Nursing homeActive
Madrid Home for the Aged
613 West North Street, Madrid, IA 50156515795300764 certified beds · 58 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2024
Deficiencies
14
● 0● 14● 0
Penalties · 3 yrs
—
1 action
Last survey
2026-03-26
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-26 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2025-03-20 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-06-06 | Standard | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 165118-20260326-F605
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 165118-20260326-F609
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 165118-20260326-F656
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 165118-20260326-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 165118-20260326-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 165118-20260326-F851
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-18Record 165118-20250320-F582
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-18Record 165118-20250320-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-18Record 165118-20250320-F684
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-18Record 165118-20250320-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-18Record 165118-20250320-F812
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-23Record 165118-20240606-F644
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-23Record 165118-20240606-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-23Record 165118-20240606-F658
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-06-06 | Denial of payment for new admissions Payment denial for 12 days, from 2024-06-28 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.63
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.70
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.41
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover47%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover83%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.4% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.2% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 19.7% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 1.4% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 35.4% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.1% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 17.5% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Ager, Wendy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bollinger, Hannah Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Colby, Richard Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Elsberry, Brandon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Evans, Angela Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hansen, Kris Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Harris, Jerry Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mccormick, Darrell Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Moore, Anthony Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| O'leary, Patrick Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Peterson, Rebecca Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Phipps, Molly Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pies, Jennifer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ridder, Lisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ross, Krystal Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Western Home Services Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Whyms, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ager, Wendy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bank Iowa Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Bank Iowa Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brighton Consulting Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brockelsby, Sheri Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Brown, Sarah Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Cbs Staffing LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cliftonlarsonallen LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Colby, Richard Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Evans, Angela Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Frankhauser, Richard Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gaines, Ronald Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Grape Tree Medical Staffing LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hansen, Kris Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hansen, Kris Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hansen, Kris Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Harris, Jerry Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| J Evans Nutrition Consulting LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mccormick, Darrell Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Medical Solutions LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nextaff Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| O'leary, Patrick Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rc And Associates Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Reliant Care Pharmacy Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sannes, Aaron Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schroeder, Heather Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schultz, Dianne Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Signature Healthcare LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sugar Creek Health Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Susong, Katherine Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Tech Of Ages LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Total Nurses Network Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Western Home Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Whyms, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Western Home Communities — 6 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Boone.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Granger Nursing & Rehabilitation Center Granger | 8.0 mi | 2026-02-26 | 0240 |
| On With Life Long Term Care Polk City | 9.1 mi | 2025-12-31 | 070 |
| Kennybrook Village Grimes | 13.1 mi | 2026-01-22 | 0120 |
| Westhaven Community Boone | 13.1 mi | 2026-04-30 | 0150 |
| Eastern Star Masonic Home Boone | 13.1 mi | 2026-05-21 | 0150 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |