Shell Rock Senior Living
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-07-19 — IMMEDIATE JEOPARDY (tag F0812, severity L)
Nutrition and Dietary Deficiencies · correction not recorded in CMS data
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2024-05-09 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
3.04
state median 3.10
Weekend staffing gap
−7%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.17
registered nurses only
Contract (agency) staff
9%
share of all nursing hours
Days with zero RN hours reported
26
with residents present
Nursing staff turnover
44%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $17,167 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-07-19 | Fine | $17,167 |
Ownership
Ownership type: For profit - Corporation. Part of the ACCURA HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Accura Healthcare of Lake City, LLC (Lake City, IA) —
- Accura Healthcare of Carlisle (Carlisle, IA) —
- Accura Healthcare of Onawa (Onawa, IA) —
- Accura Healthcare of South Des Moines (Des Moines, IA) —
- Accura Healthcare of Creston (Creston, IA) —
- Accura Healthcare of New Hampton (New Hampton, IA) —
- Accura Healthcare of Le Mars (Le Mars, IA) —
- Accura Healthcare of Pleasantville, LLC (Pleasantville, IA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-09-04 | F0637 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-04 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-04 | F0732 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-09-04 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-09-04 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-09-04 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-09-04 | F0925 | Environmental Deficiencies | D | not recorded |
| 2024-09-15 | F0641 | Resident Assessment and Care Planning Deficiencies | B | not recorded |
| 2024-09-15 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-15 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-15 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-07-19 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-19 | F0812 | Nutrition and Dietary Deficiencies | L | not recorded |
| 2024-05-09 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-10-05 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-10-05 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-05 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-05 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-10-05 | F0801 | Nutrition and Dietary Deficiencies | C | not recorded |
| 2023-10-05 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-10-05 | F0814 | Nutrition and Dietary Deficiencies | C | not recorded |
| 2023-10-05 | F0868 | Administration Deficiencies | C | not recorded |
| 2023-07-19 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-07-19 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-07-19 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-07-19 | F0803 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-07-19 | F0805 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-07-19 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-07-19 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |