Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
64
43 employees · 21 contractors · 20 on an average day Rotary Senior Living
Nursing Home, Assisted Living, Independent Living, Memory Care & Residential Care · Eagle Grove, IA
ALM Inspection Grade
C
ALM's inspection grade is 76 / 100, a C — a combined grade: its CMS-certified nursing-home beds and its state-licensed beds, weighted by bed count · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 76 / 100, a C — a combined grade: its CMS-certified nursing-home beds and its state-licensed beds, weighted by bed count · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
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.
3/5
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.
Rotary Senior Living
Nursing Home, Assisted Living, Independent Living, Memory Care & Residential Care · Eagle Grove, IA
ALM Inspection Grade
C
ALM's inspection grade is 76 / 100, a C — a combined grade: its CMS-certified nursing-home beds and its state-licensed beds, weighted by bed count · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 76 / 100, a C — a combined grade: its CMS-certified nursing-home beds and its state-licensed beds, weighted by bed count · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
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.
3/5
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.
Rotary Senior Living accepts Medicare, Medicaid, and private pay.
Find all the care you need with the astounding senior living community of Rotary Senior Living in Eagle Grove, IA, which offers an array of care options including assisted living, independent living, memory care, long-term care, and rehabilitation. With its dedication to delivering the highest quality of care and support, the community provides a team of licensed and well-trained professionals helping seniors with their needs 24/7. Families can also rest easy with the knowledge that their loved ones are well-cared for.
The community fosters a vibrant and welcoming environment, ensuring residents have the freedom to live as they please. Healthy and delicious meals await residents every mealtime for a delightful dining experience. Rotary Senior Living is great for seniors looking to enjoy their golden years in one place.
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 65th out of 225 nursing homes we track 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 50m
This nursing home is ranked 65th out of 225 nursing homes we track 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 50mStandout metric: LPN / LVN is +113% above Iowa average
2 of 6 metrics below Iowa average
Daily care time per resident, by role
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. 8 total: 1 of the facility's own employee and 7 agency contractors.
8 staff · 11.6-hour shifts
38m
↓ 15% · IA 44mThis facility: 38m per resident per day, 15% below the Iowa average of 44m (among Iowa facilities reporting a recent figure).
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. 8 total: 1 of the facility's own employee and 7 agency contractors.
8 staff · 11.6-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 11 total: 7 of the facility's own employees and 4 agency contractors.
11 staff · 8.2-hour shifts
1h 12m
↑ 113% · IA 34mThis facility: 1h 12m per resident per day, 113% above the Iowa average of 34m (among Iowa facilities reporting a recent figure).
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. 11 total: 7 of the facility's own employees and 4 agency contractors.
11 staff · 8.2-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 26 are the facility's own employees; no agency contractors work in this role.
26 staff · 7.6-hour shifts
3h 0m
↑ 19% · IA 2h 32mThis facility: 3h 0m per resident per day, 19% above the Iowa average of 2h 32m (among Iowa facilities reporting a recent figure).
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. All 26 are the facility's own employees; no agency contractors work in this role.
26 staff · 7.6-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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.
4m
↑ 111% · IA 2mThis facility: 4m per resident per day, 111% above the Iowa average of 2m (among Iowa facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
4h 18m
↑ 28% · IA 3h 21mThis facility: 4h 18m per resident per day, 28% above the Iowa average of 3h 21m (among Iowa facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
24m
↓ 20% · IA 30mThis facility: 24m per resident per day, 20% below the Iowa average of 30m (among Iowa facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
64
43 employees · 21 contractors · 20 on an average day
64 total staff / 27 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.37 : 1
↑ 16% · IA 2.04This facility: 2.37 staff per resident, 16% above the Iowa average of 2.04 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
64 staff ÷ 27 residents
See full Iowa ranking →
Average hours one staff member works on a day they are on shift, across every role.
