Silver Oak Nursing and Rehabilitation LLC
Nursing Home & Memory Care · Marion, IA
CMS overall rating Info 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.

Silver Oak Nursing and Rehabilitation LLC

Nursing Home & Memory Care · Marion, IA
CMS overall rating Info 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.
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Silver Oak Nursing and Rehabilitation LLC accepts Medicare, Medicaid, and private pay.

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.

Since 2020 · 6 years of data 196 deficiencies 46 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average
Overall vs. IA average 4 Worse Metrics worse than Iowa average:
• Total deficiencies (626% above)
• Deficiencies per year (627% above)
• Deficiencies per inspection (139% above)
• Total inspections (207% above)
0 Better No metrics in this bucket.
Latest Inspection December 23, 2025

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIA Averagevs. IA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 19627 This facility has 626% more total deficiencies than a typical Iowa nursing home (196 vs. IA avg 27).↑ 626% worse
Deficiencies per year Info Average deficiencies per year since 2020. 32.74.5 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 Info Average deficiencies per inspection. 4.31.8 This facility has 139% more deficiencies per inspection than a typical Iowa nursing home (4.3 vs. IA avg 1.8).↑ 139% worse

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

This FacilityIA Averagevs. IA Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 4615 This facility has 207% more total inspections than a typical Iowa nursing home (46 vs. IA avg 15).↑ 207% worse

Inspection Reports Summary Info 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 during a multi-complaint investigation.
  • The October 23, 2025 complaint investigation substantiated failure to protect residents' privacy when an Activity Assistant entered rooms without knocking, causing resident distress and requiring staff discipline.
  • The facility had multiple prior substantiated complaints for failure to timely report abuse, inadequate care including dignity violations, medication errors, insufficient staffing, and infection control deficiencies from 2024 through 2025.

Health Inspection History

Inspections since 2023
Total health inspections 13

Iowa average 4.9


Last Health inspection on Oct 2025

Total health citations
76 Rank #245 / 250Health citations — State benchmarkedThis home is ranked 245th out of 250 homes in Iowa. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 250 IA facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Iowa average 21.7

Citations per inspection
5.85 Rank #203 / 250Citations per inspection — State benchmarkedThis home is ranked 203rd out of 250 homes in Iowa. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 250 facilities with citation data. Lower is better.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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).

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

Iowa average: 0.6


Serious health citations
4
344% worse than Iowa average

Iowa average: 0.9

1 critical citation Iowa average: 0.6

4 serious citations Iowa average: 0.9

68 moderate citations Iowa average: 19.7

3 minor citations 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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 105
Employees 105
Contractors 0
Staff to resident ratio 1.36 : 1
33% fewer staff per resident than Iowa average
Iowa average ratio: 2.05 : 1 Iowa average ratio: 2.05 : 1See full Iowa ranking
Avg staff/day 37
Average shift 7.8 hours
5% better than Iowa average
Iowa average: 7.4 hours Iowa average shift: 7.4 hoursSee full Iowa ranking
Total staff hours (quarter) 26,488

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 11 LPN Staff are full-time employees. No contractors work on this role. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 39 CNA Staff are full-time employees. No contractors work on this role. 39
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3903910,50792100%7.6
Medication Aide/Technician130134,19192100%9.5
Licensed Practical Nurse110113,68892100%9.2
Registered Nurse8083,22792100%8.3
Speech Language Pathologist4049686773%6.2
Administrator1015126470%8
Other Dietary Services Staff100104815863%6.8
Nurse Practitioner1014806065%8
Mental Health Service Worker2024595762%8.1
Physical Therapy Assistant3034536874%4.8
Respiratory Therapy Technician2024056166%6
Physical Therapy Aide3033766267%5.2
Dietitian2023654751%7.8
Clinical Nurse Specialist2022722123%8
Qualified Social Worker4041063033%3.2
39 Certified Nursing Assistant
% of Days 100%
13 Medication Aide/Technician
% of Days 100%
11 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 100%
4 Speech Language Pathologist
% of Days 73%
1 Administrator
% of Days 70%
10 Other Dietary Services Staff
% of Days 63%
1 Nurse Practitioner
% of Days 65%
2 Mental Health Service Worker
% of Days 62%
3 Physical Therapy Assistant
% of Days 74%
2 Respiratory Therapy Technician
% of Days 66%
3 Physical Therapy Aide
% of Days 67%
2 Dietitian
% of Days 51%
2 Clinical Nurse Specialist
% of Days 23%
4 Qualified Social Worker
% of Days 33%

Penalties and fines

Includes penalties issued in 2023-2024

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 Rank #196 / 255Federal fines — State benchmarkedThis home is ranked 196th out of 255 homes in Iowa. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 255 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.

