Rockwell Community Nursing Home

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Rockwell, IA

CMS overall rating

707 Elm Street, Rockwell, Ia 504690270 View map

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Rockwell Community Nursing Home accepts Medicare, Medicaid, and private pay.

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Rockwell Community Nursing Home accepts Medicare, Medicaid, and private pay.

Overview of Rockwell Community Nursing Home

Owned by the International Association of Lions, Rockwell Community Nursing Home is a nursing home providing rehabilitation and short-term nursing care. The 40-bed community serves residents recovering from illness, injury, and hospitalization who benefit from skilled nursing oversight and therapy services. Medicare, Medicaid, and private pay are accepted, giving families several options for arranging care.

The facility has an occupancy rate of 55%, which can support a more individualized care environment. Residents stay an average of 127 days because of the home’s role as a rehabilitation and recovery community. However, some residents transition into longer-term care when needed.

Daily nurse staffing averages 5 hours and 34 minutes per resident, so residents receive substantial support for their clinical and personal care needs. The nursing team regularly works with residents at different stages of recovery, from post-hospital rehabilitation to ongoing skilled nursing care.

Clinical services are a major part of the community’s care model. Physical therapy, occupational therapy, speech therapy, outpatient therapy services, restorative nursing, and lymphedema management are available on-site. Individual care plans and discharge planning guide each resident’s recovery goals.

The facility also offers respite care for families seeking temporary skilled nursing support for a loved one. Residents can join in group and individual activities, entertainment programs, and enjoy access to beauty and barber services. Home-cooked meals with a variety of menu options are also part of daily life.

The community is located in an area with a Walk Score of 32, where some nearby destinations may be reached on foot, but most travel requires transportation. State inspections show the home is compliant with health requirements.

Facility Direct Line (641) 822-3203

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

5h 34m per day

vs avg

2 of 6 metrics below state avg

Standout metric LPN / LVN is +93% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) 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.	56m per day	▲ 27% State avg: 44m per day · National avg: 41m per day
LPN / LVN 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.	1h 6m per day	▲ 93% State avg: 34m per day · National avg: 52m per day
Nurse Aide 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 15m per day	▼ 11% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing 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 52m per day	▲ 15% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist 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.	1m per day	▼ 67% State avg: 2m per day · National avg: 4m per day
Weekend RN 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.	40m per day	▲ 35% State avg: 30m per day · National avg: 28m per day

Capacity and availability

127 days

40-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 32 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

55%

Lower than the Iowa average: 75.4%

Occupied beds

22 / 40

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationJuly 28, 2026 Expires in 14 days

CountyCerro Gordo

License Number170575

CMS Certification Number165406

Certification TypeFALSE

Rockwell Community Nursing Home is administered by Kassidy Spurgin.

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Email rcnh@netins.net

Fax6418223200

Pets not allowed

Since 2020 · 6 years of data 3 deficiencies 12 inspections

Inspection Scorecard 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

Latest Inspection November 17, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	3	27	This facility has 89% fewer total deficiencies than a typical Iowa assisted living residence (3 vs. IA avg 27).↓ 89% better
Deficiencies per year Average deficiencies per year since 2020.	0.5	4.5	This facility has 89% fewer deficiencies per year than a typical Iowa assisted living residence (0.5 vs. IA avg 4.5).↓ 89% better
Deficiencies per inspection Average deficiencies per inspection.	0.3	1.8	This facility has 83% fewer deficiencies per inspection than a typical Iowa assisted living residence (0.3 vs. IA avg 1.8).↓ 83% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	12	15	This facility has had 20% fewer total inspections than the Iowa average (12 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 20% fewer

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The November 17, 2025 plan of correction was accepted, certifying the facility in compliance with health requirements effective September 6, 2025, with no deficiencies detailed.
The September 4, 2025 annual inspection found one deficiency for failing to have an RN on duty for at least 8 consecutive hours on three occasions and lacking a related policy.
Complaint investigations in 2024 and 2025, including May 19 and February 20, found no substantiated deficiencies or violations.

Show Inspection Reports

Inspections since 2025

Total health inspections 1

State average N/A

Last Health inspection on Sep 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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 1 year)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

1 moderate citation State average: N/A

0 minor citations State average: N/A

Citations history (last 1 year)

Nursing Services moderate citation Sep 04, 2025

Corrected

Total staff 54

Employees 43

Contractors 11

Staff to resident ratio 2.45 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 17

Average shift 6.5 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 10,184

Nursing staff breakdown

7.1 hours

7 hours

6.6 hours

Contractor staffing

253 contractor hours this quarter

Physical Therapy Assistant: 2 Occupational Therapy Assistant: 2 Certified Nursing Assistant: 1 Speech Language Pathologist: 1 Qualified Social Worker: 1 Respiratory Therapy Technician: 1 Occupational Therapy Aide: 1 Physical Therapy Aide: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	19	1	20	3,178	92	100%	6.6
Licensed Practical Nurse	6	0	6	1,965	92	100%	7
Medication Aide/Technician	5	0	5	1,124	86	93%	7.5
Registered Nurse	4	0	4	936	85	92%	7.1
Clinical Nurse Specialist	1	0	1	493	66	72%	7.5
Administrator	1	0	1	472	59	64%	8
Speech Language Pathologist	1	1	2	432	66	72%	3.6
Dietitian	1	0	1	393	53	58%	7.4
Other Dietary Services Staff	1	0	1	362	50	54%	7.2
Nurse Practitioner	1	0	1	357	47	51%	7.6
Mental Health Service Worker	1	0	1	175	21	23%	8.3
RN Director of Nursing	2	0	2	125	20	22%	5.9
Physical Therapy Assistant	0	2	2	62	51	55%	1.2
Occupational Therapy Aide	0	1	1	43	12	13%	3.6
Qualified Social Worker	0	1	1	22	19	21%	1.1
Respiratory Therapy Technician	0	1	1	21	19	21%	1.1
Occupational Therapy Assistant	0	2	2	17	3	3%	5.6
Physical Therapy Aide	0	1	1	8	9	10%	0.9
Medical Director	0	1	1	1	1	1%	1

20 Certified Nursing Assistant

% of Days 100%

6 Licensed Practical Nurse

% of Days 100%

5 Medication Aide/Technician

% of Days 93%

4 Registered Nurse

% of Days 92%

1 Clinical Nurse Specialist

% of Days 72%

1 Administrator

% of Days 64%

2 Speech Language Pathologist

% of Days 72%

1 Dietitian

% of Days 58%

1 Other Dietary Services Staff

% of Days 54%

1 Nurse Practitioner

% of Days 51%

1 Mental Health Service Worker

% of Days 23%

2 RN Director of Nursing

% of Days 22%

2 Physical Therapy Assistant

% of Days 55%

1 Occupational Therapy Aide

% of Days 13%

1 Qualified Social Worker

% of Days 21%

1 Respiratory Therapy Technician

% of Days 21%

2 Occupational Therapy Assistant

% of Days 3%

1 Physical Therapy Aide

% of Days 10%

1 Medical Director

% of Days 1%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 6.8

34% better than State average

State average: 10.2

Functional decline score 12.8

41% better than State average

State average: 21.6

Long-stay resident measures

Above average State avg: 3.3

Need for Help with Daily Activities Increased 14.5%

23% better than State average

State average: 18.8%

Walking Ability Worsened 15.9%

19% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 8.0%

69% better than State average

State average: 26.2%

Falls with Major Injury 0.0%

100% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 0.0%

100% better than State average

State average: 4.4%

Urinary Tract Infection 3.2%

29% worse than State average

State average: 2.5%

Lost Too Much Weight 3.6%

29% better than State average

State average: 5.0%

Depressive Symptoms 1.1%

73% better than State average

State average: 3.9%

Antipsychotic Use 27.4%

44% worse than State average

State average: 19.0%

Pneumococcal Vaccine 100.0%

6% better than State average

State average: 94.4%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.3%

Hospitalizations per 1,000 days 0.75

49% better than State average

State average: 1.48

ED visits per 1,000 days 1.95

7% better than State average

State average: 2.09

Short-stay resident measures

Significantly below average State avg: 2.6

Pneumococcal Vaccine 100.0%

18% better than State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 28.6%

47% worse than State average

State average: 53.7%

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

Total residents 22

Medicare

13.6% of residents

Medicaid

31.8% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Rockwell Community Nursing Home from 2012–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 59.8% ↑ 2.9pp vs 2023