6.9 h
↓ 8% · IA 7.5 hThis facility: 6.9 h, 8% below the Iowa average of 7.5 h (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
12,565 staff hours this quarter
See full Iowa ranking →83.9% of staff hours were worked by the facility's own employees
Iowa average: 92.3% · Contractors this quarter: Registered Nurse (7), Licensed Practical Nurse (4), Qualified Social Worker (2), Speech Language Pathologist (1), Respiratory Therapy Technician (1), Physical Therapy Aide (1), Administrator (1), Physical Therapy Assistant (1), Medical Director (1), Occupational Therapy Aide (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
86
Rank #52 / 238Bed count — State benchmarked This nursing home is ranked 52nd out of 238 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
86
Rank #52 / 238Bed count — State benchmarked This nursing home is ranked 52nd out of 238 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
46 nursing-home beds (CMS) + 40 state-licensed beds.
Years of operating
An established community with some operational experience and growing routines. This is the number of years in operation under current management.
Rank #87 / 118Years in operation — State benchmarked This nursing home is ranked 87th out of 118 nursing homes we track in Iowa for years in operation. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
An established community with some operational experience and growing routines. This is the number of years in operation under current management.
Rank #87 / 118Years in operation — State benchmarked This nursing home is ranked 87th out of 118 nursing homes we track in Iowa for years in operation. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
7
years
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #203 / 249Walk Score — State benchmarked This nursing home is ranked 203rd out of 249 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #203 / 249Walk Score — State benchmarked This nursing home is ranked 203rd out of 249 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
24
/ 100
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
30
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Avg. Length of Stay
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.
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.
146
days
About This Community
StatusActive
IssuanceMay 14, 2019
ExpirationMay 1, 2027
CountyWright
License NumberS0407
Year Opened05/14/2019
Rotary Senior Living is administered by Amy Castro.
Resident Council
Outpatient Therapy
Appointment Coordination
Tray Service
Housekeeping
Laundry & Linen
TransportationListed as: Transportation coordination
Emergency Call System
Fax5154485167
Pets not allowed
Continuing Care Retirement Community (CCRC)
Wellness Center
Swimming Pool
Sun Room
Courtyard
Garden
Dining & Nutrition
Sourced directly from the team at Rotary Senior Living.
Dining & Nutrition
Sourced directly from the team at Rotary Senior Living.- In-room dining available.
Building TypeSingle-story
Room Types
Private Rooms
Two inspection records, one community. The state inspects its 40 state-licensed beds; CMS inspects its 46 nursing-home beds.
Inspection History and the Inspection Scorecard below are the state record. CMS Health Inspection History, further down, is the federal record. Each covers only its own beds, visits and dates, so the totals are not meant to match, and nothing is counted twice.
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.
ALM Inspection Grade
76 / 100
Combined grade: CMS inspection data for this community's nursing-home beds and
Iowa inspection data for its
state-licensed beds, weighted by bed count
How the two records combine
Nursing-home beds (CMS) · 53% of the grade
C- · 70/100
13 points below the Iowa average for CMS-certified facilities (83/100).
46 certified beds, 53% of the grade. Graded with CMS-certified facilities on the national scale.
Citations
Typical
65 severity-weighted points (22 deficiencies) · 65% higher than the typical CMS-certified IA facility (median: 39)
Enforcement
Concern
$65,036 in fines · 1 enforcement action
Persistence
Typical
16 days to fix issues · faster than the typical CMS-certified IA facility (median: 21)
Iowa state-licensed beds · 47% of the grade
B · 83/100
In line with the Iowa average for state-licensed facilities (83/100).
40 licensed beds, 47% of the grade. Graded with Iowa state-licensed facilities on the Iowa scale.
Violations
Typical
1.7 violations per inspection (5 in 3 inspections) · 11% more than the typical state-licensed IA facility (median: 1.5)
How the final grade is calculated
C · 76/100
70 × 53% + 83 × 47% = 76 / 100
The two grades are combined in proportion to the beds each record covers: 46 CMS-certified nursing-home beds (53%) and 40 Iowa state-licensed beds (47%). The result, 76 out of 100, is a C on the same scale every ALM Inspection Grade uses.
Inspection Scorecard
This scorecard compares key inspection, violation, 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.
