Explore Open Rooms

1 Contact details
2 What type of senior care service are you looking for?
3 What budget do you have in mind for senior care?
4 How soon do you need to find care?
5 Additional details

Thank you for your interest!

Our team will be in touch shortly to help with next steps.

Nursing Home in Iowa

CMS overall rating Info 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.

Woodland Terrace

Nursing Home in Iowa

CMS overall rating Info 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.

Woodland Terrace

1922 Fifth Avenue NW, Waverly, IA 506771903 View map

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.

25 visits/inspections

Latest inspection

Date September 22, 2025

32 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Woodland Terrace

The most recent inspection on September 22, 2025, found the facility in compliance with no deficiencies cited. Prior inspections showed a mixed record with deficiencies related mainly to resident safety, medication management, infection control, and documentation. Notable issues included substantiated abuse by a staff member in August 2025, medication errors and food safety concerns in May 2025, and failure to prevent a resident fall in April 2024. Complaint investigations were mostly unsubstantiated except for the August 2025 abuse case and a few substantiated incidents involving resident safety and staff conduct. The facility appears to have addressed some prior deficiencies through plans of correction, but recent findings suggest ongoing challenges in staff supervision and care practices.

Health Inspection History

Inspections
Total health inspections 5

Iowa average 4.9


Last Health inspection on Aug 2025

Total health citations 14

Iowa average 21.7

Citations per inspection
2.8

Iowa average 4.11


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 14 citations resulted from standard inspections; and 3 of 14 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Iowa average

Iowa average: 0.6


Serious Health citations More info 1
11% worse than Iowa average

Iowa average: 0.9

0 critical citations More info Iowa average: 0.6

1 serious citation More info Iowa average: 0.9

10 moderate citations More info Iowa average: 19.7

3 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Aug 27, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Aug 27, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. May 08, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. May 08, 2025
Corrected

Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

5 facilities compared · CMS & IA Dept. of Health data · Updated Apr 2026

Filter by care type
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
+15%
+10%
0
4
2.0
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
-40%
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
Woodland Terrace
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.

Waverly
100
237.4%
+215%
4.75
+28%
+11%
0
14
2.8
1
87
Buchholz, Beau
$14.9M
$7.0M
47.3%
165442
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
-8%
0%
1
21
7.0
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
-33%
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082

Places of interest near Woodland Terrace

Address 1.4 miles from city center

Address 1922 Fifth Avenue NW, Waverly, IA 506771903

Calculate Travel Distance to Woodland Terrace

Add your location

Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 182
Employees 115
Contractors 67
Staff to resident ratio 2.12:1
6% better than Iowa average

Iowa average ratio: 2.00:1

Avg staff/day 59
Average shift 7.2 hours
0% compared with Iowa average

Iowa average: 7.4 hours

Total staff hours (quarter) 38,572
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 92
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

10.8%

4,165 contractor hours this quarter

Certified Nursing Assistant: 24 Registered Nurse: 11 Physical Therapy Aide: 6 Qualified Social Worker: 6 Respiratory Therapy Technician: 5 Speech Language Pathologist: 5 Licensed Practical Nurse: 4 Physical Therapy Assistant: 4 Occupational Therapy Assistant: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant68249220,14391100%7.8
Registered Nurse1611275,47491100%7.2
Other Dietary Services Staff6062,8108088%7.6
Licensed Practical Nurse74112,5399099%8.5
Medication Aide/Technician5051,56991100%6.9
Clinical Nurse Specialist3039916774%6.7
Mental Health Service Worker2029746673%8.3
Physical Therapy Aide0666697481%5.2
Nurse Practitioner2026156369%6.8
Dietitian1014886167%8
RN Director of Nursing1014886268%7.9
Administrator1014415358%8.3
Occupational Therapy Aide1013516066%5.9
Respiratory Therapy Technician0552356167%3
Speech Language Pathologist0552335358%3.6
Physical Therapy Assistant0442136369%2.8
Physical Therapist2022136066%2.9
Qualified Social Worker066915560%1.5
Occupational Therapy Assistant01130910%3.3
Medical Director011733%2.3
92 Certified Nursing Assistant
% of Days 100%
27 Registered Nurse
% of Days 100%
6 Other Dietary Services Staff
% of Days 88%
11 Licensed Practical Nurse
% of Days 99%
5 Medication Aide/Technician
% of Days 100%
3 Clinical Nurse Specialist
% of Days 74%
2 Mental Health Service Worker
% of Days 73%
6 Physical Therapy Aide
% of Days 81%
2 Nurse Practitioner
% of Days 69%
1 Dietitian
% of Days 67%
1 RN Director of Nursing
% of Days 68%
1 Administrator
% of Days 58%
1 Occupational Therapy Aide
% of Days 66%
5 Respiratory Therapy Technician
% of Days 67%
5 Speech Language Pathologist
% of Days 58%
4 Physical Therapy Assistant
% of Days 69%
2 Physical Therapist
% of Days 66%
6 Qualified Social Worker
% of Days 60%
1 Occupational Therapy Assistant
% of Days 10%
1 Medical Director
% of Days 3%

Facility Characteristics

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

Total census
86 residents
Residents by payment source
Medicare
5 residents (5.8%)
Medicaid
26 residents (30.2%)
Private pay or other
55 residents (64%)
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.

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. 9.2
10% better than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.6
In line with Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 16.8%
11% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.5%
6% better than Iowa average

Iowa 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 32.5%
24% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.8%
In line with Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.0%
32% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.5%
In line with Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.8%
23% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.0%
49% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 31.3%
65% worse than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.7%
In line with Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
14% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.9%
52% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 98.1%
34% better than Iowa average

Iowa average: 73.3%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

Tour Icon
Planning a tour? Check our touring checklist.
Chat Icon
Thinking of living here? We can help you speak to a current resident