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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.
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 97th out of 222 homes in Iowa.| 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.
| 43m per day | ■ Avg 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.
| 26m per day | ▼ 24% 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 25m 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.
| 2h 52m per day | ▼ 14% 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 |
|
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.
| 23m per day | ▼ 23% State avg: 30m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
54% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
2% 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 #102 / 223Payroll — State benchmarkedThis home is ranked 102nd out of 223 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Iowa average: 75.4%Wellington Place is administrated by Mary Miller.
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.
| 5 | 27 | This facility has 81% fewer total deficiencies than a typical Iowa nursing home (5 vs. IA avg 27). Click this badge to view the full Iowa ranking.↓ 81% better |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 0.3 | 1.8 | This facility has 83% fewer deficiencies per year than a typical Iowa nursing home (0.3 vs. IA avg 1.8). Click this badge to view the full Iowa ranking.↓ 83% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 0.7 | 1.8 | This facility has 61% fewer deficiencies per inspection than a typical Iowa nursing home (0.7 vs. IA avg 1.8). Click this badge to view the full Iowa ranking.↓ 61% better |
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.
| 7 | 15 | This facility has 53% fewer total inspections than a typical Iowa nursing home (7 vs. IA avg 15). Click this badge to view the full Iowa ranking.↓ 53% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Aug 2023
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.
1 of 3 citations resulted from standard inspections; and 2 of 3 came from combined inspections (standard and complaint).
67% worse than Iowa averageIowa average: 0.6
11% worse than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Wellington Place is located in Decorah, Iowa.
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0.0 miles from city center
Estimated distance in miles from Decorah's city center to Wellington Place's address, calculated via Google Maps.
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
5% better than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 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.
7.1 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
4,725 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 30 | 38 | 68 | 10,638 | 91 | 100% | 7.1 |
| Registered Nurse | 10 | 0 | 10 | 2,847 | 91 | 100% | 9 |
| Licensed Practical Nurse | 6 | 2 | 8 | 1,903 | 91 | 100% | 7.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 800 | 74 | 81% | 6.7 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 424 | 54 | 59% | 7.9 |
| Physical Therapy Assistant | 0 | 2 | 2 | 232 | 27 | 30% | 8 |
| Clinical Nurse Specialist | 0 | 2 | 2 | 138 | 18 | 20% | 7.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 98 | 20 | 22% | 4.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 64 | 8 | 9% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 47 | 19 | 21% | 2.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 32 | 6 | 7% | 5.3 |
| Physical Therapy Aide | 0 | 2 | 2 | 17 | 11 | 12% | 1.5 |
| Qualified Social Worker | 0 | 1 | 1 | 16 | 2 | 2% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 16 | 7 | 8% | 2.2 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
51Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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.
12.6
23% worse than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.2
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
19.9%
6% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
15.7%
20% better than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.9%
6% worse than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
7.7%
112% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
17.6%
303% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.2%
52% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
2.1%
57% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
3.6%
8% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
5.7%
70% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
5% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
2.09
41% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.05
46% 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
93.3%
10% better than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
7% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
36% better than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.3%
28% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.6%
11% better than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
4.2%
442% worse than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.8%
6% better than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
39.1%
23% worse than Iowa averageIowa average: 50.6%
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)
38% lower than Iowa averageIowa average: $48K
41% fewer fines than Iowa averageIowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 10, 2023 · $30K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 10, 2023Last updated: Jan 2026
Historical financial and operational data for Wellington Place based on CMS SNF Cost Reports.
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The legal owner and operator of Wellington Place is No Related Entities Found.
Wellington Place has a walk score of 84. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IA state health department records, Wellington Place's license number is S0252.
According to IA state health department records, Wellington Place's license expires on March 12, 2027.
Wellington Place's occupancy is 57%.
The team at Wellington Place can be reached at [email protected].
Mary Miller is the administrator of Wellington Place.
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