Fellowship Village
300 East Jefferson, Inwood, IA 51240 · Lyon County · (712) 753-4663
40 certified beds, about 36 residents a day · Non profit - Corporation · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165283 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 20, 2025, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 6 health citations since December 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.44 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 1.19 of those hours.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.
November 20, 2025Standard inspection · 0 citations
September 5, 2024Standard inspection · 3 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on the Center for Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) Staffing Data Report for Quarter 2, 2024 (January 1 - March 31) review, facility staffing reports review, and staff interviews, the facility failed to submit accurate staff reports for the PBJ Staffing Data Report. The facility reported a census of 31 residents.
- E Ensure 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.
Inspectors wroteBased on observation, document review and staff interview the facility failed to follow the menu and prepare food to meet the nutritional needs for 11 of 31 residents reviewed. The facility reported a census of 31 residents.
- D Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on observation, document review, staff interview, and policy review the facility failed to provide a well balanced diet that meets nutritional and special dietary needs by use of incorrect serving size portions for meals for 1 of 31 residents reviewed, (Resident #4). The facility reported a census of 31 residents.
December 7, 2023Standard inspection, Complaint inspection · 3 citations
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to obtain resident/ resident representative signatures or record attempts to obtain resident/resident representative signatures on notification of the Notice of Medicare Non-Coverage (NOMNC) Centers of Medicare & Medicaid (CMS)-10123 for 2 of 3 sampled residents (Resident #8 and #27) and CMS form CMS-10055 for 1 of 3 sampled residents (Residents #27). The facility reported a census of 29 residents. Findings Include: 1. Record review for Resident #8 revealed form CMS 10123-NOMNC with a services end date of 9/12/23. Resident #8 ' s representative gave verbal consent for signature on 9/8/23 however lacked a signature of patient or patient representative and date. Review of Resident Progress Notes dated 9/8/23 at 2:02 p.m., revealed Reviewed the SNFABN and NOMNC with representatives. [...]
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, observation, resident interview, staff interviews, and facility record review, the facility failed to provide adequate nursing supervision to prevent a fall for 1 of 3 residents reviewed (Residents #132). The facility reported a total census of 29 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, facility policy review and staff interviews, the facility failed to perform proper hand hygiene during routine cares for 1 of 12 residents reviewed (Resident #19). The facility reported a total census of 29 residents.
Fire safety inspections
5 fire safety citations on file: 2 on November 20, 2025, 3 on September 5, 2024.
Every fire safety citation5 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F List the names and contact information of those in the facility.
- F Install corridor and hallway doors that block smoke.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.44 | 3.82 | 3.86 |
| Registered nurses | 1.19 | 0.74 | 0.69 |
| All nursing staff on weekends | 4.48 | 3.37 | 3.42 |
| Nurse aides | 3.96 | ||
| Licensed practical nurses | 0.29 | ||
| Nursing staff turnover (share who left in a year) | not reported | 44.0% | 45.8% |
| Registered nurse turnover | not reported | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.48 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.83 on weekdays and 4.48 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.79 in April to June 2025 to 5.44 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.44 | 1.19 | 5.83 | 4.48 | 8.6% | 0 of 90 | 36 |
| Oct to Dec 2025 | 4.80 | 0.94 | 5.07 | 4.12 | 6.8% | 0 of 92 | 37 |
| Jul to Sep 2025 | 4.99 | 1.14 | 5.37 | 4.03 | 4.7% | 0 of 92 | 35 |
| Apr to Jun 2025 | 4.79 | 1.11 | 5.18 | 3.80 | 0.0% | 0 of 91 | 37 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.8 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.9 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 8.8 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.4 | 3.8 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.1 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.2 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.5 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.1 | 1.8 |
Owners and operators
Legal business name: FELLOWSHIP VILLAGE.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Jones, Emily | W-2 managing employee | Individual | 11/27/2013 | |
| Jones, Emily | Corporate director | Individual | 11/27/2013 | |
| Jones, Emily | Operational/managerial control | Individual | 11/27/2013 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on September 5, 2024: "Ensure 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."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on September 5, 2024: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on December 7, 2023: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on December 7, 2023: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Good Samaritan Society Canton Canton, 8 mi · 4 of 5 stars · 7 citations
- Hegg Memorial Health Center Rock Valley, 10.2 mi · 5 of 5 stars · 11 citations
- Lyon Specialty Care Rock Rapids, 15 mi · 4 of 5 stars · 18 citations
- Tuff Memorial Home Hills, 15.6 mi · 4 of 5 stars · 6 citations
- Pleasant Acres Care Center Hull, 16.5 mi · 3 of 5 stars · 23 citations
- Avera Prince of Peace Sioux Falls, 18.7 mi · 4 of 5 stars · 17 citations
- Bethany Home - Brandon Brandon, 20.2 mi · 1 of 5 stars · 27 citations
- Hillcrest Health Care Center Hawarden, 20.7 mi · 1 of 5 stars · 72 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Fellowship Village's Medicare star rating?
- CMS rates Fellowship Village 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Fellowship Village get at its last inspection?
- 0 health deficiencies at the standard inspection on November 20, 2025. The Iowa average is 6.5.
- Has Fellowship Village been fined?
- CMS lists no fines in the last three years.
- Does Fellowship Village accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Fellowship Village?
- CMS lists 3 owners and managers. Legal business name: FELLOWSHIP VILLAGE.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.