Madrid Home for the Aged
613 West North Street, Madrid, IA 50156 · Boone County · (515) 795-3007
64 certified beds, about 58 residents a day · Non profit - Corporation · Medicare and Medicaid since 1983
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165118 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 26, 2026, inspectors cited 6 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 14 health citations since June 2024 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 3.70 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
46.8% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Western Home Communities, an affiliated group of 6 nursing homes.
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.
306/24
503/25
603/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
3E
0F
Potential for minimal harm
0A
0B
0C
March 26, 2026Standard inspection, Complaint inspection · 6 citations
- E Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on clinical record review staff interview, and policy review the facility failed to identify non-pharmacological interventions and targeted behaviors related to high risk medications in 4 out of 5 sampled residents reviewed (Resident #2, #29, #1, and #4). The facility reported a census of 54 residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, and facility policy review, the facility failed to prepare, serve and distribute food in accordance with food service safety. The facility also failed to ensure sanitary and safe conditions in the two kitchenette areas in the facility maintained for food services. These failures posed the risk of food borne illness to the residents. The facility reported a census of 54 residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on facility investigation review, staff interview, and facility policy review, the facility failed to report allegations of abuse to the state survey agency (SSA) within the required time period in 1 of 1 incidents reviewed. The facility reported a census of 54. The facility corrected the deficiency per past noncompliance on 3/10/26 through the following actions:The facility self identified on 3/9/26 a resident to resident event happened that met the threshold for reporting requirements under state and federal guidelines. Former administration failed to notify the SSA within 2 hours of the event happening. All staff were re-educated on the abuse policy specifically all resident to resident altercations, regardless of injury, must be reported to the supervisor immediately, who then reports it to the Director of Nursing/Administrator immediately. [...]
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on clinical record review, staff interview, and policy review the facility failed to develop a comprehensive care plan that included problems, goals, or interventions for 3 of 8 residents (Resident #2, #29, and #27) reviewed with a diagnosis of Alzheimer's, anticoagulant medication usage, antidepressant medication usage, and catheter usage. The facility reported a census of 54.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on clinical record review, observations, resident interviews, staff interviews, and policy review the facility failed to provide food at an appetizing temperature to 3 of 5 residents ( Residents #2, #29, and #41) reviewed. The facility reported a census of 54 residents.
- D 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 1, 2026 (October 1-December 31) review and staff interviews, the facility failed to submit accurate staff reports for the PBJ Staffing Data Report. The facility reported a census of 54 residents. The facility corrected the deficiency per past noncompliance on 3/9/26 through the following actions:The facility self identified on 3/9/26 the PBJ report was not accurate due to agency hours were not submitted. The clinical specialist identified the issue and education was completed immediately with the administration. Audits initiated on 3/9/26 and will be ongoing.
March 20, 2025Standard inspection, Complaint inspection · 5 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, record review, staff interview, and policy review, the facility failed to ensure and verify food was stored, prepared, and delivered in a manner to prevent foodborne illness. The facility reported a census of 52.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review, staff interview, and policy review the facility failed to provide notice to the resident of discontinued Medicare Part A services and the right to an appeal for two of three residents (Resident #18 and #61) reviewed. The facility reported a census of 52 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, clinical record review, staff interviews and policy review, the facility failed to obtain a physician order and pharmacy order for the correct route of medication administration for 1 of 7 residents reviewed for medication administration (Resident # 7). The facility reported a census of 52 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, resident interview, staff interviews and policy review, the facility failed to provide adequate assessment and intervention for 1 of 1 residents reviewed for insulin and blood sugars (Resident #19). The facility reported a census of 52 residents.
- D Implement 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.
Inspectors wroteBased on record review, staff interview, and policy review the facility failed to attempt a gradual dosage reduction (GDR) for a psychotropic medication (a medication that affects brain activities associated with mental processes and behavior) for 1 (Resident #16) of 5 residents and failed to limit an as needed (PRN) psychotropic medication to 14 days without a physician's review for 1 (Resident #9) of 5 residents reviewed for un-necessary medications. The facility reported a census of 52 residents.
