1 Iowa average: 3.0/5
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.
5/5 ▲ 1.3 Iowa average: 3.7/5
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.
3/5 ▼ 0.5 Iowa average: 3.5/5

Staffing hours breakdown

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 — compared to Iowa state averages

Total nursing care / resident Info This home is ranked 20th out of 240 homes in Iowa.

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.
5h 34m per day
This facility Iowa avg (4h 25m per day)
vs Iowa avg
+26%

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 40
Avg. Length of Stay
127 days

Who this home usually serves

TYPE OF STAY

Mix 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.

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
$3.0M
Operating loss
-$68.8K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.4M
45.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.7M
Total costs $3.0M
Bed community size
40-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy

Occupancy rate
55%
In line with Iowa average
Occupied beds
22 / 40
Average residents 51 per day

License Details

Facility TypeFree Standing Nf/snf
StatusActive
CountyCerro Gordo
License Number170575
CMS Certification Number165406
Certification TypeFALSE

Ownership & Operating Entity

Rockwell Community Nursing Home is administrated by Kassidy Spurgin.

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Fax6418223200

Amenities & Lifestyle

0 amenities
Specific ProgramsPhysical, 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

Dining & Nutrition

Food DescriptionHome-Cooked Meals Featuring a Variety of Menu Choices
Meals IncludedYes

Contact Rockwell Community Nursing Home

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 Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date November 17, 2025

2 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Iowa average: 27 deficiencies

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 More info 0
100% better than Iowa average

Iowa average: 0.6


Serious Health citations More info 0
100% better than Iowa average

Iowa average: 0.9

0 critical citations More info Iowa average: 0.6

0 serious citations More info Iowa average: 0.9

1 moderate citation More info Iowa average: 19.7

0 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Sep 04, 2025
Corrected

Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

5 facilities compared · CMS & IA Dept. of Health data · Updated Apr 2026

Filter by care type
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.

Rockwell40 59.8% -21%5.57 -65%+30%011.0021--International Association Of Lions - 4091 Rockwell$2.9M$1.4M46.2%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.

Akron45 98.1% +30%4.71 +15%+10%042.0042--City Of Akron$4.7M$2.1M46.1%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.

Carlisle46 80.5% +7%5.85 -40%+36%0175.7239--American Healthcare Associates Inc$4.1M$2.5M59.9%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 Lake85 66.6% -12%4.29 -8%0%1217.0165---$7.1M$3.0M42.7%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 City46 70.4% -7%5.17 -33%+20%4393.9440--Accura Healthcare Of The Heartland Llc$2.0M$1.0M47.4%165082

Financial Assistance for
Nursing Home in Iowa

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Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+
General Iowa resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Rural focus; waitlists possible.

Benefits
In-home care (5-7 hours/day) Meals ($6/meal) Respite (240 hours/year) Adult day care ($60/day)

Iowa Family Caregiver Support

IA NFCSP

Age Caregiver of someone 60+
General Iowa resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
IA

Limited slots; rural emphasis.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled
General Iowa resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
IA

Three tiers; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+
General Iowa resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR, Medicaid-eligible
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+
General unemployed, low-income, Iowa resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
IA

Priority for veterans, rural residents.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Iowa resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
IA

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Able Up Iowa

Able Up Iowa

Age 65+ or disabled
General Iowa resident, ability to repay loan, need for assistive tech or mods.
Income Limits (2025) No strict limit; must demonstrate repayment capacity.
Asset Limits Not specified; credit-based.
IA

Loans up to $25,000; statewide via Easterseals partnership.

Benefits
Loans for wheelchairs Ramps Walk-in tubs (~$500-$10,000 avg.) Reducing reliance on paid care

Places of interest near Rockwell Community Nursing Home

Address 0.0 miles from city center Info Estimated distance in miles from Rockwell's city center to Rockwell Community Nursing Home's address, calculated via Google Maps.

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Address

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 average

Iowa average ratio: 2.00:1

Avg staff/day 18
Average shift 6.6 hours
11% worse than Iowa average

Iowa 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 Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 33
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.4 hours

This 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 Assistant2211334,16191100%6.4
Licensed Practical Nurse7292,00191100%6.8
Medication Aide/Technician5058967380%6.8
Registered Nurse3037798695%6.7
Administrator1014966268%8
Clinical Nurse Specialist2024385864%7.3
Speech Language Pathologist1124176369%4.8
Nurse Practitioner1013924954%8
Dietitian1013865257%7.4
Other Dietary Services Staff1013595257%6.9
Mental Health Service Worker1012082527%8.3
RN Director of Nursing202871213%6.2
Occupational Therapy Aide011391011%3.9
Physical Therapy Assistant022312527%1.2
Occupational Therapy Assistant0332244%5.4
Nurse Aide in Training1012133%6.9
Qualified Social Worker011131112%1.2
Respiratory Therapy Technician011111112%1
Physical Therapy Aide033567%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 residents 22
Medicare
3
13.6% of residents
Medicaid
7
31.8% of residents
Private pay or other
12
54.5% of residents
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.

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. 6.8
34% better 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. 12.8
41% better than Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.5%
23% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.9%
19% better 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 8.0%
69% better 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 0.0%
100% 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 0.0%
100% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.2%
29% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.6%
29% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.1%
73% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 27.4%
44% worse than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
18% better 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%

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