Nursing Home

Silver Oak Nursing and Rehabilitation LLC

Nursing Home

Silver Oak Nursing and Rehabilitation LLC

Marion, IA 523023723 View map
Overview of Silver Oak Nursing and Rehabilitation LLC

Silver Oak Nursing and Rehabilitation Center is a senior care facility located in Marion, IA. It offers skilled nursing, rehabilitation, and dementia support services. The center is committed to providing compassionate, personalized care in a safe and welcoming environment.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Iowa average: 3.2/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Iowa average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Iowa average: 3.7/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5
Iowa average: 3.5/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
4h 28m per day

This home provides 1% more nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 91

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 76.9%
Residents per day (avg) 74
Occupancy rate
76.9%
Residents per day (avg)
74

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

26% of new residents, usually for short-term rehab.

Typical stay 17 days

Private pay

29% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

45% of new residents, often for long-term daily care.

Typical stay 6 - 7 months

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$8.5M
Profit
$179.2K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$8,486,607.00
Profit
$179,150.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.6M
41.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.8M
Total costs $8.3M
Bed community size
91-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
77%
In line with Iowa average
Occupied beds
70 / 91
Average residents 51 per day

License details

Facility type
Free Standing Nf/snf
Status Active
County: Linn

Additional licensing details

License number: 570604
CMS Certification Number: 165171
Certification type: FALSE

Ownership & operating entity

Silver Oak Nursing and Rehabilitation LLC is administrated by Ailson De Jong.

Care Services

Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

All Levels of Care

Skilled Nursing
Rehabilitation
Dementia Support & Care

Contact Information

Fax: 3193776022

Programs & Activities

Specific Programs
Skilled Nursing Care, Dementia Support & Care, Rehabilitation Services
Operating Hours
Open 24 Hours

Dining & Nutrition

Food Description
Chef-prepared meals tailored to dietary needs.

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.

46 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date:December 23, 2025

97 deficiencies

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

Inspection Report Summary for Silver Oak Nursing and Rehabilitation LLC

The most recent inspection on December 23, 2025 found the facility in substantial compliance with no deficiencies cited. Earlier inspections showed a pattern of deficiencies primarily related to resident dignity and privacy, timely reporting of incidents, medication administration, staffing sufficiency, and quality of care including infection control and fall prevention. Several complaint investigations were substantiated over time, involving issues such as failure to report abuse promptly, inadequate assessments, and lapses in care protocols, but no fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility took corrective actions including staff disciplinary measures and plans of correction, and more recent inspections indicate improvement with fewer and less severe deficiencies. Complaint investigations in the latest period were unsubstantiated, suggesting progress in addressing prior concerns.

Health Inspection History

Inspections
Total health inspections 13

Iowa average 4.9


Last Health inspection on Oct 2025

Total health citations 76
Citations per inspection
5.85

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

18 of 76 citations resulted from standard inspections; 30 of 76 resulted from complaint investigations; and 28 of 76 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
67% worse than Iowa average

Iowa average: 0.6


Serious Health citations More info 4
344% worse than Iowa average

Iowa average: 0.9

1 critical citation More info Iowa average: 0.6

4 serious citations More info Iowa average: 0.9

68 moderate citations More info Iowa average: 19.7

3 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Resident Rights moderate citation Oct 23, 2025
Corrected

Abuse/Neglect moderate citation Sep 15, 2025
Corrected

Administration moderate citation Sep 15, 2025
Corrected

Abuse/Neglect moderate citation Apr 09, 2025
Corrected

Compare Memory Care around Marion

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

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

SNF

Nursing Homes 24/7 care needed

Marion
40
A
14
ABERNATHY FAMILY FARMS LLC
94.7%
$9,465,402.00
$3,818,983.00
40.3%
39
5/5
4.4790
4/5
5/5
4/5
1
14
4
+30%
+4%
+26%
The Views of Marion
IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

SNF

Nursing Homes 24/7 care needed

Marion
40
-
37
URBAIN, DALLAS
94.6%
$10,285,956.00
$3,592,231.00
34.9%
34.70
3/5
4.1497
3/5
4/5
2/5
-
12
-
-54%
-3%
+25%
Silver Oak Nursing and Rehabilitation LLC
MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

IA 523023723
91
-
-
COANE, RYAN
69.8%
$8,474,467.00
$3,551,111.00
41.9%
73.50
1/5
4.4710
1/5
3/5
3/5
3
76
5
+8%
+4%
-7%
Bickford of Marion
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Marion
46
-
69
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Silver Oak Nursing and Rehabilitation LLC

Address 0.0 miles from city center

Address Marion, IA 523023723

Calculate Travel Distance to Silver Oak Nursing and Rehabilitation LLC

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

120
Total Staff
111
Employees
9
Contractors
26,339
Total Hours (Quarter)
36
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse158.1 Yes
Licensed Practical Nurse189.7 Yes
Certified Nursing Assistant548 No
Staff by Category
Administration
2 staff
8hs shift avg
Nursing Staff
101 staff
8.5hs shift avg
Physicians & Practitioners
3 staff
7.8hs shift avg
Therapy Services
10 staff
4.3hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
0 staff
0hs shift avg
Dietary Services
3 staff
5.6hs shift avg
Other Services
1 staff
8hs shift avg
Contractor Analysis
0.7%
of total hours from contractors
197 contractor hours this quarter
Licensed Practical Nurse: 2 Registered Nurse: 7
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant5405411,97591100%8
Medication Aide/Technician130134,53291100%9.4
Licensed Practical Nurse162184,10091100%9.7
Registered Nurse87152,0629099%8.1
Speech Language Pathologist3038817077%6.1
Nurse Practitioner2026507178%7.8
Mental Health Service Worker1015126470%8
RN Director of Nursing1014485763%7.9
Dietitian1013855560%7
Administrator2022563235%8
Other Dietary Services Staff2022275459%4.2
Respiratory Therapy Technician4041735358%2.9
Physical Therapy Assistant3031315763%1.7
Clinical Nurse Specialist101811%8

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
77 residents
Residents by payment source
Medicare
8 residents (10.4%)
Medicaid
66 residents (85.7%)
Private pay or other
3 residents (3.9%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.9
In line with Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.6
In line with Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 16.3%
13% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 23.4%
19% worse than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 25.2%
In line with Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.7%
30% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.0%
54% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.2%
12% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.0%
39% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.0%
49% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 21.5%
13% worse than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 70.8%
25% worse than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 28.8%
70% worse than Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 27.0%
68% worse than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.2%
36% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 16.7%
77% worse than Iowa average

Iowa average: 73.3%

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 Jan 2026)

Total fines amount $86K
80% higher than Iowa average

Iowa average: $48K

Number of fines 3
77% more fines than Iowa average

Iowa average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 3
464% more payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison
Fines amount comparison
This facility $86K
Iowa average $48K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 22, 2024
$16K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Feb 22, 2024
24 days
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 5, 2023
$13K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Oct 5, 2023
2 days

Last updated: Jan 2026

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Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

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

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

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

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

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

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

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