Mount Ayr Health Care Center
1504 East South Street, Mount Ayr, IA 50854 · Ringgold County · (641) 464-3204
46 certified beds, about 24 residents a day · For profit - Corporation · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165224 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 14, 2026, inspectors cited 5 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 11 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 3.68 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.98 of those hours.
37.0% of nursing staff left within the year CMS measured (Iowa average 44.0%).
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.
206/24
404/25
504/26
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
4E
0F
Potential for minimal harm
0A
0B
0C
April 14, 2026Standard 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, interviews, and policy review the facility failed to prepare, serve and distribute food in accordance with food service safety for general practices of mealtime service. The facility reported a census of 24 residents.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on clinical record review, staff interviews, and policy review, the facility failed to notify the Long-Term Care State Ombudsman of a transfer to the hospital for 2 of 2 residents (#13, #28). The facility reported a census of 24 residents.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review, staff interviews, and policy review the facility failed to complete a Pre-admission Screening and Resident Review (PASRR) for 1 of 1 residents (Resident #5), who was diagnosed with a new mental disorder diagnosis since admission to the facility. The facility reported a census of 24 residents.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observations, staff interviews, and policy review, the facility failed to properly protect resident information from unauthorized access by leaving 2 residents' information accessible when staff walked away from the Electronic Health Record (EHR) laptop. The facility reported a census of 24 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, staff interviews, and policy review, the facility failed to implement infection control practices by manipulating a catheter drain spigot with gloves previously used during resident transfer (Resident #1). The facility reported a census of 24 residents.
April 9, 2025Standard inspection · 4 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 observation, staff interview, and policy review, the facility failed to maintain sanitary practices by failing to perform hand hygiene between touching non-food items and handling raw food in the kitchen. The facility reported a census of 34 residents.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on clinical record review, staff interview, guidance from the Centers for Disease Control and Prevention (CDC) and facility policy review, the facility failed to offer the recommended pneumococcal vaccine to 4 of 8 residents reviewed for vaccines (#06, #11, #23, and #29). The facility reported a census of 34 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, resident and staff interview, and facility policy review, the facility failed to follow the comprehensive care plan for 1 of 12 residents reviewed (Resident #13). Additionally, the facility failed to fully develop a comprehensive, resident centered care plan for 2 residents (Resident #28, Resident #12). The facility reported a census of 34 residents. Findings Include: 1. The Minimum Data Set (MDS) of Resident #13, dated 2/27/25 identified a Brief Interview for Mental Status (BIMS) score of 15 which indicated cognition intact. The MDS documented diagnoses that included anxiety disorder and depression, neurocognitive disorder with Lewy bodies and borderline personality disorder. The Care Plan, last reviewed 3/2/25, identified a Focus area of All About Me - Care/ADL (Activities of Daily Living) Preferences. Interventions included: [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, staff and resident interviews, and policy review, the facility failed to provide follow-up assessment and intervention for 1 of 1 diabetic resident blood sugar (BS) result of 30 milligrams/deciliter (mg/dL) (#19). The facility reported a census of 34 residents.
June 27, 2024Standard inspection · 2 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, clinical record review, staff interviews, and facility policy review the facility failed to update the infection control policy and failed to maintain infection control practices for catheter cares for 1 of 2 residents reviewed (Resident #4). The facility reported a census of 33 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, resident interviews and staff interviews, the facility failed to include the resident in the care plan participation conference for two (Residents #4 and #12) of twelve residents reviewed. The facility reported a census of 33 residents.
Fire safety inspections
7 fire safety citations on file: 1 on April 14, 2026, 2 on April 9, 2025, 4 on June 27, 2024.
Every fire safety citation7 citations
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have an externally vented heating system.
- F Have proper medical gas storage and administration areas.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have an externally vented heating system.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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) | 3.68 | 3.82 | 3.86 |
| Registered nurses | 0.98 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.26 | 3.37 | 3.42 |
| Nurse aides | 2.38 | ||
| Licensed practical nurses | 0.32 | ||
| Nursing staff turnover (share who left in a year) | 37.0% | 44.0% | 45.8% |
| Registered nurse turnover | 14.3% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.50 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 3.85 on weekdays and 3.26 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.01 in April to June 2025 to 3.68 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 | 3.68 | 0.98 | 3.85 | 3.26 | 0.0% | 0 of 90 | 24 |
| Oct to Dec 2025 | 3.72 | 1.09 | 3.88 | 3.33 | 0.0% | 0 of 92 | 24 |
| Jul to Sep 2025 | 3.23 | 1.02 | 3.39 | 2.80 | 0.0% | 0 of 92 | 28 |
| Apr to Jun 2025 | 3.01 | 0.93 | 3.20 | 2.53 | 0.0% | 0 of 91 | 31 |
| 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 | 16.7 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.8 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.6 | 3.8 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.8 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.5 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.1 | 1.8 |
Owners and operators
Legal business name: R.M.H. INCORPORATED.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hinz, Marlene | 5% or greater direct ownership interest | Individual | 15% | 01/01/1994 |
| Hinz, Robert | 5% or greater direct ownership interest | Individual | 15% | 11/03/2011 |
| Hinz, Marlene | W-2 managing employee | Individual | 01/01/1994 | |
| Hinz, Robert | W-2 managing employee | Individual | 11/03/2011 | |
| Hinz, Travis | W-2 managing employee | Individual | 01/01/2014 | |
| Hinz, Travis | Corporate director | Individual | 01/01/2014 | |
| Brooks, Kiley | Corporate officer | Individual | 03/22/2022 | |
| Walnut Creek Management Company LLC | Operational/managerial control | Organization | 03/22/2022 | |
| Brooks, Kiley | Operational/managerial control | Individual | 03/22/2022 |
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 4 problems in this area, most recently on April 14, 2026: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on April 14, 2026: "Provide and implement an infection prevention and control program."
- 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 April 14, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 April 14, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.26 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Clearview Home Mount Ayr, 0.8 mi · 4 of 5 stars · 3 citations
- Lamoni Specialty Care Lamoni, 16.6 mi · 5 of 5 stars · 5 citations
- Worth County Convalescent Center Grant City, 18.2 mi · 3 of 5 stars · 17 citations
- Lenox Care Center Lenox, 21 mi · 3 of 5 stars · 28 citations
- Accura Healthcare of Creston Creston, 25 mi · 2 of 5 stars · 38 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 Mount Ayr Health Care Center's Medicare star rating?
- CMS rates Mount Ayr Health Care Center 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Mount Ayr Health Care Center get at its last inspection?
- 5 health deficiencies at the standard inspection on April 14, 2026. The Iowa average is 6.5.
- Has Mount Ayr Health Care Center been fined?
- CMS lists no fines in the last three years.
- Does Mount Ayr Health Care Center 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 Mount Ayr Health Care Center?
- CMS lists 9 owners and managers. Legal business name: R.M.H. INCORPORATED.
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.