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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 72nd out of 222 homes in Iowa.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 30m per day | ▼ 32% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 32m per day | ▼ 6% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 24m per day | ▼ 5% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 8m per day | ▼ 6% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▲ 100% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 19m per day | ▼ 37% State avg: 30m per day · National avg: 28m per day |
Most residents stay for extended periods and receive ongoing daily care.
26% of new residents, usually for short-term rehab.
29% of new residents, often for short stays.
45% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #85 / 222Payroll — state benchmarkedThis home is ranked 85th out of 222 homes in Iowa.Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Similar to the Iowa average: 75.4%Silver Oak Nursing and Rehabilitation LLC is administrated by Ailson De Jong.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 196 | 27 | This facility has 626% more total deficiencies than a typical Iowa nursing home (196 vs. IA avg 27).↑ 626% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 32.7 | 4.5 | This facility has 627% more deficiencies per year than a typical Iowa nursing home (32.7 vs. IA avg 4.5).↑ 627% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.3 | 1.8 | This facility has 139% more deficiencies per inspection than a typical Iowa nursing home (4.3 vs. IA avg 1.8).↑ 139% worse |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 46 | 15 | This facility has 207% more total inspections than a typical Iowa nursing home (46 vs. IA avg 15).↑ 207% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Oct 2025
Iowa average 21.7
Iowa average 4.11
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).
67% worse than Iowa averageIowa average: 0.6
4
344% worse than Iowa averageIowa average: 0.9
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Oct 23, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 15, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 15, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 09, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Silver Oak Nursing and Rehabilitation LLC is located in Marion, Iowa.
Here are the financial assistance programs available to residents in Iowa.
0.0 miles from city center
Estimated distance in miles from Marion's city center to Silver Oak Nursing and Rehabilitation LLC's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
22% worse than Iowa averageIowa average ratio: 2.00:1
8% better than Iowa averageIowa average: 7.4 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Total hours from contractors
197 contractor hours this quarter
| Certified Nursing Assistant | 54 | 0 | 54 | 11,975 | 91 | 100% | 8 |
| Medication Aide/Technician | 13 | 0 | 13 | 4,532 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 16 | 2 | 18 | 4,100 | 91 | 100% | 9.7 |
| Registered Nurse | 8 | 7 | 15 | 2,062 | 90 | 99% | 8.1 |
| Speech Language Pathologist | 3 | 0 | 3 | 881 | 70 | 77% | 6.1 |
| Nurse Practitioner | 2 | 0 | 2 | 650 | 71 | 78% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 448 | 57 | 63% | 7.9 |
| Dietitian | 1 | 0 | 1 | 385 | 55 | 60% | 7 |
| Administrator | 2 | 0 | 2 | 256 | 32 | 35% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 227 | 54 | 59% | 4.2 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 173 | 53 | 58% | 2.9 |
| Physical Therapy Assistant | 3 | 0 | 3 | 131 | 57 | 63% | 1.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 8 | 1 | 1% | 8 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
77Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.6
In line with Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
16.3%
13% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
23.4%
19% worse than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.2%
In line with Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
4.7%
30% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
2.0%
54% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.2%
12% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
3.0%
39% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
2.0%
49% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
21.5%
13% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
70.8%
25% worse than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
28.8%
70% worse than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
2.00
35% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.34
12% worse than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
27.0%
68% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
36% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
16.7%
77% worse than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.3%
14% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.9%
6% worse than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
2.3%
195% worse than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
46.7%
13% worse than Iowa averageIowa average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
80% higher than Iowa averageIowa average: $48K
77% more fines than Iowa averageIowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
3
464% more payment denials than Iowa averageIowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 22, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 22, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 5, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 5, 2023Last updated: Jan 2026
Historical financial and operational data for Silver Oak Nursing and Rehabilitation LLC based on CMS SNF Cost Reports.
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Silver Oak Nursing and Rehabilitation LLC has a walk score of 89. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IA state health department records, Silver Oak Nursing and Rehabilitation LLC's license number is 570604.
Silver Oak Nursing and Rehabilitation LLC's occupancy is 77%.
The team at Silver Oak Nursing and Rehabilitation LLC can be reached at [email protected].
Ailson De Jong is the administrator of Silver Oak Nursing and Rehabilitation LLC.
Silver Oak Nursing and Rehabilitation LLC has 91 beds.
Yes — there are 4 photos of Silver Oak Nursing and Rehabilitation LLC in the photo gallery on this page.
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