Wellington Place
Nursing Home, Assisted Living, Independent Living & Memory Care · Decorah, 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.

Wellington Place

Nursing Home, Assisted Living, Independent Living & Memory Care · Decorah, 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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Wellington Place 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 2011 · 15 years of data 5 deficiencies 7 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 2011 vs. Iowa state average
Overall vs. IA average 0 Worse No metrics in this bucket. 4 Better Metrics better than Iowa average:
• Total deficiencies (81% below)
• Deficiencies per year (83% below)
• Deficiencies per inspection (61% below)
• Total inspections (53% below)
Latest Inspection February 1, 2024

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

This Facility IA Average vs. IA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 5 27 This facility has 81% fewer total deficiencies than a typical Iowa assisted living residence (5 vs. IA avg 27).↓ 81% better
Deficiencies per year Info Average deficiencies per year since 2011. 0.3 1.8 This facility has 83% fewer deficiencies per year than a typical Iowa assisted living residence (0.3 vs. IA avg 1.8).↓ 83% better
Deficiencies per inspection Info Average deficiencies per inspection. 0.7 1.8 This facility has 61% fewer deficiencies per inspection than a typical Iowa assisted living residence (0.7 vs. IA avg 1.8).↓ 61% better

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

This Facility IA Average vs. IA Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 7 15 This facility has 53% fewer total inspections than a typical Iowa assisted living residence (7 vs. IA avg 15).↓ 53% better

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 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.

Health Inspection History

Inspections since 2023
Total health inspections 1

State average N/A


Last Health inspection on Aug 2023

Total health citations
3 Rank #9 / 250Health citations — State benchmarkedThis home is ranked 9th 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.

State average N/A

Citations per inspection
3 Rank #81 / 250Citations per inspection — State benchmarkedThis home is ranked 81st 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.

State average N/A


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
1
In line with State average

State average: N/A


Serious health citations
1
In line with State average

State average: N/A

1 critical citation State average: N/A

1 serious citation State average: N/A

1 moderate citation State average: N/A

0 minor citations State average: N/A
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

Staffing Data

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

Total staff 92
Employees 62
Contractors 30
Staff to resident ratio 1.80 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 27
Average shift 7.3 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 18,162

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 10 RN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 9 total: 8 full-time employees and 1 contractor. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 51 total: 38 full-time employees and 13 contractors. 51
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 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

16.6%

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

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 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%

Penalties and fines

Includes penalties issued in 2023

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 Rank #199 / 255Federal fines — State benchmarkedThis home is ranked 199th 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.
38% lower than State average

State average: $48K

Number of fines 1
41% fewer fines than State average

State 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 State average

State average: 0.5

Fines amount comparison
Fines amount comparison
This facility $30K
State 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 10, 2023
$30K

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. 12.6
23% worse than State average

State 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 State average

State average: 21.6

Long-stay resident measures
Below average State 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 19.9%
6% worse than State average

State average: 18.8%

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

State 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 State average

State 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 State average

State 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 State average

State average: 4.4%

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

State average: 2.5%

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

State average: 5.0%

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

State average: 3.9%

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

State average: 19.0%

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

State average: 94.4%

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

State average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.09
41% worse than State average

State average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.05
46% worse than State average

State average: 2.09

Short-stay resident measures
Significantly below average State 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 93.3%
10% better than State average

State average: 85.1%

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

State average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
36% better than State average

State average: 73.3%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 27.3%
28% worse than State average

State average: 21.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 11.6%
11% better than State average

State average: 13.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 4.2%
442% worse than State average

State 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. 56.8%
6% better than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 39.1%
23% worse than State average

State 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

Facility Characteristics

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

Total residents 51
Medicare
3
5.9% of residents
Medicaid
20
39.2% of residents
Private pay or other
28
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.

Finances and operations

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

Nonprofit
Other Nonprofit
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."
$6.7M
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."
$376.0K
Nonprofit Other Nonprofit
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."
$6.7M Rank #119 / 251Revenue — State benchmarkedThis home is ranked 119th 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."
$376.0K
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.
$117.2K
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 #114 / 251Payroll — State benchmarkedThis home is ranked 114th 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.
$3.1M 46.5% 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 #113 / 251Payroll % — State benchmarkedThis home is ranked 113th 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).
$3.2M
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).
$6.4M

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.

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

Admissions
56 total

Coverage residents most often arrive under.

Medicare 54%
Private pay 45%
Medicaid 2%
Discharges
56 total

Coverage residents most often leave under.

Medicare 27%
Private pay 54%
Medicaid 20%

Places of interest near Wellington Place

Address 0.0 miles from city center Info Estimated distance in miles from Decorah's city center to Wellington Place's address, calculated via Google Maps.

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Frequently Asked Questions about Wellington Place

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%.

What is the best email address for Wellington Place?

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

Does Wellington Place operate as a for-profit or non-profit?

Wellington Place is registered as a non-profit in IA.

Who is the administrator of Wellington Place?

Mary Miller is the administrator of Wellington Place.

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