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Rockwell Community Nursing Home

707 Elm Street, Rockwell, IA 50469 · Cerro Gordo County · (641) 822-3203

40 certified beds, about 21 residents a day · For profit - Corporation · Medicare and Medicaid since 1999

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165406 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 4, 2025, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).

None of its 1 health citation since October 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 4.38 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.94 of those hours.

47.1% 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.

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 1 health citation on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
0D
0E
1F
Potential for minimal harm
0A
0B
0C
September 4, 2025Standard inspection · 1 citation
  1. F
    Have 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.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 6, 2025
    Inspectors wroteBased on interviews, schedule review, and punch detail review, the facility failed to have a Registered Nurse (RN) on duty for at least 8 consecutive hours in a 24-hour period. On 3 different occasions, the facility had a full 24-hours without a RN on duty. The facility reported a census of 22 residents.
September 11, 2024Standard inspection · 0 citations
October 5, 2023Standard inspection · 0 citations

Fire safety inspections

7 fire safety citations on file: 3 on September 4, 2025, 2 on September 11, 2024, 2 on October 5, 2023.

Every fire safety citation7 citations
  1. F
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · September 4, 2025 · Corrected (the home has a date of correction)
  2. F
    Provide properly protected cooking facilities.
    K 324 · September 4, 2025 · Corrected (the home has a date of correction)
  3. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · September 4, 2025 · Corrected (the home has a date of correction)
  4. F
    Provide properly protected cooking facilities.
    K 324 · September 11, 2024 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 11, 2024 · Corrected (the home has a date of correction)
  6. E
    Have exits that are accessible at all times.
    K 271 · October 5, 2023 · Corrected (the home has a date of correction)
  7. E
    Have proper medical gas storage and administration areas.
    K 923 · October 5, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeIowaUnited States
All nursing staff (RN, LPN and aides)4.383.823.86
Registered nurses0.940.740.69
All nursing staff on weekends3.723.373.42
Nurse aides2.39
Licensed practical nurses1.04
Nursing staff turnover (share who left in a year)47.1%44.0%45.8%
Registered nurse turnovernot reported42.1%42.9%
Administrators who left0

CMS expects 3.04 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 4.65 on weekdays and 3.72 on weekends, 20% 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 4.58 in April to June 2025 to 4.38 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.380.944.653.72 0.0%0 of 9021
Oct to Dec 20254.270.934.433.86 0.1%0 of 9221
Jul to Sep 20254.470.924.723.82 0.0%0 of 9220
Apr to Jun 20254.580.844.873.85 2.8%0 of 9121
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Iowa, Jan to Mar 20263.800.713.983.364.7%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.

MeasureThis homeIowaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.217.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
6.71.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
5.12.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.83.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.016.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.14.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
30.219.415.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.42.11.8

Owners and operators

Legal business name: ROCKWELL COMMUNITY NURSING HOME INC.

NameRoleTypeShareSince
International Association of Lions - 4091 Rockwell5% or greater direct ownership interestOrganization7%07/30/2008
Jeffrey, DeniseCorporate directorIndividual11/15/2023
Peters, BeverlyCorporate directorIndividual02/01/2025
Twedt, MarkCorporate directorIndividual09/28/2022
Hanig, JanetCorporate officerIndividual09/01/2018
Shultz, JefferyCorporate officerIndividual01/01/2025
Worley, TracyCorporate officerIndividual09/01/1998
Baker, JoshuaOperational/managerial controlIndividual05/07/2022
Buttjer, RhondaOperational/managerial controlIndividual10/28/2024
Launspach, SamanthaOperational/managerial controlIndividual05/17/2024
Logan, CatherineOperational/managerial controlIndividual09/10/2018
Pearson, JeanOperational/managerial controlIndividual09/10/2018
Spurgin, KassidyOperational/managerial controlIndividual10/15/2024
Winfrey, TannerOperational/managerial controlIndividual01/06/2025
Bcg Holdings IncAdp of the SNFOrganization10/01/2024
Brighton Consulting Group LLCAdp of the SNFOrganization10/01/2024
Cattail Bcg LLCAdp of the SNFOrganization10/01/2024
Cattail IncAdp of the SNFOrganization10/01/2024
Ecsi IncAdp of the SNFOrganization10/01/2024
Harrison and Associates CpasAdp of the SNFOrganization06/01/2018
Iowa Health Care AssociationAdp of the SNFOrganization10/01/2024
Mercy Health Services-Iowa CorpAdp of the SNFOrganization12/01/2018
Merritt Computer Services IncAdp of the SNFOrganization01/01/2013
Onr National Speech Pathology IncAdp of the SNFOrganization06/01/2012
Baker, JoshuaAdp of the SNFIndividual07/07/2026
Norris, StephanieAdp of the SNFIndividual07/11/2017
Spurgin, KassidyAdp of the SNFIndividual07/07/2026

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.

  1. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on September 4, 2025: "Have 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."

Other nursing homes nearby

Iowa contacts for a concern about a nursing home

These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.

Common questions

What is Rockwell Community Nursing Home's Medicare star rating?
CMS rates Rockwell Community Nursing Home 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Rockwell Community Nursing Home get at its last inspection?
1 health deficiency at the standard inspection on September 4, 2025. The Iowa average is 6.5.
Has Rockwell Community Nursing Home been fined?
CMS lists no fines in the last three years.
Does Rockwell Community Nursing Home 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 Rockwell Community Nursing Home?
CMS lists 27 owners and managers. Legal business name: ROCKWELL COMMUNITY NURSING HOME INC.

Sources

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