Overall vs. IA average
0 Worse
No metrics in this bucket.
3 Better
Metrics better than Iowa average:
• Violations (79% below)
• State violations (28% below)
• Violations per inspection (19% below)
• Violations (79% below)
• State violations (28% below)
• Violations per inspection (19% below)
Violations
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Violations
Total violations cited across all inspections on record. Iowa reports these as a federal and a state component, shown below; the two add up to this total.
| 5 | 23.4 | This facility has 79% fewer violations than a typical Iowa nursing home (5 vs. IA avg 23.4).↓ 79% better |
|
State violations
Part of the Violations total above — the share cited under Iowa state licensing requirements. Federal + state add up to the total.
| 5 | 6.9 | This facility has 28% fewer state violations than a typical Iowa nursing home (5 vs. IA avg 6.9).↓ 28% better |
|
Violations per inspection
Average violations per inspection.
| 1.3 | 1.6 | This facility has 19% fewer violations per inspection than a typical Iowa nursing home (1.3 vs. IA avg 1.6).↓ 19% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 4 | 12.7 | This facility has had 69% fewer total inspections than the Iowa average (4 vs. IA avg 12.7). More inspections can mean more regulatory scrutiny rather than worse care.↓ 69% fewer |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
5
≈ 0% · IA 5This facility: 5, level with the IA average of 5 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
15
Rank #101 / 227Health citations — State benchmarked This nursing home is ranked 101st out of 227 nursing homes we track in Iowa for health citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 227 IA facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 28% · IA 20.7This facility: 15, 28% below the IA average of 20.7 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
3
Rank #81 / 227Citations per inspection — State benchmarked This nursing home is ranked 81st out of 227 nursing homes we track in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 227 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 22% · IA 3.83This facility: 3, 22% below the IA average of 3.83 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
15 of 15 citations corrected
Critical
J–L
1
↑ 100% · IA 0.5This facility: 1, 100% above the IA average of 0.5 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↑ 11% · IA 0.9This facility: 1, 11% above the IA average of 0.9 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
10
↓ 47% · IA 19This facility: 10, 47% below the IA average of 19 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
3
↑ 900% · IA 0.3This facility: 3, 900% above the IA average of 0.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Jul 23, 2026 · 3 citations, all corrected
Most cited category: Resident Rights, 5 of 15 citations · 7 categories in total
Citations history
Most recent first
Jul 23, 2026
3 citations
Resident Rights moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Mar 17, 2026
3 citations
Pharmacy critical citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Feb 19, 2025
3 citations
Quality of Care serious citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Jul 18, 2024
5 citations
Care Planning moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Resident Rights minor citation
Corrected
Corrected
Resident Rights minor citation
Corrected
Corrected
Resident Rights minor citation
Corrected
Corrected
Apr 11, 2024
1 citation
Pharmacy moderate citation
Corrected
Corrected
Top deficiency categories
Share of 15 citations
Resident Rights
5 deficiencies (33%)
Abuse, Neglect & Exploitation
3 deficiencies (20%)
Quality of Life & Care
2 deficiencies (13%)
Pharmacy Services
2 deficiencies (13%)
Resident Assessment & Care Planning
1 deficiency (7%)
Nutrition & Dietary
1 deficiency (7%)
Nursing & Physician Services
1 deficiency (7%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
5 of 15 citations resulted from standard inspections; 7 of 15 resulted from complaint investigations; and 3 of 15 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
Enforcement
Penalties and fines
Penalties and fines
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 Oct 2026
1 penalty in the past 3 years
Latest: Mar 17, 2026 · $65,036 civil money penalty
Mar 17, 2026 · $65,036 civil money penalty
Total fines
$65,036
↑ 43% · IA $45KThis facility: $65,036, 43% above the Iowa average of $45,482. Average among the 160 Iowa facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #203 / 230Federal fines — State benchmarked This nursing home is ranked 203rd out of 230 nursing homes we track 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 230 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 29% · IA 1.4This facility: 1, 29% below the Iowa average of 1.4. Average among the 160 Iowa facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
IA avg 0.44Iowa average: 0.44. Average among the 160 Iowa facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Mar 17, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$65,036
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$65,036Fine amount comparison
This facility
$65,036
Iowa average
$45,482
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Iowa and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Iowa average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
9.7