4 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

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

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
Significantly below average Iowa avg: 3.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.00
35% worse than Iowa average

Iowa average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.34
12% worse than Iowa average

Iowa average: 2.09

Short-stay resident measures
Average Iowa avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 24.3%
14% worse than Iowa average

Iowa average: 21.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 13.9%
6% worse than Iowa average

Iowa average: 13.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.3%
195% worse than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 46.7%
13% worse than Iowa average

Iowa average: 53.7%

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

Facility Characteristics

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

Total residents 77
Medicare
8
10.4% of residents
Medicaid
66
85.7% of residents
Private pay or other
3
3.9% of residents
Programs & Services
Residents Group

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

Active Resident Council

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

Finances and operations

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

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$167.0K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.8M Rank #91 / 251Revenue — State benchmarkedThis home is ranked 91st out of 251 homes in Iowa. Shows this facility's annual revenue compared to the Iowa average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$167.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$12.1K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #117 / 251Payroll — State benchmarkedThis home is ranked 117th out of 251 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.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.0M 51.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #191 / 251Payroll % — State benchmarkedThis home is ranked 191st out of 251 homes in Iowa. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.7M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

New residents most often arrive under Medicaid (45% of admissions), and a typical Medicaid stay runs around 6 - 7 months.

Admissions
208 total

Coverage residents most often arrive under.

Medicare 26%
Private pay 29%
Medicaid 45%
Discharges
173 total

Coverage residents most often leave under.

Medicare 13%
Private pay 35%
Medicaid 52%

Places of interest near Silver Oak Nursing and Rehabilitation LLC

Address 0.0 miles from city center Info Estimated distance in miles from Marion's city center to Silver Oak Nursing and Rehabilitation LLC's address, calculated via Google Maps.

Calculate Travel Distance to Silver Oak Nursing and Rehabilitation LLC

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Address

Compare Nursing Homes around Marion

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

3 facilities compared · CMS & IA Dept. of Health data

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4.00
Facility 4.00
IA AVG 4.30
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Rank #95 / 250
347-
89
Facility 89
IA AVG 45
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The Capstone Group Inc
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IA AVG 46.3%
Rank #34 / 251
165440
Linn Manor Care Center
NH
IL
Marion
38
Facility 38
IA AVG 71
Rank #352 / 407
92.1%
Facility 92.1%
IA AVG 75.4%
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+22%
3.66
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IA AVG 4.30
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-13%-15%
$0
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16
Facility 16
IA AVG 21.7
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5.3
Facility 5.3
IA AVG 4.1
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Grand Haven Homes, Inc
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IA AVG $3.1M
Rank #199 / 251
63.1%
Facility 63.1%
IA AVG 46.3%
Rank #63 / 251
165511
Silver Oak Nursing and Rehabilitation LLC
NH
MC
Marion
91
Facility 91
IA AVG 71
Rank #81 / 407
76.9%
Facility 76.9%
IA AVG 75.4%
Rank #150 / 407
+2%
4.47
Facility 4.47
IA AVG 4.30
Rank #80 / 249
-35%+4%
$29.1k
Facility $29.1k
IA AVG $53.4k
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76
Facility 76
IA AVG 21.7
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572-
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Facility 89
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Ryan Coane
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Facility $4.0M
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51.3%
Facility 51.3%
IA AVG 46.3%
Rank #191 / 251
165171

Financial Assistance for
Nursing Home in Iowa

Silver Oak Nursing and Rehabilitation LLC is located in Marion, Iowa.
Here are the financial assistance programs available to residents in Iowa.

Get Financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

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

Rural focus; waitlists possible.

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

Iowa Family Caregiver Support

IA NFCSP

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

Limited slots; rural emphasis.

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

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

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

Three tiers; no waitlist.

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

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

Iowa PACE

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

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

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

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

Iowa VA Aid and Attendance/Housebound

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

High veteran demand in rural areas.

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

Able Up Iowa

Able Up Iowa

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

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

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

Frequently Asked Questions about Silver Oak Nursing and Rehabilitation LLC

Is Silver Oak Nursing and Rehabilitation LLC in a walkable area?

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.

What is the license number of Silver Oak Nursing and Rehabilitation LLC?

According to IA state health department records, Silver Oak Nursing and Rehabilitation LLC's license number is 570604.

When does Silver Oak Nursing and Rehabilitation LLC's license expire?

According to IA state health department records, Silver Oak Nursing and Rehabilitation LLC's license expires on May 1, 2027.

What is the occupancy rate at Silver Oak Nursing and Rehabilitation LLC?

Silver Oak Nursing and Rehabilitation LLC's occupancy is 77%.

What is the best email address for Silver Oak Nursing and Rehabilitation LLC?

The team at Silver Oak Nursing and Rehabilitation LLC can be reached at adejong@silveroaknursing.com.

Does Silver Oak Nursing and Rehabilitation LLC operate as a for-profit or non-profit?

Silver Oak Nursing and Rehabilitation LLC is registered as a for-profit in IA.

Who is the administrator of Silver Oak Nursing and Rehabilitation LLC?

Ailson De Jong is the administrator of Silver Oak Nursing and Rehabilitation LLC.

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