4/5
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.
4/5
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.
Willow Dale Wellness Village is a 50-bed rural facility that splits its operations between short-term rehabilitation and long-term care, yielding a mixed-case 125-day average length of stay. The client pipeline draws from private-pay individuals (48%), Medicare admissions (40%), and Medicaid recipients (13%). Financial records show significant operational strain, with the property logging a 2023 business loss of $211.3 thousand and a negative 5.7% profit margin, following a drop in occupancy down to 56%. Despite these tightening revenues, the facility channels a high 64.8% of its funds directly into employee payroll to sustain daily operations.
State health databases show robust total nursing and physical therapy hours alongside mixed clinical outcomes and zero historical fines. Direct care lines provide an average of 4 hours and 31 minutes per resident daily, with certified nursing assistant hours beating the Iowa baseline by 14% and daily physical therapy tracking at double the state norm.
The facility carries a clean three-year record regarding federal financial penalties, and while recent standard inspection reports remain on file from 2023 through late 2025, no severe enforcement actions are noted. Long-stay clinical charts show strong safety trends for permanent resident falls, but the records note higher-than-average numbers for long-stay hospitalizations and antipsychotic prescriptions. Short-term rehabilitation files similarly reveal a clinical risk, with post-acute major injury falls tracking at 2.9% compared to the 0.8% state average.
Representatives looking into rural nursing placements or post-acute physical therapy can check these state health monitoring logs to evaluate the home’s daily operations. The public records detail a quiet, low-occupancy facility that maintains deep daytime caregiving hours and an unpunished regulatory track record, balanced against notable short-stay fall risks and evident business losses.
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 73rd out of 235 homes in Iowa for nurse hours. 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.
| 30m per day | ▼ 31% 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.
| 43m per day | ▲ 26% 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 44m 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.
| 3h 29m per day | ▲ 4% 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.
| 3m per day | ▲ 38% 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.
| 25m per day | ▼ 16% State avg: 30m per day · National avg: 28m per day |
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.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
29% more staff per resident than Iowa average
8% worse than Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
12 total: 4 full-time employees and 8 contractors.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
10 total: 6 full-time employees and 4 contractors.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
All 27 CNA Staff are full-time employees. No contractors work on this role.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
783 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 27 | 0 | 27 | 6,423 | 92 | 100% | 7 |
| Licensed Practical Nurse | 6 | 4 | 10 | 1,971 | 91 | 99% | 8.1 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,124 | 92 | 100% | 6.7 |
| Registered Nurse | 4 | 8 | 12 | 607 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 454 | 55 | 60% | 8.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 331 | 46 | 50% | 6.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 275 | 47 | 51% | 5.9 |
| Dietitian | 1 | 0 | 1 | 230 | 32 | 35% | 7.2 |
| Dental Services Staff | 2 | 0 | 2 | 181 | 23 | 25% | 7.8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 127 | 33 | 36% | 3.9 |
| Qualified Social Worker | 0 | 1 | 1 | 119 | 28 | 30% | 4.2 |
| Physical Therapy Assistant | 0 | 1 | 1 | 114 | 42 | 46% | 2.7 |
| Speech Language Pathologist | 0 | 4 | 4 | 96 | 35 | 38% | 2.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 35 | 12 | 13% | 2.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 9 | 3 | 3% | 3 |
| Medical Director | 0 | 1 | 1 | 4 | 2 | 2% | 1.8 |
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.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.9
23% better than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.2
11% better than 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
14.7%
22% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
16.4%
17% better than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.7%
In line with Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
72% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
3.4%
23% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.0%
58% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
4.0%
21% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
3.4%
13% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
27.8%
46% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
5% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
3.04
105% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.62
121% 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
67.1%
21% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
50.0%
32% worse than Iowa averageIowa average: 73.3%
Percentage of SNF residents who experience falls with major injury during their stay.
2.9%
282% worse than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
51.9%
In line with Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.1%
In line with Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
40% of new residents, usually for short-term rehab.
48% of new residents, often for short stays.
13% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
28State-approved Nurse Aide Training and Competency Evaluation Program on-site
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Willow Dale Wellness Village from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
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 #195 / 239Payroll — State benchmarkedThis home is ranked 195th out of 239 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 #40 / 239Payroll % — State benchmarkedThis home is ranked 40th out of 239 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).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (48% of admissions), and a typical private pay stay runs around 5 - 6 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Battle Creek's city center to Willow Dale Wellness Village's address, calculated via Google Maps.