Score · lower is better
↑ 10% · IA 8.8This facility: 9.7, 10% above the IA average of 8.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
20.8
Score · lower is better
↑ 10% · IA 18.9This facility: 20.8, 10% above the IA average of 18.9 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 5 worse, 1 near IA average
7 short-stay measures: 3 better, 1 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
20.9%
↑ 26% · IA 16.6This facility: 20.9, 26% above the IA average of 16.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
20.9%
↑ 26% · IA 16.6This facility: 20.9, 26% above the IA average of 16.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
13.5%
↓ 11% · IA 15.2This facility: 13.5, 11% below the IA average of 15.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
13.5%
↓ 11% · IA 15.2This facility: 13.5, 11% below the IA average of 15.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.1%
↑ 12% · IA 25.0This facility: 28.1, 12% above the IA average of 25.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.1%
↑ 12% · IA 25.0This facility: 28.1, 12% above the IA average of 25.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.8%
↓ 66% · IA 2.4This facility: 0.8, 66% below the IA average of 2.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.8%
↓ 66% · IA 2.4This facility: 0.8, 66% below the IA average of 2.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
↑ 23% · IA 3.9This facility: 4.8, 23% above the IA average of 3.9 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
↑ 23% · IA 3.9This facility: 4.8, 23% above the IA average of 3.9 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
5.2%
↑ 26% · IA 4.1This facility: 5.2, 26% above the IA average of 4.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
5.2%
↑ 26% · IA 4.1This facility: 5.2, 26% above the IA average of 4.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
4.2%
↓ 5% · IA 4.4This facility: 4.2, 5% below the IA average of 4.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
4.2%
↓ 5% · IA 4.4This facility: 4.2, 5% below the IA average of 4.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
1.8%
↓ 57% · IA 4.2This facility: 1.8, 57% below the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
1.8%
↓ 57% · IA 4.2This facility: 1.8, 57% below the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
16.0%
↓ 19% · IA 19.8This facility: 16.0, 19% below the IA average of 19.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
16.0%
↓ 19% · IA 19.8This facility: 16.0, 19% below the IA average of 19.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 6% · IA 94.2This facility: 100.0, 6% above the IA average of 94.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 6% · IA 94.2This facility: 100.0, 6% above the IA average of 94.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.0%
↑ 1% · IA 95.8This facility: 97.0, 1% above the IA average of 95.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.0%
↑ 1% · IA 95.8This facility: 97.0, 1% above the IA average of 95.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.91
↓ 39% · IA 1.48This facility: 0.91, 39% below the IA average of 1.48 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
0.91
↓ 39% · IA 1.48This facility: 0.91, 39% below the IA average of 1.48 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.86
↑ 37% · IA 2.09This facility: 2.86, 37% above the IA average of 2.09 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.86
↑ 37% · IA 2.09This facility: 2.86, 37% above the IA average of 2.09 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 7 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
63.6%
↑ 19% · US 53.7This facility: 63.6, 19% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
63.6%
↑ 19% · US 53.7This facility: 63.6, 19% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
43.1%
↓ 15% · US 50.6This facility: 43.1, 15% below the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
43.1%
↓ 15% · US 50.6This facility: 43.1, 15% below the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
3.7%
↑ 381% · US 0.8This facility: 3.7, 381% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
3.7%
↑ 381% · US 0.8This facility: 3.7, 381% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · IA 2.1This facility: 0.0, 100% below the IA average of 2.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · IA 2.1This facility: 0.0, 100% below the IA average of 2.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 19% · IA 84.0This facility: 100.0, 19% above the IA average of 84.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 19% · IA 84.0This facility: 100.0, 19% above the IA average of 84.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
32.0%
↑ 50% · IA 21.3This facility: 32.0, 50% above the IA average of 21.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
32.0%
↑ 50% · IA 21.3This facility: 32.0, 50% above the IA average of 21.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
11.2%
↓ 15% · IA 13.1This facility: 11.2, 15% below the IA average of 13.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
11.2%
↓ 15% · IA 13.1This facility: 11.2, 15% below the IA average of 13.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Rotary Senior Living’s finances from its CMS cost report for the fiscal year ending June 2025, compared with 223 Iowa nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Jun 2025
Is it financially stable?
