Occupancy rate
85%
In line with Iowa averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home
Wilton Retirement Community
Wilton Retirement Community is a not-for-profit provider of long term care services where people feel valued, safe, respected, and loved. It offers skilled nursing, assisted living, and a memory care unit for residents with Alzheimer's disease and other dementia illnesses. The community emphasizes a supportive environment for both residents and their families.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
34
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
85.3%
Residents per day (avg)
31
Occupancy rate
85.3%
Residents per day (avg)
31
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
20% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
61% of new residents, often for short stays.
Typical stay
5 months
Medicaid
19% of new residents, often for long-term daily care.
Typical stay
9 - 10 months
Finances and operations
Voluntary non-profit community
Home revenue
$5.3M
Operating deficit
-$459.8K
Voluntary non-profit community
Home revenue
$5,315,131.00
Operating deficit
$-459,779.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.7M
34-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
12 years in operation
A community with a solid operating history and experience delivering ongoing care.
About this community
Occupancy
In line with Iowa averageOccupied beds
29 / 34
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
January 27, 2014
County:
Muscatine
Additional licensing details
License number:
703215
CMS Certification Number:
165611
Certification type:
FALSE
Ownership & operating entity
Wilton Retirement Community is administrated by Tifany Rickey.
Owner name:
Simpson Memorial Home(Free Standing NF/SNF) | 700230
Care Services
Nursing Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
5637325068
Programs & Activities
Specific Programs
Skilled & Long Term Care, Townsend Care Center Memory Care Unit, Assisted Living Residences, For Our Families, Careers, Ways to Help, News, Join Our Community, Schedule a Tour, Resident Application, Veterans Information Form, Contact
Volunteer Programs
Yes
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.
14 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:December 31, 2025
19 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Wilton Retirement Community
The most recent inspection on December 31, 2025, identified a deficiency related to unsecured medications for five cognitively impaired residents and inadequate supervision during medication administration. Earlier inspections showed a pattern of deficiencies involving medication management, care planning, infection control, and reporting of resident incidents. Complaint investigations were generally unsubstantiated, though prior reports noted failures in notification and investigation of resident altercations. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows recurring issues primarily with medication security and care documentation, with no clear trend of consistent improvement or worsening over time.
Health Inspection History
Inspections
Total health inspections
4
Iowa average 4.9
Last Health inspection on Oct 2024
Total health citations
16
Iowa average 21.7
Citations per inspection
4
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
13 of 16 citations resulted from standard inspections; and 3 of 16 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
16 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 10, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 10, 2024
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 20, 2023
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 20, 2023
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 20, 2023
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 20, 2023
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jul 20, 2023
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jul 20, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Wilton Retirement Community
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.
Wilton
34
91.0%
+21%
5.87
+37%
0
16
0
31
-
$5,1M
$2,6M
51.1%
165611
Akron Care Center, INC
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.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Accura HealthCare of Carlisle
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.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Accura Healthcare of Spirit Lake
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.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
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.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
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Wilton, IA 52778
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
77
Employees
64
Contractors
13
Staff to resident ratio
2.57:1
29% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
25
Average shift
7.3 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
16,548
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
34
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
3.6%
595 contractor hours this quarter
Physical Therapy Assistant: 5
Physical Therapy Aide: 2
Qualified Social Worker: 2
Speech Language Pathologist: 1
Respiratory Therapy Technician: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 34 | 0 | 34 | 8,141 | 91 | 100% | 7.7 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,622 | 91 | 100% | 8 |
| Registered Nurse | 7 | 0 | 7 | 1,509 | 81 | 89% | 8.6 |
| Licensed Practical Nurse | 6 | 0 | 6 | 764 | 77 | 85% | 6.8 |
| RN Director of Nursing | 2 | 0 | 2 | 504 | 61 | 67% | 7.9 |
| Dietitian | 1 | 0 | 1 | 501 | 63 | 69% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 486 | 52 | 57% | 9.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 460 | 59 | 65% | 7.8 |
| Administrator | 2 | 0 | 2 | 434 | 55 | 60% | 7.9 |
| Speech Language Pathologist | 0 | 1 | 1 | 199 | 67 | 74% | 3 |
| Physical Therapy Aide | 0 | 2 | 2 | 173 | 60 | 66% | 2.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 83 | 14 | 15% | 5.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 69 | 9 | 10% | 7.7 |
| Qualified Social Worker | 0 | 2 | 2 | 65 | 24 | 26% | 2.7 |
| Physical Therapy Assistant | 0 | 5 | 5 | 42 | 24 | 26% | 1.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 24 | 24 | 26% | 1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 11 | 3 | 3% | 3.5 |
34 Certified Nursing Assistant
% of Days
100%
7 Medication Aide/Technician
% of Days
100%
7 Registered Nurse
% of Days
89%
6 Licensed Practical Nurse
% of Days
85%
2 RN Director of Nursing
% of Days
67%
1 Dietitian
% of Days
69%
2 Nurse Practitioner
% of Days
57%
1 Mental Health Service Worker
% of Days
64%
1 Other Dietary Services Staff
% of Days
65%
2 Administrator
% of Days
60%
1 Speech Language Pathologist
% of Days
74%
2 Physical Therapy Aide
% of Days
66%
1 Occupational Therapy Aide
% of Days
15%
1 Clinical Nurse Specialist
% of Days
10%
2 Qualified Social Worker
% of Days
26%
5 Physical Therapy Assistant
% of Days
26%
1 Respiratory Therapy Technician
% of Days
26%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
30 residents
Residents by payment source
Medicaid
12 residents (40%)
Private pay or other
18 residents (60%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.3
39% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.1
21% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.9%
Percent of long-stay residents whose need for help with daily activities has increased
12.9%
31% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.5%
Percent of long-stay residents whose ability to move independently worsened
11.5%
42% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.0%
In line with Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
54% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.3%
Percent of long-stay high risk residents with pressure ulcers
2.3%
47% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.5%
Percent of long-stay residents with a urinary tract infection
2.5%
In line with Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.0%
Percent of long-stay residents who lose too much weight
3.0%
39% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
8.2%
Percent of long-stay residents who have depressive symptoms
8.2%
111% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.1%
Percent of long-stay residents who received an antipsychotic medication
14.1%
26% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
15% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Wilton Retirement Community based on CMS SNF Cost Reports.
Occupancy Rate
91.0%
↑ 2.6pp vs 2023
Net Income
-$459,779
↓ ~$83K vs 2023
Total Payroll
$3,438,134
↑ ~$329K vs 2023
Profit Margin
-9.0%
↓ 1.2pp vs 2023
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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