Shell Rock Senior Living
Nursing home in Shell Rock, Iowa, CMS certification number 165309
920 North Cherry Street, Shell Rock, IA 50670 · Butler County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 41
- Certified for
- Medicare and Medicaid
- Last standard inspection
- September 4, 2025
- Deficiencies at that inspection
- 7
- Fines in 3 years
- $17,167 (1)
Does Shell Rock Senior Living take Medicare and Medicaid?
Yes to both. Shell Rock Senior Living is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Shell Rock Senior Living reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.73
- Registered nurse hours
- 0.57
- Licensed practical nurse hours
- 0.54
- Nurse aide hours
- 2.62
- Weekend total hours
- 3.23
- Nursing staff turnover
- 51.4%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on September 4, 2025 and cited 7 deficiencies, plus 3 from complaint visits.
The visit before, on September 15, 2024, found 4.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Shell Rock Senior Living 1 time in the past 3 years, for $17,167 in total.
Beds and residents
On an average day 37.9 residents live here, about 92% of its 41 certified beds.
- Certified beds
- 41
- Average residents per day
- 37.9
- Certified since
- January 1, 1997
- Resident or family council
- Resident
Who owns Shell Rock Senior Living
- Legal business name
- Shell Rock Healthcare Center Inc
- Ownership type
- For profit - Corporation
- Chain
- 44 homes nationally under Accura Healthcare, 2.7-star chain average
Other nursing homes near Shell Rock Senior Living
- Woodland Terrace1922 Fifth Avenue NW, Waverly 50677
- Clarksville Skilled Nursing & Rehab Center115 North Hilton St, Clarksville 50619
- Rehabilitation Center of Allison900 7th Street West, Allison 50602
- Denver Sunset Home235 North Mill Street, Denver 50622
- Cedar Falls Health Care Center1728 West Eighth Street, Cedar Falls 50613
Who inspects nursing homes in Iowa
Iowa's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Iowa, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Shell Rock Senior Living, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Shell Rock Senior Living
What is the CMS star rating of Shell Rock Senior Living?
1 out of 5 stars overall.
Does Shell Rock Senior Living accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Shell Rock Senior Living?
7 cited at the last standard visit.
Who owns Shell Rock Senior Living?
Shell Rock Healthcare Center Inc, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.