Nursing homeActive
Shell Rock Senior Living
920 North Cherry Street, Shell Rock, IA 50670319885434141 certified beds · 39 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
22
● 4● 16● 2
Penalties · 3 yrs
$17,167
1 fine
Last survey
2025-09-04
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 3
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 |
|---|---|---|---|---|
| 2025-09-04 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-09-15 | Standard | 130 | CMS-2567 (Care Compare) | — |
| 2024-07-19 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-05-09 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-10-05 | Standard | 350 | 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.
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-22Record 165309-20250904-F637
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-22Record 165309-20250904-F692
F732Post nurse staffing information every day.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-22Record 165309-20250904-F732
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-22Record 165309-20250904-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-22Record 165309-20250904-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-22Record 165309-20250904-F880
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-22Record 165309-20250904-F925
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-10Record 165309-20240915-F685
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-10Record 165309-20240915-F688
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-10-10Record 165309-20240915-F727
F641Ensure each resident receives an accurate assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2024-10-10Record 165309-20240915-F641
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity LHarm
Food & nutrition
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-07-20Record 165309-20240719-F812
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-20Record 165309-20240719-F550
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-22Record 165309-20240509-F689
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 165309-20231005-F641
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 2023-10-13Record 165309-20231005-F684
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 165309-20231005-F698
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 165309-20231005-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 165309-20231005-F812
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2023-10-13Record 165309-20231005-F801
F814Dispose of garbage and refuse properly.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2023-10-13Record 165309-20231005-F814
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2023-10-13Record 165309-20231005-F868
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-07-19 | Civil money penalty | $17,167 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.40
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.66
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.20
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover44%
Facility
Iowa
National
Iowa 44% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.2% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.4% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 32.9% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.3% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.2% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.7% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 15.0% | 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 |
|---|---|---|---|---|
| Tealwood Enterprise Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Groff, Howard Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | — | — |
| Sheridan, Gail Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | — | — |
| American Healthcare Management Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Leneave, Ted Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Groff, Howard Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Leneave, Ted Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Sheridan, Gail Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Spurgin, Kassidy Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
Accura Healthcare — 41 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 Butler.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Woodland Terrace Waverly | 4.2 mi | 2026-06-25 | 391 |
| Clarksville Skilled Nursing & Rehab Center Clarksville | 7.0 mi | 2026-04-09 | 181 |
| Cedar Falls Health Care Center Cedar Falls | 13.8 mi | 2026-01-08 | 0321 |
| Martin Health Center, INC Cedar Falls | 14.4 mi | 2025-05-15 | 061 |
| Rehabilitation Center of Allison Allison | 11.9 mi | 2026-05-05 | 0152 |
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 |