2/5
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.
2/5
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.
Valley Vista for Nursing and Rehabilitation is a 65-bed skilled nursing facility at 200 South Eighth Avenue East in Newton, Iowa. Administered by Mariah Fox, the community provides a full spectrum of post-hospitalization care, including short-term rehabilitation, specialized memory care, and hospice services. Centrally located in Jasper County, the campus is moderately walkable with a Walk Score of 67.
The facility is regulated by the Iowa Department of Inspections, Appeals, and Licensing (DIAL). While earlier records indicated certification gaps, recent data confirms Valley Vista is certified for Medicare and Medicaid effective December 18, 2025. As of early 2026, the facility maintains a citations-per-inspection rate of zero for its most recent standard licensure survey. No fines or immediate jeopardy findings appear in available records.
Staffing levels at Valley Vista are generally below Iowa averages. Registered Nurse (RN) hours are 36 minutes per resident day—18% below the state average of 44 minutes—and Physical Therapist hours are 50% below average at one minute per day. Despite these staffing levels, long-stay outcomes are strong, with a hospitalization rate of 0.50 per 1,000 resident days, which is 66% better than the Iowa average. However, short-stay residents experience a successful return to home or community at a rate of 42.1%, which is 17% below the state average.
The campus offers a residential atmosphere with diverse amenities including an arts and crafts room, game room, and a library. Shared features include:Landscaped grounds with walking paths and a garden for outdoor access. The social calendar includes community outings, holiday celebrations, and fitness programs. To support resident wellness, the facility provides spa services, pet visits, and chef-planned meals.
Interested individuals should evaluate the current discharge planning support during an on-site visit. It is advisable to ask the administrator for specific details on the 2026 staffing model and the physical therapy structure to ensure it meets individual rehabilitation goals given the lower community return rate.
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.
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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 39m per day | ▼ 10% 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.
| 13m per day | ▼ 62% 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 11m per day | ▼ 14% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 49m per day | ▼ 16% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 27m per day | ▼ 9% State avg: 30m per day · National avg: 28m per day |
May offer a more intimate, personalized care environment.
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.
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
0.50
66% better than State averageState average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.23
7% worse than State averageState average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.0%
21% better than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
42.1%
17% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
70% of new residents, usually for short-term rehab.
23% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #157 / 246Payroll — State benchmarkedThis home is ranked 157th out of 246 homes in Iowa for Payroll. 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.Facilities with the same value for a metric share the same 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.
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 #223 / 246Payroll % — State benchmarkedThis home is ranked 223rd out of 246 homes in Iowa for Payroll %. 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.Facilities with the same value for a metric share the same 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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (70% of admissions), and a typical Medicare stay runs around 13 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Newton's city center to Valley Vista for Nursing and Rehabilitation's address, calculated via Google Maps.
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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Bethany Home Retirement Center | NH IL MC SNF | Dubuque (Eagle Point District) | - | 66 | - | 69 | 1 Bed / 2 Bed |
| Friendship Village | NH AL IL MC SNF | Waterloo | - | 72 | - | 52 | 2 Bed / 3 Bed |
| Prairie Vista Village | NH AL IL SNF | South Altoona | - | 68 | A | 29 | - |
| St Francis Manor | NH AL HOS SNF | Grinnell | - | 78 | - | 82 | - |
Valley Vista for Nursing and Rehabilitation has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Valley Vista for Nursing and Rehabilitation's occupancy is 83.4%.
Valley Vista for Nursing and Rehabilitation is registered as a for-profit.
Yes — there are 8 photos of Valley Vista for Nursing and Rehabilitation in the photo gallery on this page.
Valley Vista for Nursing and Rehabilitation is located at 200 South Eighth Avenue East, Newton, Ia 502084798.
(641) 841-0229 will put you in contact with the team at Valley Vista for Nursing and Rehabilitation.
Valley Vista for Nursing and Rehabilitation is not currently listed as a CMS-certified provider of Medicare or Medicaid.
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