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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.
| Bethany Home Retirement Center | NH IL MC SNF | Dubuque (Eagle Point District) | 66
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IA AVG
71
Rank
#181 / 406 | - | - | 4.19
Facility
4.19
IA AVG
4.30
Rank
#112 / 235 | 0% | -2% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 241 | 2
Facility
2
IA AVG
21.7
Rank
#6 / 234 | 2.0
Facility
2.0
IA AVG
4.1
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#19 / 234 | - | 67 | - |
69
Facility
69
IA AVG
45
Rank
#103 / 528 | Mike Brannon | $9.2MFiscal year ending 12/2023
Facility
$9.2MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#67 / 239 | $6.2MFiscal year ending 12/2023
Facility
$6.2MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#37 / 239 | 68%Fiscal year ending 12/2023
Facility
68%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#43 / 239 | 165584 | ||||
| St Francis Manor | NH AL HOS SNF | Grinnell | 78
Facility
78
IA AVG
71
Rank
#119 / 406 |
69.2%
Facility
69.2%
IA AVG
64.7
Rank
#193 / 379 | +7% | 5.32
Facility
5.32
IA AVG
4.30
Rank
#23 / 235 | +34% | +24% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 241 | 1
Facility
1
IA AVG
21.7
Rank
#1 / 234 | 1.0
Facility
1.0
IA AVG
4.1
Rank
#1 / 234 | - | 54 | - |
82
Facility
82
IA AVG
45
Rank
#39 / 528 | St Francis Manor Inc | $7.3MFiscal year ending 12/2023
Facility
$7.3MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#72 / 239 | $5.0MFiscal year ending 12/2023
Facility
$5.0MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#40 / 239 | 69.4%Fiscal year ending 12/2023
Facility
69.4%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#59 / 239 | 165480 | ||||
| Friendship Village | NH AL IL MC SNF | Waterloo | 72
Facility
72
IA AVG
71
Rank
#143 / 406 |
91.7%
Facility
91.7%
IA AVG
64.7
Rank
#41 / 379 | +42% | 6.17
Facility
6.17
IA AVG
4.30
Rank
#3 / 235 | +5% | +44% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 241 | 8
Facility
8
IA AVG
21.7
Rank
#45 / 234 | 2.0
Facility
2.0
IA AVG
4.1
Rank
#19 / 234 | 1 | 66 | - |
52
Facility
52
IA AVG
45
Rank
#202 / 528 | Friends Of Faith Retirement Homes, Inc | $14.2MFiscal year ending 03/2024
Facility
$14.2MFiscal year ending 03/2024
IA AVG
$7.0M
Rank
#11 / 239 | $11.6MFiscal year ending 03/2024
Facility
$11.6MFiscal year ending 03/2024
IA AVG
$3.1M
Rank
#7 / 239 | 81.4%Fiscal year ending 03/2024
Facility
81.4%Fiscal year ending 03/2024
IA AVG
46.3%
Rank
#113 / 239 | 165081 | ||||
| Prairie Vista Village | NH AL IL SNF | South Altoona | 68
Facility
68
IA AVG
71
Rank
#170 / 406 |
50.0%
Facility
50.0%
IA AVG
64.7
Rank
#255 / 379 | -23% | 4.71
Facility
4.71
IA AVG
4.30
Rank
#58 / 235 | -20% | +10% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 241 | 5
Facility
5
IA AVG
21.7
Rank
#18 / 234 | 1.3
Facility
1.3
IA AVG
4.1
Rank
#8 / 234 | - | 34 | A |
29
Facility
29
IA AVG
45
Rank
#372 / 528 | John Freeman | $9.1MFiscal year ending 12/2023
Facility
$9.1MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#60 / 239 | $3.7MFiscal year ending 12/2023
Facility
$3.7MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#69 / 239 | 40.8%Fiscal year ending 12/2023
Facility
40.8%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#169 / 239 | 165610 | ||||
| Willow Dale Wellness Village | NH AL HOS IL SNF | Battle Creek | 40
Facility
40
IA AVG
71
Rank
#324 / 406 |
75.3%
Facility
75.3%
IA AVG
64.7
Rank
#161 / 379 | +16% | 4.52
Facility
4.52
IA AVG
4.30
Rank
#73 / 235 | +39% | +5% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 241 | 5
Facility
5
IA AVG
21.7
Rank
#18 / 234 | 1.7
Facility
1.7
IA AVG
4.1
Rank
#15 / 234 | - | 30 | - |
2
Facility
2
IA AVG
45
Rank
#500 / 528 | - | $3.4MFiscal year ending 12/2023
Facility
$3.4MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#219 / 239 | $2.4MFiscal year ending 12/2023
Facility
$2.4MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#195 / 239 | 71.7%Fiscal year ending 12/2023
Facility
71.7%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#40 / 239 | 165342 |
Willow Dale Wellness Village has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.
Willow Dale Wellness Village's occupancy is 61.5%.
No, Willow Dale Wellness Village has a no-pet policy.
Willow Dale Wellness Village is registered as a for-profit.
Yes — there are 3 photos of Willow Dale Wellness Village in the photo gallery on this page.
Willow Dale Wellness Village is located at 404 First Street, Battle Creek, Ia 510069425.
(712) 365-4332 will put you in contact with the team at Willow Dale Wellness Village.
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