Losing money on care, and more than last year
−14.7% operating margin
−3.7 pts vs prior year
An operating loss in 5 of the last 8 reported years. Other income ($0.1M) trims the net loss to −$0.6M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Iowa homes
60.9% payroll share of revenue
IA average 60.9%Rank #93 / 223Payroll % of net patient revenue — State benchmarked This nursing home is ranked 93rd out of 223 nursing homes we track in Iowa for payroll % of net patient revenue. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.1M while revenue fell $0.3M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Iowa homes.
Revenue & profit
Losing money on care
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $4.8M | −$0.3M | Trend 20182025 | IA median $6.3M | Rank in IA Rank #155 / 223Net patient revenue — State benchmarked This nursing home is ranked 155th out of 223 nursing homes we track in Iowa for net patient revenue. 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 %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 31% of homes | Below IA median Higher net patient revenue than 31% of IA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $5.5M | −$0.2M | Trend 20182025 | IA median $6.4M | Rank in IA Rank #139 / 223Operating expenses — State benchmarked This nursing home is ranked 139th out of 223 nursing homes we track in Iowa for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Iowa homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 38% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.7M | −$0.1M | Trend 20182025 | IA median −$0.0M | Rank in IA Rank #181 / 223Net patient income — State benchmarked This nursing home is ranked 181st out of 223 nursing homes we track in Iowa for net patient income. Shows net patient revenue minus operating expenses, compared with other Iowa homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 19% of homes | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −14.7% | −3.7 pts | Trend 20182025 | IA median −0.3% | Rank in IA Rank #190 / 223Operating margin — State benchmarked This nursing home is ranked 190th out of 223 nursing homes we track in Iowa for operating margin. Shows net patient income as a share of net patient revenue, compared with other Iowa homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 15% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | IA median $0.0M | Rank in IA Rank #68 / 204Other income — State benchmarked This nursing home is ranked 68th out of 204 nursing homes we track in Iowa for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Iowa homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 67% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.6M | −$0.1M | Trend — | IA median $0.0M | Rank in IA Rank #195 / 223Net income — State benchmarked This nursing home is ranked 195th out of 223 nursing homes we track in Iowa for net income. Shows the bottom line after other income, compared with other Iowa homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 13% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Staff spending in line with Iowa homes
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $2.9M | +$0.1M | Trend 20182025 | IA median $3.8M | Rank in IA Rank #153 / 223Payroll costs — State benchmarked This nursing home is ranked 153rd out of 223 nursing homes we track in Iowa for payroll costs. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 32% of homes | Below IA median Higher payroll than 32% of IA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 60.9% | +5.4 pts | Trend 20182025 | IA median 59.0% | Rank in IA Rank #93 / 223Payroll % of net patient revenue — State benchmarked This nursing home is ranked 93rd out of 223 nursing homes we track in Iowa for payroll % of net patient revenue. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 59% of homes | Near IA average The IA average is 60.9% of revenue. Within 3 points of it reads as near the average. |
Charts, 2018–2025 2 charts · IA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Iowa payroll average.
