Wellington Place

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Decorah, IA

CMS overall rating

2475 River Road, Decorah, Ia 521017591 View map

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Wellington Place accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Wellington Place accepts Medicare, Medicaid, and private pay.

Overview of Wellington Place

Wellington Place is a 68-bed nursing home that operates as a continuing care campus, allowing residents to transition between independent living, assisted living, memory support, and skilled nursing. The community has been operating for 19 years and handles financial coverage through Medicare, Medicaid, and private-pay sources. Given its mix of temporary post-acute recovery clients and permanent long-term nursing placements, the facility logs an extended 288-day average length of stay. The property is built in a highly walkable area with a walkability score of 84 out of 100, meaning visiting families and staff can easily manage daily errands on foot.

Files from the Iowa Department of Inspections, Appeals, and Licensing display a minimal citation history alongside solid daily nursing resources. Caregivers supply an average of 4 hours and 20 minutes of direct care per resident each day, with registered nurses, licensed practical nurses, and certified nursing assistants splitting the floor coverage. On the compliance side, official health records show a consistently clean multi-year track record where the few documented citations were minor and resolved. On-site physical therapy and rehabilitation programs are also available to support short-term recovery goals for individuals stepping down from local hospital stays.

Prospective residents searching for a regional multi-level care community or a small-scale nursing home can look through these state reports to examine the building’s historical baseline. The public documentation shows a stable, highly accessible campus backed by consistent daily caregiver hours and an exceptional regulatory track record with minimal paperwork issues.

Facility Direct Line (563) 382-2292

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Iowa state averages

Total nursing care / resident

4h 20m per day

This facility Iowa avg (4h 18m per day)

vs Iowa avg

+1%

6 of 6 metrics below state avg

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.	40m per day	▼ 9% 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.	30m per day	▼ 13% 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 20m per day	▼ 8% 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 59m per day	▼ 11% 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	▼ 64% 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.	21m per day	▼ 29% State avg: 30m per day · National avg: 28m per day

Capacity and availability

288 days

68-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

19 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 84 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

57%

Lower than the Iowa average: 75.4%

Occupied beds

39 / 68

Average occupied beds in Iowa homes 51 beds

Facility TypeAssisted Living Programs

StatusActive

IssuanceMarch 12, 2007

ExpirationMarch 12, 2027

CountyWinneshiek

License NumberS0252

CMS Certification Number165475

Wellington Place is administered by Mary Miller.

Rehabilitation Services

Short-Term Rehab

Memory Support

Skilled Nursing & Rehabilitation Services

Email mmiller@wellingtonplacedecorah.com

Fax5633829694

Pets not allowed

Since 2011 · 15 years of data 5 deficiencies 7 inspections

Inspection Scorecard 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 2011 vs. Iowa state average

Overall vs. IA average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	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).↓ 81% 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).↓ 61% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all inspections conducted at this facility.	7	15	This facility has had 53% fewer total inspections than the Iowa average (7 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 53% fewer

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on August 7, 2025 found no health deficiencies and no complaints were reported.
The August 10, 2023 complaint investigation cited three deficiencies including a medication error causing resident harm and hospitalization due to failure to ensure pharmacy orders.
Prior inspections from 2011 through 2024 consistently found no regulatory insufficiencies or deficiencies during recertification and annual surveys.

Show Inspection Reports

Inspections since 2023

Total health inspections 1

State average 4.9

Last Health inspection on Aug 2023

Total health citations

State average 21.7

Citations per inspection

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

67% worse than State average

State average: 0.6

Serious health citations

11% worse than State average

State average: 0.9

1 critical citation State average: 0.6

1 serious citation State average: 0.9

1 moderate citation State average: 19.7

0 minor citations State average: 0.5

Citations history (last 3 years)