June 6, 2024Standard inspection · 3 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to refer a resident to the appropriate state-designated authority for a Level II Preadmission Screening and Resident Review (PASARR) evaluation and determination who was identified with a newly evident mental disorder for one of one resident reviewed (Resident #17). The facility reported a census of 52 residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, clinical record review, staff interviews and policy review, the facility failed to develop and implement a comprehensive person-centered care plan for 4 of 16 residents reviewed (Residents #4, #17, #31 and #39) for care plans. The facility reported a census of 52 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, observations, staff interviews and medical procedure guides, the facility failed to provide professional standards by not obtaining an order to have an indwelling catheter by a physician for 2 of 2 residents reviewed (Resident #10 and #26). The facility reported a census of 52 residents.
Fire safety inspections
16 fire safety citations on file: 1 on March 26, 2026, 4 on March 20, 2025, 11 on June 6, 2024.
Every fire safety citation16 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- E Have properly installed electrical wiring and gas equipment.
- D Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Address subsistence needs for staff and patients.
- F Establish methods for sharing information.
- F Establish emergency prep training and testing.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Properly provide smoke detection systems in areas open to corridors.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Install corridor and hallway doors that block smoke.
- E Meet requirements for the installation and maintenance of electrical systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 6, 2024 | Payment Denial | 12 days from June 28, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.70 | 3.82 | 3.86 |
| Registered nurses | 0.63 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.41 | 3.37 | 3.42 |
| Nurse aides | 2.67 | ||
| Licensed practical nurses | 0.40 | ||
| Nursing staff turnover (share who left in a year) | 46.8% | 44.0% | 45.8% |
| Registered nurse turnover | 83.3% | 42.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.21 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 3.81 on weekdays and 3.41 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.96 in April to June 2025 to 3.70 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 | 3.70 | 0.63 | 3.81 | 3.41 | 5.1% | 0 of 90 | 58 |
| Oct to Dec 2025 | 3.50 | 0.50 | 3.70 | 3.00 | 4.8% | 0 of 92 | 60 |
| Jul to Sep 2025 | 4.12 | 0.70 | 4.33 | 3.58 | 6.6% | 0 of 92 | 54 |
| Apr to Jun 2025 | 3.96 | 0.65 | 4.13 | 3.55 | 4.9% | 0 of 91 | 53 |
| 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 | 35.4 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.2 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 24.0 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.7 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.4 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.1 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.8 |
Owners and operators
Legal business name: MADRID HOME FOR THE AGING. CMS links this home to Western Home Communities, a group of 6 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bank Iowa | 5% or greater mortgage interest | Organization | 01/01/2025 | |
| Sannes, Aaron | Corporate director | Individual | 01/15/2025 | |
| Schroeder, Heather | Corporate director | Individual | 01/15/2025 | |
| Susong, Katherine | Corporate director | Individual | 01/15/2025 | |
| Brockelsby, Sheri | Corporate officer | Individual | 01/18/2018 | |
| Brown, Sarah | Corporate officer | Individual | 01/01/2021 | |
| Frankhauser, Richard | Corporate officer | Individual | 01/01/2021 | |
| Gaines, Ronald | Corporate officer | Individual | 01/01/2021 | |
| Hansen, Kris | Corporate officer | Individual | 01/01/2022 | |
| Schultz, Dianne | Corporate officer | Individual | 01/01/2021 | |
| Western Home Services Inc | Operational/managerial control | Organization | 01/01/2022 | |
| Ager, Wendy | Operational/managerial control | Individual | 01/01/2022 | |
| Bollinger, Hannah | Operational/managerial control | Individual | 11/08/2023 | |
| Colby, Richard | Operational/managerial control | Individual | 01/01/2025 | |