Net Patient Income -$87.2K ↑ ~$83.9K vs 2023

Payroll Costs $1.6M ↑ ~$86.8K vs 2023

Operating Margin -3.3% ↑ 4.6pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	82.0%	82.0%	80.3%	76.9%	68.8%	62.7%	59.9%	53.0%	54.0%	49.0%	55.4%	56.9%	59.8%
Beds	46	46	46	46	46	46	46	46	46	46	40	40	40
Net Income	$48,728	-$40,233	$23,652	-$29,789	-$160,113	-$42,001	-$19,821	$15,044	-$967	$110,325	-$126,341	-$163,740	-$68,769
Gross Revenue	$2,251,731	$2,202,888	$2,533,276	$2,459,031	$2,394,868	$2,245,855	$2,324,475	$2,229,172	$2,382,451	$2,115,458	$2,336,258	$2,341,378	$2,925,343
Operating Expenses	$2,108,982	$2,202,915	$2,320,779	$2,368,582	$2,413,840	$2,186,032	$2,238,840	$2,114,614	$2,157,084	$2,141,278	$2,288,307	$2,322,748	$2,716,966
Net Patient Income	$13,575	-$81,268	-$3,650	-$63,723	-$187,185	-$73,412	-$46,258	-$21,492	$75,204	-$162,560	-$139,630	-$171,130	-$87,212
Net Patient Revenue	$2,122,557	$2,121,647	$2,317,129	$2,304,859	$2,226,655	$2,112,620	$2,192,582	$2,093,122	$2,232,288	$1,978,718	$2,148,677	$2,151,618	$2,629,754
Payroll Costs	$1,509,235	$1,619,820	$1,681,985	$1,731,542	$1,787,085	$1,604,698	$1,480,936	$1,522,981	$1,502,352	$1,433,053	$1,449,872	$1,468,678	$1,555,460
Operating Margin %	0.6%	-3.8%	-0.2%	-2.8%	-8.4%	-3.5%	-2.1%	-1.0%	3.4%	-8.2%	-6.5%	-8.0%	-3.3%
Medicare %	3.4%	2.5%	6.2%	4.6%	3.8%	3.4%	4.4%	5.2%	4.0%	5.8%	8.2%	3.3%	5.9%
Medicaid %	31.8%	25.9%	21.6%	27.6%	31.1%	31.3%	33.0%	32.7%	47.4%	51.7%	48.8%	49.4%	48.9%
Private %	64.8%	71.5%	72.2%	67.8%	65.1%	65.4%	62.5%	62.1%	48.6%	42.5%	43.0%	47.3%	45.2%
Net Patient Revenue/Day	$154	$154	$172	$179	$192	$201	$218	$235	$246	$241	$263	$259	$301
Cost/Day	$153	$160	$172	$184	$208	$208	$223	$237	$237	$260	$280	$280	$311
Avg Length of Stay	200.0 days	199.6 days	187.2 days	189.8 days	175.4 days	181.6 days	159.6 days	80.2 days	104.5 days	210.9 days	100.9 days	415.3 days	126.8 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Net patient revenue

$2.6M

Net patient income

-$87.2K

For-profit Corporation

Net patient revenue

$2.6M

Net patient income

-$87.2K

Other income

$68.5K

Payroll costs

$1.6M 59.1% of net patient revenue

Other operating costs

$1.2M

Total costs

$2.7M

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.

Most new residents arrive under private pay (50% of admissions), and a typical private pay stay runs around 3 - 4 months.

Coverage residents most often arrive under.

Medicare 37%

Private pay 50%

Medicaid 13%

Coverage residents most often leave under.

Medicare 36%

Private pay 51%

Medicaid 13%

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

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


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
Sunrise Retirement Community	NH AL IL MC RC SNF	Sioux City	-	74	A+	22	Studio
Green Hills Retirement Community	NH AL IL MC SNF	Ames (Hamilton Drive)	-	56	-	18	1 Bed / 2 Bed
Meth Wick Community	NH AL IL MC RC SNF	Cedar Rapids (The Meth-Wick Community)	-	69	-	23	-
Rockwell Community Nursing Home	NH HOS RC SNF	Rockwell	-	40	-	32	-

Nursing Home Explorer

Is Rockwell Community Nursing Home in a walkable area?

Rockwell Community Nursing Home has a walk score of 32. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Rockwell Community Nursing Home?

According to IA state health department records, Rockwell Community Nursing Home's license number is 170575.

When does Rockwell Community Nursing Home's license expire?

According to IA state health department records, Rockwell Community Nursing Home's license expires on July 28, 2026.

What is the occupancy rate at Rockwell Community Nursing Home?

Rockwell Community Nursing Home's occupancy is 55%.

Are pets allowed at Rockwell Community Nursing Home?

No, Rockwell Community Nursing Home has a no-pet policy.

What is the best email address for Rockwell Community Nursing Home?

The team at Rockwell Community Nursing Home can be reached at rcnh@netins.net.

Does Rockwell Community Nursing Home operate as a for-profit or non-profit?

Rockwell Community Nursing Home is registered as a for-profit in IA.

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Rockwell Community Nursing Home

Overview of Rockwell Community Nursing Home

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Rockwell Community Nursing Home

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

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

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2025

Breakdown of citation severity (last 1 year)

Citations history (last 1 year)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

20 Certified Nursing Assistant

6 Licensed Practical Nurse

5 Medication Aide/Technician

4 Registered Nurse

1 Clinical Nurse Specialist

1 Administrator

2 Speech Language Pathologist

1 Dietitian

1 Other Dietary Services Staff

1 Nurse Practitioner

1 Mental Health Service Worker

2 RN Director of Nursing

2 Physical Therapy Assistant

1 Occupational Therapy Aide

1 Qualified Social Worker

1 Respiratory Therapy Technician

2 Occupational Therapy Assistant

1 Physical Therapy Aide

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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