% of net patient revenue
Payroll share Operating margin IA payroll average
Year-by-year data, 2018–2025 every reported year · latest first, scroll sideways
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $2.8M | $2.8M | $2.9M | $2.7M | $2.7M | $3.3M | $5.1M | $4.8M |
| Operating expenses | $2.9M | $2.8M | $2.6M | $2.8M | $2.9M | $3.3M | $5.6M | $5.5M |
| Net patient income | −$0.1M | $0.0M | $0.3M | −$0.1M | −$0.2M | $0.0M | −$0.6M | −$0.7M |
| Operating margin | −2.2% | 1.2% | 9.8% | −3.0% | −7.9% | 0.9% | −11.0% | −14.7% |
| Net income | −$0.1M | $0.0M | $0.3M | $0.3M | −$0.2M | −$0.0M | −$0.5M | −$0.6M |
| Payroll costs | $1.7M | $1.8M | $1.7M | $1.6M | $1.5M | $1.8M | $2.8M | $2.9M |
| Payroll share of revenue | 60.2% | 63.4% | 59.7% | 59.6% | 56.2% | 54.0% | 55.5% | 60.9% |
| Beds | 46 | 46 | 46 | 46 | 46 | 46 | 46 | 46 |
| Gross revenue | $3.1M | $3.1M | $3.0M | $2.9M | $3.0M | $3.5M | $5.4M | $5.0M |
| Salaries | $1.5M | $1.6M | $1.5M | $1.4M | $1.3M | $1.6M | $2.6M | $2.7M |
| Wage-related costs | $0.2M | $0.2M | $0.2M | $0.2M | $0.2M | $0.2M | $0.2M | $0.2M |
| Contract labor | $0.3M | $0.2M | $0.1M | $0.3M | $0.5M | $0.6M | $0.8M | $0.6M |
| Other operating costs | $1.2M | $1.0M | $0.9M | $1.2M | $1.4M | $1.5M | $2.8M | $2.6M |
| Net patient revenue per day | $200 | $210 | $233 | $262 | $256 | $268 | $400 | $423 |
| Cost per day | $204 | $208 | $210 | $270 | $277 | $266 | $444 | $485 |
| Average length of stay | 330.4 days | 315.2 days | 265.4 days | 219.3 days | 252.1 days | 315.9 days | 218.4 days | 146.0 days |
Showing 2025–2023 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
76 admissions · FY2025
Residents admitted during the year.
Medicare
23 · 30%
Medicaid
16 · 21%
Private pay & other
37 · 49%
Resident snapshot
27 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
1 · 4%
Medicaid
11 · 41%
Private pay & other
15 · 56%
Leaving
77 discharges · FY2025
Residents discharged during the year.
Medicare
21 · 27%
Medicaid
12 · 16%
Private pay & other
44 · 57%
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.
Places of interest near Rotary Senior Living
0.9 miles from city center
Estimated distance in miles from Eagle Grove's city center to Rotary Senior Living's address, calculated via Google Maps.
Calculate Travel Distance to Rotary Senior Living
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Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RESC (Residential Care):
Personal care and daily-living support in a smaller, more intimate residential setting.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Friendship Village | NH AL IL MC SNF | Waterloo | 72
Facility
72
IA AVG
70
Rank
#84 / 238 | ? |
83.3%
Facility
83.3%
IA AVG
79%
Rank
#102 / 225 | +5% | - | -6% | - | $0
Facility
$0
IA AVG
$52.4k
Rank
#1 / 230 | 10
Facility
10
IA AVG
20.7
Rank
#61 / 227 | 2.0
Facility
2.0
IA AVG
3.8
Rank
#32 / 227 | 1 | 60 | - |
52
Facility
52
IA AVG
50
Rank
#108 / 249 | Friends Of Faith Retirement Homes, Inc | $15.4MFiscal year ending 03/2025
Facility
$15.4MFiscal year ending 03/2025
IA AVG
$7.4M
Rank
#11 / 223 | $11.8MFiscal year ending 03/2025
Facility
$11.8MFiscal year ending 03/2025
IA AVG
$4.5M
Rank
#6 / 223 | 76.4%Fiscal year ending 03/2025
Facility
76.4%Fiscal year ending 03/2025
IA AVG
60.9%
Rank
#16 / 223 | 165081 | ||||
| St Francis Manor | NH AL HOS SNF | Grinnell | 78
Facility
78
IA AVG
70
Rank
#68 / 238 | ? |
69.2%