Nutrition moderate citation Aug 10, 2023

Corrected

Pharmacy critical citation Aug 10, 2023

Corrected

Pharmacy serious citation Aug 10, 2023

Corrected

Total staff 92

Employees 62

Contractors 30

Staff to resident ratio 1.80 : 1

12% fewer staff per resident than Iowa average

Avg staff/day 27

Average shift 7.3 hours

0% compared with Iowa average

Total staff hours (quarter) 18,162

Nursing staff breakdown

8.8 hours

8.1 hours

7.3 hours

Contractor staffing

3,018 contractor hours this quarter

Certified Nursing Assistant: 13 Physical Therapy Assistant: 5 Clinical Nurse Specialist: 3 Respiratory Therapy Technician: 2 Physical Therapy Aide: 2 Licensed Practical Nurse: 1 Occupational Therapy Aide: 1 Speech Language Pathologist: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	38	13	51	10,750	92	100%	7.3
Registered Nurse	10	0	10	2,730	92	100%	8.8
Licensed Practical Nurse	8	1	9	2,287	92	100%	8.1
Other Dietary Services Staff	3	0	3	785	72	78%	6.8
Administrator	1	0	1	504	63	68%	8
Physical Therapy Assistant	0	5	5	320	37	40%	8
Physical Therapy Aide	0	2	2	202	51	55%	3.7
Nurse Practitioner	1	0	1	200	25	27%	8
Clinical Nurse Specialist	0	3	3	142	21	23%	6.1
Occupational Therapy Aide	0	1	1	95	19	21%	5
Respiratory Therapy Technician	0	2	2	56	7	8%	8
Mental Health Service Worker	1	0	1	51	16	17%	3.2
Occupational Therapy Assistant	0	1	1	32	8	9%	4
Speech Language Pathologist	0	1	1	8	6	7%	1.3
Medical Director	0	1	1	1	1	1%	1

51 Certified Nursing Assistant

% of Days 100%

10 Registered Nurse

% of Days 100%

9 Licensed Practical Nurse

% of Days 100%

3 Other Dietary Services Staff

% of Days 78%

1 Administrator

% of Days 68%

5 Physical Therapy Assistant

% of Days 40%

2 Physical Therapy Aide

% of Days 55%

1 Nurse Practitioner

% of Days 27%

3 Clinical Nurse Specialist

% of Days 23%

1 Occupational Therapy Aide

% of Days 21%

2 Respiratory Therapy Technician

% of Days 8%

1 Mental Health Service Worker

% of Days 17%

1 Occupational Therapy Assistant

% of Days 9%

1 Speech Language Pathologist

% of Days 7%

1 Medical Director

% of Days 1%

View All Staffing Data

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 0

100% fewer payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison

This facility $30K

Iowa average $48K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Aug 10, 2023 · $30K

Civil Money Penalty Aug 10, 2023

$30K

Last updated: Jan 2026

High-risk clinical events score 12.6

23% worse than Iowa average

Iowa average: 10.2

Functional decline score 21.2

In line with Iowa average

Iowa average: 21.6

Long-stay resident measures

Below average Iowa avg: 3.3

Need for Help with Daily Activities Increased 19.9%

6% worse than Iowa average

Iowa average: 18.8%

Walking Ability Worsened 15.7%

20% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 27.9%

6% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury 7.7%

112% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers 17.6%

303% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection 1.2%

52% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight 2.1%

57% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms 3.6%

8% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use 5.7%

70% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine 99.4%

5% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine 100.0%

5% better than Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days 2.09

41% worse than Iowa average

Iowa average: 1.48

ED visits per 1,000 days 3.05

46% worse than Iowa average

Iowa average: 2.09

Short-stay resident measures

Significantly below average Iowa avg: 2.6

Pneumococcal Vaccine 93.3%

10% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase 1.7%

7% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine 100.0%

36% better than Iowa average

Iowa average: 73.3%

Re-hospitalized after SNF stay 27.3%

28% worse than Iowa average

Iowa average: 21.3%

Emergency department visits 11.6%

11% better than Iowa average

Iowa average: 13.1%

Falls with major injury 4.2%

442% worse than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge 56.8%

6% better than Iowa average

Iowa average: 53.7%

Successful return to home or community 39.1%

23% worse than Iowa average

Iowa average: 50.6%

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

Total residents 51

Medicare

5.9% of residents

Medicaid

39.2% of residents

Private pay or other

54.9% of residents

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.

Financial Trends

Historical financial and operational data for Wellington Place from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 78.8% ↓ 2.4pp vs 2022

