Terrace Glen Village
3400 Alburnett Road, Marion, IA 52302 · Linn County · (319) 377-9000
40 certified beds, about 38 residents a day · For profit - Corporation · Medicare and Medicaid since 2019
CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165625 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 19, 2025, inspectors cited 3 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 10 health citations since June 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.23 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 1.49 of those hours.
32.6% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Pivotal Health Care, an affiliated group of 9 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.
606/23
110/24
311/25
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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
3D
3E
0F
Potential for minimal harm
0A
1B
0C
November 19, 2025Standard inspection · 3 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, staff interview, facility policy review and guidance from the 2025 Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, the facility failed to accurately code medications on the Minimum Data Set (MDS) assessment for 4 of 15 residents reviewed for MDS Assessment accuracy (Resident #2, #3, #12, #34). The facility reported a census of 38 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, menu review, staff interviews, and policy review, the facility failed to serve the appropriate portion of pureed oatmeal for 3 of 3 residents and mechanical soft sausage for 1 of 1 resident who were ordered modified diets. The facility reported a census of 38 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 observation, staff interview, and policy review, the facility failed to properly label and date food stored in the refrigerator, freezer, and dry goods. The facility reported a census of 38 residents.
October 3, 2024Standard inspection · 1 citation
- B Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review, facility documentation, and staff interview the facility failed to notify the ombudsman of a hospital transfer for 1 of 1 residents reviewed for transfers (Resident #13). The facility reported a census of 38 residents.
June 29, 2023Standard inspection · 6 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on clinical record review, observations, Resident Representative and staff interviews and facility policy review, the facility staff failed to prevent an unstageable pressure ulcer from forming on a heel requiring debridement (the removal of dead (necrotic) or infected skin tissue to help a wound heal) and caused increased pain for 1 of 1 residents reviewed for pressure ulcers (Resident #9). The facility reported a census 36. Findings Include: The MDS (Minimum Data Set) Assessment identifies the definition of Pressure Ulcers: Stage I - An intact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have a visible blanching; in dark skin tones only, it may appear with persistent blue or purple hues. [...]
- G 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 Representative and staff interviews, and facility policy review, the facility staff failed to ensure safe transport of a resident in a wheelchair, resulting in a fracture of the right tibia and fibula, bruising, swelling, and increased pain to the leg, and the resident transferred to the hospital for treatment for 1 of 3 residents reviewed for accidents (Resident #7). The facility reported a census of 36. Findings Include: The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #7 scored 00 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated severe cognition impairment. The MDS documented the resident required extensive assistance with 2 plus person physical assistance for bed mobility and transfers and used a wheelchair. [...]
- G Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on clinical record review, observation, staff interviews, and facility policy review, the facility failed to thoroughly assess, monitor, and promptly act upon changes in condition in a resident's vital signs and clinical presentation resulting in the resident's transfer to the hospital, diagnosis of septic shock related to a urinary tract infection (UTI), and intravenous (IV) antibiotic use in the hospital for one of two residents reviewed for catheters (Resident #30). The facility reported a census of 36 residents. Findings Include: 1. The Significant Change Minimum Data Set (MDS) for Resident #30 dated 1/27/23 lacked documentation of a Brief Interview for Mental Status (BIMS) score, and lacked evaluation of the resident's cognitive skills for daily decision making. Per this assessment, Resident #30 had an indwelling catheter. [...]
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on clinical record review, staff interviews, and facility policy review, the facility failed to ensure the admission Minimum Data Set (MDS) Assessment submitted in a timely manner for 1 of 12 residents reviewed for MDS. (Resident #9). The facility reported a census of 36.
- 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 wrote2. The MDS assessment dated [DATE] revealed Resident #9 scored 7 out 15 on the BIMS exam, which indicated severe cognitive impairment. The MDS revealed medical diagnosis of age-related cognitive decline. The MDS identified the resident with an unstageable pressure ulcer not present upon admission. The MDS revealed the resident received an antidepressant 7 out of 7 days. The Care Plan entry dated 12/21/22 documented a focus area of risk for skin breakdown. The interventions dated 12/21/22 included to administer treatments to the wounds as ordered and monitor for effectiveness. The interventions dated 2/9/23 revealed resident wore heel boots in bed. The Care Plan lacked documentation of the presence of an unstageable pressure ulcer prior to 6/29/23. [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, facility video review, staff interviews, and facility policy review, the facility staff failed to assess a change of condition and intervene appropriately following an accident during a wheelchair transport for 1 of 12 residents reviewed for assessment and interventions. (Resident #7). The facility reported a census of 36. Findings Include: The Minimum Data Set (MDS) assessment dated [DATE], documented Resident #7 scored 00 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated severe cognition impairment. The MDS revealed the resident required extensive assistance with 2 plus person physical assistance for bed mobility and transfers and used a wheelchair. The MDS identified the medical diagnoses of unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety; [...]
Fire safety inspections
14 fire safety citations on file: 2 on November 19, 2025, 6 on October 3, 2024, 6 on June 29, 2023.
Every fire safety citation14 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- F Install a two-hour-resistant firewall separation.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Ensure proper usage of power strips and extension cords.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have properly located and lighted "Exit" signs.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install a fire alarm system that can be heard throughout the facility.