Facility
69.2%
IA AVG
79%
Rank
#184 / 225 | -12% | 5.41
Facility
5.41
IA AVG
4.45
Rank
#23 / 225 | +6% | +22% | $0
Facility
$0
IA AVG
$52.4k
Rank
#1 / 230 | 1
Facility
1
IA AVG
20.7
Rank
#1 / 227 | 1.0
Facility
1.0
IA AVG
3.8
Rank
#1 / 227 | - | 54 | - |
82
Facility
82
IA AVG
50
Rank
#27 / 249 | St Francis Manor Inc | $7.5MFiscal year ending 12/2024
Facility
$7.5MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#84 / 223 | $5.1MFiscal year ending 12/2024
Facility
$5.1MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#60 / 223 | 68.7%Fiscal year ending 12/2024
Facility
68.7%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#35 / 223 | 165480 | ||||
| Heritage House | NH ADC AL IL MC SNF | Atlantic | 169
Facility
169
IA AVG
70
Rank
#3 / 238 | ? |
57.4%
Facility
57.4%
IA AVG
79%
Rank
#201 / 225 | -27% | 4.81
Facility
4.81
IA AVG
4.45
Rank
#65 / 225 | +6% | +8% | $0
Facility
$0
IA AVG
$52.4k
Rank
#1 / 230 | 11
Facility
11
IA AVG
20.7
Rank
#68 / 227 | 5.5
Facility
5.5
IA AVG
3.8
Rank
#176 / 227 | - | 62 | - |
73
Facility
73
IA AVG
50
Rank
#56 / 249 | - | $6.8MFiscal year ending 12/2024
Facility
$6.8MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#101 / 223 | $7.0MFiscal year ending 12/2024
Facility
$7.0MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#30 / 223 | 103.1%Fiscal year ending 12/2024
Facility
103.1%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#3 / 223 | 165561 | ||||
| Stonehill Care Center | NH AL IL MC SNF | Dubuque | 185
Facility
185
IA AVG
70
Rank
#2 / 238 | ? |
86.4%
Facility
86.4%
IA AVG
79%
Rank
#79 / 225 | +9% | 4.06
Facility
4.06
IA AVG
4.45
Rank
#136 / 225 | +1% | -9% | $0
Facility
$0
IA AVG
$52.4k
Rank
#1 / 230 | 4
Facility
4
IA AVG
20.7
Rank
#17 / 227 | 2.0
Facility
2.0
IA AVG
3.8
Rank
#32 / 227 | - | 160 | - |
89
Facility
89
IA AVG
50
Rank
#12 / 249 | Peggy Stockel | $29.1MFiscal year ending 06/2025
Facility
$29.1MFiscal year ending 06/2025
IA AVG
$7.4M
Rank
#2 / 223 | $17.2MFiscal year ending 06/2025
Facility
$17.2MFiscal year ending 06/2025
IA AVG
$4.5M
Rank
#2 / 223 | 59.1%Fiscal year ending 06/2025
Facility
59.1%Fiscal year ending 06/2025
IA AVG
60.9%
Rank
#110 / 223 | 165471 | ||||
| Rotary Senior Living | NH AL IL MC RESC | Eagle Grove | 86
Facility
86
IA AVG
70
Rank
#52 / 238 | C | - | - | 4.83
Facility
4.83
IA AVG
4.45
Rank
#65 / 225 | +5% | +9% | $65.0k
Facility
$65.0k
IA AVG
$52.4k
Rank
#203 / 230 | 15
Facility
15
IA AVG
20.7
Rank
#101 / 227 | 3.0
Facility
3.0
IA AVG
3.8
Rank
#81 / 227 | 2 | 30 | - |
24
Facility
24
IA AVG
50
Rank
#203 / 249 | James Christ | $4.8MFiscal year ending 06/2025
Facility
$4.8MFiscal year ending 06/2025
IA AVG
$7.4M
Rank
#155 / 223 | $2.9MFiscal year ending 06/2025
Facility
$2.9MFiscal year ending 06/2025
IA AVG
$4.5M
Rank
#153 / 223 | 60.9%Fiscal year ending 06/2025
Facility
60.9%Fiscal year ending 06/2025
IA AVG
60.9%
Rank
#93 / 223 | 165500 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other IA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Iowa
Rotary Senior Living is in Eagle Grove, Iowa. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
VA Pension Aid and Attendance and Housebound Benefits (Federal)
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- No single monthly income cutoff. VA compares countable annual income, after permitted deductions, with the applicable Maximum Annual Pension Rate for the household and benefit category.
