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Assisted Living in Iowa

CMS overall rating Info 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.

Wellington Place

Assisted Living in Iowa

CMS overall rating Info 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.

Wellington Place

2475 River Road, Decorah, IA 521017591 View map
Overview of Wellington Place
Wellington Place is a senior living community in Decorah, Iowa. It specializes in a variety of services on one campus, providing increased levels of care as needs change. The facility offers independent and assisted living, short-term skilled rehabilitation, memory support, and nursing home care.
(563) 382-2292

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
3/5
Iowa average: 3.3/5
Health Inspection Info 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.
4/5
Iowa average: 3.0/5
Staffing Info 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.
4/5
Iowa average: 3.7/5
Quality Measures Info 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.
1/5
Iowa average: 3.5/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 20m per day

This home provides 2% less 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 68

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 57.4%
Residents per day 39
Occupancy rate
57.4%
Residents per day
39

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

54% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

45% of new residents, often for short stays.

Typical stay 1 years

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 13 years

Finances and operations

Voluntary non-profit community
Home revenue
$7.2M
Surplus of revenue
$1.3M
Voluntary non-profit community
Home revenue
$7,194,260.00
Surplus of revenue
$1,257,447.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.8M
39.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.9M
Total costs $6.7M
Bed community size
68-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
19 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

About this community

Occupancy

Occupancy rate
57%
In line with Iowa average
Occupied beds
39 / 68
Average residents 51 per day

License Details

Facility TypeAssisted Living Programs
StatusActive
IssuanceMarch 12, 2007
ExpirationMarch 12, 2027
CountyWinneshiek

Additional Licensing Details

License NumberS0252
CMS Certification Number165475

Ownership & Operating Entity

Wellington Place is administrated by Mary Miller.

Owner NameNo Related Entities Found

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Staffing & Medical

3 services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs

Additional Services

2 services
Memory Support
Skilled Nursing & Rehabilitation Services

Contact Information

Fax5633829694

Amenities & Lifestyle

0 amenities
Specific ProgramsLifestyle Options, Memory Support, Long-Term Care, Assisted Living, Skilled Nursing & Rehabilitation Services, Activities & News, Contact Us

Pricing & Financial Information

Contact Wellington Place

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.

7 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date February 1, 2024

Inspection Report Summary for Wellington Place

The most recent inspection on February 1, 2024, found no deficiencies during the recertification visit for the Assisted Living Program. Earlier inspections also consistently found no regulatory insufficiencies, including complaint investigations that were unsubstantiated. Inspectors did not cite any issues related to resident care, safety, or documentation in any report. There were no fines, enforcement actions, or license suspensions listed in the available reports. This record shows a stable compliance history with no noted deficiencies over time.

Health Inspection History

Inspections
Total health inspections 1

State average 4.9


Last Health inspection on Aug 2023

Total health citations 3

State average 21.7

Citations per inspection
3

State average 4.11


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

1 of 3 citations resulted from standard inspections; and 2 of 3 came from combined inspections (standard and complaint).

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

State average: 0.6


Serious Health citations More info 1
11% worse than State average

State average: 0.9

1 critical citation More info State average: 0.6

1 serious citation More info State average: 0.9

1 moderate citation More info State average: 19.7

0 minor citations More info State average: 0.5
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Aug 10, 2023
Corrected

Pharmacy critical citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Aug 10, 2023
Corrected

Pharmacy serious citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Aug 10, 2023
Corrected

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

Filter by care type
Apple Valley Place
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Osage
78
No
-
-
17
65.4%
5
Wellington Place
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Decorah
56
No
-
-
19
57.4%
0
Aspen Heights Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Hull
48
No
-
-
14
54.2%
0
Bavarian Meadows
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Remsen
44
No
-
-
16
43.2%
1
Avoca Lodge Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Avoca
40
No
0
Semi-Private / 1 Bed
24
2.5%
4

Places of interest near Wellington Place

Address 0.0 miles from city center

Address 2475 River Road, Decorah, IA 521017591

Calculate Travel Distance to Wellington Place

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 107
Employees 52
Contractors 55
Staff to resident ratio 2.10:1
5% better than Iowa average

Iowa average ratio: 2.00:1

Avg staff/day 27
Average shift 7.2 hours
0% compared with Iowa average

Iowa average: 7.4 hours

Total staff hours (quarter) 17,775
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 68
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

26.6%

4,725 contractor hours this quarter

Certified Nursing Assistant: 38 Respiratory Therapy Technician: 3 Licensed Practical Nurse: 2 Physical Therapy Aide: 2 Clinical Nurse Specialist: 2 Physical Therapy Assistant: 2 Speech Language Pathologist: 2 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Qualified Social Worker: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant30386810,63891100%7.1
Registered Nurse100102,84791100%9
Licensed Practical Nurse6281,90391100%7.7
Other Dietary Services Staff3038007481%6.7
Administrator1015046369%8
Nurse Practitioner1014245459%7.9
Physical Therapy Assistant0222322730%8
Clinical Nurse Specialist0221381820%7.2
Occupational Therapy Aide011982022%4.9
Respiratory Therapy Technician0336489%8
Mental Health Service Worker101471921%2.5
Occupational Therapy Assistant0113267%5.3
Physical Therapy Aide022171112%1.5
Qualified Social Worker0111622%8
Speech Language Pathologist0221678%2.2
Medical Director011111%1
68 Certified Nursing Assistant
% of Days 100%
10 Registered Nurse
% of Days 100%
8 Licensed Practical Nurse
% of Days 100%
3 Other Dietary Services Staff
% of Days 81%
1 Administrator
% of Days 69%
1 Nurse Practitioner
% of Days 59%
2 Physical Therapy Assistant
% of Days 30%
2 Clinical Nurse Specialist
% of Days 20%
1 Occupational Therapy Aide
% of Days 22%
3 Respiratory Therapy Technician
% of Days 9%
1 Mental Health Service Worker
% of Days 21%
1 Occupational Therapy Assistant
% of Days 7%
2 Physical Therapy Aide
% of Days 12%
1 Qualified Social Worker
% of Days 2%
2 Speech Language Pathologist
% of Days 8%
1 Medical Director
% of Days 1%

Facility Characteristics

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

Total census
51 residents
Residents by payment source
Medicare
3 residents (5.9%)
Medicaid
20 residents (39.2%)
Private pay or other
28 residents (54.9%)
Programs & Services
Residents' Group

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

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

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. 12.6
23% worse than 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. 21.2
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 19.9%
6% worse than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.7%
20% better 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 27.9%
6% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 7.7%
112% 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 17.6%
303% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.2%
52% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.1%
57% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.6%
8% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 5.7%
70% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
5% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better 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 93.3%
10% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
7% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
36% better 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 $30K
38% lower than Iowa average

Iowa average: $48K

Number of fines 1
41% fewer 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. 0
100% fewer payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison
Fines amount comparison
This facility $30K
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. Aug 10, 2023
$30K

Last updated: Jan 2026

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

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.

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