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) | 4.23 | 3.82 | 3.86 |
| Registered nurses | 1.49 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.82 | 3.37 | 3.42 |
| Nurse aides | 2.63 | ||
| Licensed practical nurses | 0.12 | ||
| Nursing staff turnover (share who left in a year) | 32.6% | 44.0% | 45.8% |
| Registered nurse turnover | 23.1% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.45 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 4.40 on weekdays and 3.82 on weekends, 13% 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 4.19 in April to June 2025 to 4.23 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 | 4.23 | 1.49 | 4.40 | 3.82 | 0.0% | 0 of 90 | 38 |
| Oct to Dec 2025 | 4.36 | 1.49 | 4.53 | 3.90 | 0.0% | 0 of 92 | 38 |
| Jul to Sep 2025 | 4.28 | 1.47 | 4.47 | 3.79 | 0.0% | 0 of 92 | 38 |
| Apr to Jun 2025 | 4.19 | 1.40 | 4.33 | 3.83 | 0.0% | 0 of 91 | 39 |
| 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 | 11.1 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 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 | 12.9 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.0 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 9.5 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.8 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 2.1 | 1.8 |
Owners and operators
Legal business name: CCRC OF CEDAR RAPIDS, LLC. CMS links this home to Pivotal Health Care, a group of 9 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Abernathy Family Farms LLC | Direct ownership interest | Organization | 11/01/2018 | |
| Mouw Family Investments, LLC | Direct ownership interest | Organization | 11/01/2018 | |
| Scenic Development LLC | Direct ownership interest | Organization | 11/01/2018 | |
| Scenic Holdings LLC | Direct ownership interest | Organization | 01/01/2024 | |
| 3rk, LLC | Indirect ownership interest | Organization | 01/01/2024 | |
| 5 R Cattle, LLC | Indirect ownership interest | Organization | 11/01/2018 | |
| Cadet Investment LLC | Indirect ownership interest | Organization | 11/01/2018 | |
| Lmray, LLC | Indirect ownership interest | Organization | 11/01/2018 | |
| Poky - 5r LLC | Indirect ownership interest | Organization | 01/01/2024 | |
| Poky Feeders Inc | Indirect ownership interest | Organization | 11/01/2018 | |
| Wsg LLC | Indirect ownership interest | Organization | 11/01/2018 | |
| Anderson, Jordan | Indirect ownership interest | Individual | 10/01/2021 | |
| Anderson, Marlene | Indirect ownership interest | Individual | 11/01/2018 | |
| Anderson, Wayne | Indirect ownership interest | Individual | 11/01/2018 | |
| Gulledge, Scott | Indirect ownership interest | Individual | 11/01/2018 | |
| Gulledge, Travis | Indirect ownership interest | Individual | 10/01/2021 | |
| Howard, Steven | Indirect ownership interest | Individual | 11/01/2018 | |
| Wood, Gilbert | Indirect ownership interest | Individual | 11/01/2018 | |
| Pivotal Health Care LLC | Operational/managerial control | Organization | 11/01/2018 | |
| Scenic Development LLC | Operational/managerial control | Organization | 11/01/2018 | |
| Anderson, Jordan | Operational/managerial control | Individual | 01/01/2025 | |
| Gulledge, Scott | Operational/managerial control | Individual | 11/01/2018 | |
| Gulledge, Travis | Operational/managerial control | Individual | 01/01/2025 | |
| Taeger, Vincent | Operational/managerial control | Individual | 11/01/2024 | |
| Tressel, Stephen | Operational/managerial control | Individual | 06/03/2019 | |
| Wood, Gilbert | Operational/managerial control | Individual | 11/01/2018 | |
| Mercy Medical Center | Adp of the SNF | Organization | 11/01/2024 | |
| Pivotal Health Care LLC | Adp of the SNF | Organization | 05/27/2025 | |
| Summit Care, LLC | Adp of the SNF | Organization | 11/01/2018 | |
| Gulledge, Scott | Adp of the SNF | Individual | 11/01/2018 | |
| Gulledge, Travis | Adp of the SNF | Individual | 01/01/2025 | |
| Taeger, Vincent | Adp of the SNF | Individual | 11/01/2024 | |
| Tressel, Stephen | Adp of the SNF | Individual | 06/03/2019 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on June 29, 2023: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on November 19, 2025: "Ensure each resident receives an accurate assessment."
- 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 November 19, 2025: "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."
- 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 October 3, 2024: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
Other nursing homes nearby
- Winslow House Care Center Marion, 1.3 mi · 2 of 5 stars · 16 citations
- Hallmar Village Cedar Rapids, 1.3 mi · 2 of 5 stars · 22 citations
- Oakview Nursing & Rehablitation - Marion Marion, 1.3 mi · 4 of 5 stars · 13 citations
- Northbrook Healthcare and Rehabilitation Center Cedar Rapids, 2.4 mi · 1 of 5 stars · 57 citations
- Silver Oak Nursing and Rehabilitation Center LLC Marion, 2.4 mi · 1 of 5 stars · 60 citations
- Linn Manor Care Center Marion, 2.5 mi · 2 of 5 stars · 18 citations
- St. Luke's Helen G Nassif Transitional Care Center Cedar Rapids, 3.7 mi · 5 of 5 stars · 6 citations
- Hiawatha Care Center Hiawatha, 4.1 mi · 3 of 5 stars · 10 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 Terrace Glen Village's Medicare star rating?
- CMS rates Terrace Glen Village 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Terrace Glen Village get at its last inspection?
- 3 health deficiencies at the standard inspection on November 19, 2025. The Iowa average is 6.5.
- Has Terrace Glen Village been fined?
- CMS lists no fines in the last three years.
- Does Terrace Glen 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 Terrace Glen Village?
- CMS lists 33 owners and managers, and links the home to Pivotal Health Care. Legal business name: CCRC OF CEDAR RAPIDS, LLC.
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.