- Asset limit
- Net-worth limit is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus annual income; exclusions and transfer rules apply.
Eligibility
- General
- Veterans or eligible survivors who qualify for VA Pension or Survivors Pension and meet the additional Aid and Attendance or Housebound criteria. Service, discharge, family status and pension eligibility rules also apply.
- IA specifics
- A federal VA pension benefit; Aid and Attendance and Housebound enhancements cannot be received together.
What it provides
- A higher pension ceiling for eligible Aid and Attendance or Housebound recipients. Actual pension equals the applicable annual maximum minus countable income; the two enhancements cannot be paid together.
State Supplementary Assistance (SSA)
Iowa State Supplementary Assistance (SSA)
- Income limit
- Below the income limit for the relevant SSA group.
- Asset limit
- Resources at or below $2,000 for a single person or $3,000 for a married couple living together.
Eligibility
- General
- Iowa residents who are aged, blind or disabled under Social Security standards, receive SSI or would receive it except for excess income, and meet the relevant assistance-category limits.
What it provides
- State-funded supplements for qualifying special needs; including family life homes; in-home health-related care and residential care facilities.
Elderly Waiver
Iowa Medicaid Elderly Waiver
Eligibility
- General
- Iowa residents age 65 or older who meet Medicaid and nursing-facility-level-of-care requirements.
What it provides
- Authorized waiver services can include case management; adult day care; homemaker; respite; home health; meals; assistive devices; modifications and transportation.
Family Caregiver Support Program
Family Caregiver Support Program (Iowa)
- Who it is for
- Family or informal caregivers of an adult 60+ or of someone of any age with dementia
Eligibility
- General
- Adult family or informal caregivers of adults age 60 or older or people of any age with Alzheimer's disease or a related disorder. The federal program also supports specified older-relative caregiver categories.
What it provides
- Caregiver information and access assistance; counseling and training; support groups; respite and limited supplemental services under the federal caregiver-support framework.
Money Follows the Person (Intellectual Disability or Brain Injury)
Iowa Money Follows the Person (Intellectual Disability or Brain Injury)
Eligibility
- General
- People in Iowa with an intellectual-disability or brain-injury diagnosis who have lived in a qualifying facility at least 60 consecutive days and want to move into the community. Iowa Medicaid must complete eligibility determination before discharge.
What it provides
- Transition services and enhanced supports for the first year after an approved move into the community.
Medicare Savings Program (MSP)
Iowa Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
Eligibility
- General
- Medicare beneficiaries meeting the applicable state Medicare Savings Program eligibility rules.
- IA specifics
- Applications are administered by the state Medicaid program.
What it provides
- Assistance with Medicare premiums and; for qualified QMB beneficiaries; Medicare-covered deductibles and coinsurance. The qualifying category determines which costs are paid.
Know before you visit
Frequently Asked Questions about Rotary Senior Living
Quick answers from public records and the community's own listing.01 Is Rotary Senior Living in a walkable area?
Rotary Senior Living has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.
02 What is the license number of Rotary Senior Living?
According to IA state health department records, Rotary Senior Living's license number is S0407.
03 When does Rotary Senior Living's license expire?
According to IA state health department records, Rotary Senior Living's license expires on May 1, 2027.
04 What is the occupancy rate at Rotary Senior Living?
Rotary Senior Living's occupancy is 66.9%.
05 How long has Rotary Senior Living been in business?
Rotary Senior Living has been operating for approximately 7 years, based on available licensing and registration records.
06 Are pets allowed at Rotary Senior Living?
No, Rotary Senior Living has a no-pet policy.
07 What is the best email address for Rotary Senior Living?
The team at Rotary Senior Living can be reached at Amy.Castro@accura.healthcare.
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