| Elsberry, Brandon | Operational/managerial control | Individual | 09/06/2022 | |
| Evans, Angela | Operational/managerial control | Individual | 01/01/2022 | |
| Hansen, Kris | Operational/managerial control | Individual | 01/01/2002 | |
| Harris, Jerry | Operational/managerial control | Individual | 01/01/2022 | |
| McCormick, Darrell | Operational/managerial control | Individual | 01/01/2022 | |
| Moore, Anthony | Operational/managerial control | Individual | 04/17/2024 | |
| O'Leary, Patrick | Operational/managerial control | Individual | 01/01/2022 | |
| Peterson, Rebecca | Operational/managerial control | Individual | 03/25/2025 | |
| Phipps, Molly | Operational/managerial control | Individual | 09/08/2021 | |
| Pies, Jennifer | Operational/managerial control | Individual | 01/16/2021 | |
| Ridder, Lisa | Operational/managerial control | Individual | 06/05/2013 | |
| Ross, Krystal | Operational/managerial control | Individual | 07/12/2021 | |
| Whyms, Brian | Operational/managerial control | Individual | 09/01/2024 | |
| Hansen, Kris | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/18/2026 | |
| Bank Iowa | Adp of the SNF | Organization | 01/01/2025 | |
| Brighton Consulting Group LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cbs Staffing LLC | Adp of the SNF | Organization | 04/01/2023 | |
| Cliftonlarsonallen LLP | Adp of the SNF | Organization | 08/25/2021 | |
| Grape Tree Medical Staffing LLC | Adp of the SNF | Organization | 04/01/2023 | |
| J Evans Nutrition Consulting LLC | Adp of the SNF | Organization | 10/01/2020 | |
| Medical Solutions LLC | Adp of the SNF | Organization | 04/01/2023 | |
| Nextaff Group LLC | Adp of the SNF | Organization | 01/01/2025 | |
| Rc and Associates | Adp of the SNF | Organization | 01/01/2025 | |
| Reliant Care Pharmacy Services LLC | Adp of the SNF | Organization | 02/28/2023 | |
| Signature Healthcare LLC | Adp of the SNF | Organization | 01/01/2025 | |
| Sugar Creek Health Management LLC | Adp of the SNF | Organization | 09/30/2022 | |
| Tech of Ages LLC | Adp of the SNF | Organization | 01/01/2025 | |
| Total Nurses Network | Adp of the SNF | Organization | 01/01/2025 | |
| Western Home Services Inc | Adp of the SNF | Organization | 01/01/2022 | |
| Ager, Wendy | Adp of the SNF | Individual | 01/01/2022 | |
| Colby, Richard | Adp of the SNF | Individual | 03/18/2026 | |
| Evans, Angela | Adp of the SNF | Individual | 01/01/2022 | |
| Hansen, Kris | Adp of the SNF | Individual | 01/01/2022 | |
| Harris, Jerry | Adp of the SNF | Individual | 01/01/2022 | |
| McCormick, Darrell | Adp of the SNF | Individual | 01/01/2022 | |
| O'Leary, Patrick | Adp of the SNF | Individual | 01/01/2022 | |
| Whyms, Brian | Adp of the SNF | Individual | 03/18/2026 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on March 26, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on March 26, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on March 26, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- 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 March 26, 2026: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
Other nursing homes nearby
- Granger Nursing & Rehabilitation Center Granger, 8 mi · 3 of 5 stars · 24 citations
- On With Life Long Term Care Polk City, 9.1 mi · 5 of 5 stars · 7 citations
- Green Hills Health Care Center Ames, 12.7 mi · 5 of 5 stars · 7 citations
- Perry Lutheran Homes Eden Acres Campus Perry, 13 mi · 2 of 5 stars · 6 citations
- Westhaven Community Boone, 13.1 mi · 3 of 5 stars · 16 citations
- Eastern Star Masonic Home Boone, 13.1 mi · 3 of 5 stars · 15 citations
- Kennybrook Village Grimes, 13.1 mi · 3 of 5 stars · 12 citations
- Perry Lutheran Home Perry, 13.9 mi · 1 of 5 stars · 22 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 Madrid Home for the Aged's Medicare star rating?
- CMS rates Madrid Home for the Aged 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Madrid Home for the Aged get at its last inspection?
- 6 health deficiencies at the standard inspection on March 26, 2026. The Iowa average is 6.5.
- Has Madrid Home for the Aged been fined?
- CMS lists no fines in the last three years.
- Does Madrid Home for the Aged 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 Madrid Home for the Aged?
- CMS lists 51 owners and managers, and links the home to Western Home Communities. Legal business name: MADRID HOME FOR THE AGING.
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.