Net Patient Income $376.0K ↑ ~$335.9K vs 2022

Payroll Costs $3.1M ↑ ~$360.4K vs 2022

Operating Margin 5.6% ↑ 4.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	81.9%	82.9%	96.6%	96.9%	97.0%	95.1%	96.2%	98.9%	95.3%	86.3%	80.0%	81.2%	78.8%
Beds	91	91	51	51	51	51	51	51	56	56	56	56	56
Net Income	$397,389	$479,694	$473,054	$307,881	$362,636	$425,241	$82,613	$164,638	$502,444	$765,161	$511,742	$129,140	$1,257,447
Gross Revenue	$4,176,283	$4,439,594	$4,592,030	$4,690,308	$4,914,334	$5,031,032	$4,714,153	$4,834,157	$5,237,017	$5,236,934	$5,417,190	$6,568,024	$7,077,108
Operating Expenses	$3,700,743	$3,896,266	$3,922,306	$4,167,542	$4,338,346	$4,470,176	$4,518,388	$4,395,285	$4,467,717	$4,728,565	$5,143,228	$6,051,155	$6,353,603
Net Patient Income	$198,024	$288,175	$458,914	$239,376	$290,276	$349,877	$11,094	$90,087	$424,854	$198,172	-$106,029	$40,042	$375,968
Net Patient Revenue	$3,898,767	$4,184,441	$4,381,220	$4,406,918	$4,628,622	$4,820,053	$4,529,482	$4,485,372	$4,892,571	$4,926,737	$5,037,199	$6,091,197	$6,729,571
Payroll Costs	$2,233,009	$2,282,262	$2,397,686	$2,525,804	$2,626,159	$2,772,106	$2,771,152	$2,497,403	$2,454,656	$2,618,706	$2,483,951	$2,769,931	$3,130,365
Operating Margin %	5.1%	6.9%	10.5%	5.4%	6.3%	7.3%	0.2%	2.0%	8.7%	4.0%	-2.1%	0.7%	5.6%
Medicare %	3.0%	2.9%	3.2%	4.4%	4.6%	3.8%	2.9%	5.3%	5.2%	7.2%	8.2%	10.2%	4.9%
Medicaid %	44.8%	43.7%	65.1%	54.1%	49.6%	49.1%	45.8%	44.9%	37.8%	37.0%	39.5%	34.7%	33.4%
Private %	52.2%	53.3%	31.8%	41.5%	45.8%	47.0%	51.3%	49.8%	57.0%	55.7%	52.3%	55.1%	61.7%
Net Patient Revenue/Day	$143	$152	$244	$244	$256	$271	$253	$244	$251	$279	$308	$367	$418
Cost/Day	$136	$141	$218	$231	$240	$252	$252	$239	$229	$267	$315	$365	$394
Avg Length of Stay	288.4 days	334.5 days	326.9 days	281.9 days	462.9 days	370.0 days	471.5 days	323.1 days	309.2 days	376.2 days	259.5 days	224.3 days	287.7 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$6.7M

Net patient income

$376.0K

Nonprofit Other Nonprofit

Net patient revenue

$6.7M

Net patient income

$376.0K

Other income

$117.2K

Payroll costs

$3.1M 46.5% of net patient revenue

Other operating costs

$3.2M

Total costs

$6.4M

TYPE OF STAY

Mostly short-term rehab stays

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

Most new residents arrive under Medicare (54% of admissions), and a typical Medicare stay runs around 26 days.

Coverage residents most often arrive under.

Medicare 54%

Private pay 45%

Medicaid 2%

Coverage residents most often leave under.

Medicare 27%

Private pay 54%

Medicaid 20%

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Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


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Nursing Home Explorer

Is Wellington Place in a walkable area?

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.

What is the license number of Wellington Place?

According to IA state health department records, Wellington Place's license number is S0252.

When does Wellington Place's license expire?

According to IA state health department records, Wellington Place's license expires on March 12, 2027.

What is the occupancy rate at Wellington Place?

Wellington Place's occupancy is 57%.

How long has Wellington Place been in business?

Wellington Place has been operating for approximately 19 years, based on available licensing and registration records.

Are pets allowed at Wellington Place?

No, Wellington Place has a no-pet policy.

What is the best email address for Wellington Place?

The team at Wellington Place can be reached at mmiller@wellingtonplacedecorah.com.

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Wellington Place

Overview of Wellington Place

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Additional Services

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Wellington Place

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

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

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

51 Certified Nursing Assistant

10 Registered Nurse

9 Licensed Practical Nurse

3 Other Dietary Services Staff

1 Administrator

5 Physical Therapy Assistant

2 Physical Therapy Aide

1 Nurse Practitioner

3 Clinical Nurse Specialist

1 Occupational Therapy Aide

2 Respiratory Therapy Technician

1 Mental Health Service Worker

1 Occupational Therapy Assistant

1 Speech Language Pathologist

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Wellington Place

Calculate Travel Distance to Wellington Place

Compare Nursing Homes around the area

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