Heartland Care Center

Nursing Home · Marcus, IA

CMS overall rating 5/5 Non profit - Corporation

CMS certification number165397

Contact & location

604 East Fenton PO Box 608
Marcus, IA 51035
Cherokee County
Phone
(712) 376-2500
ZIP code
51035 – all care providers

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Facility details

Certified beds
38
Residents per day
24.6 (65% occupied)
Ownership
Non profit - Corporation
Legal name
Heartland Care Center INC
Medicare certified since
August 1, 1998
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 5/5
State avg 3.1
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 5/5
State avg 3.7
Quality measures★★★★★ 5/5
State avg 3.3
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.45 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
1.93 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.60 (state 0.56 · U.S. 0.86)
Nurse aides
1.92 (state 2.51 · U.S. 2.32)
Weekend total
3.55 (state 3.37 · U.S. 3.42)
Nursing staff turnover
35.5 (state 44.0 · U.S. 45.8)%
RN turnover
14.3 (state 42.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
May 7, 2026
Health deficiencies (last cycle)
6.0 (state 6.5 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
18 health · 8 fire safety
DateCitationSeverityStatus
2026-05-07 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-03
2026-05-07 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-03
2026-05-07 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-03
2026-05-07 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-03
2026-05-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-03
2025-09-25 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-25
2025-04-10 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.
F0758 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-04-10 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-04-10 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-04-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-04-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2024-04-04 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.
F0803 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-17
2024-04-04 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-17
2024-04-04 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
F0661 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-17
2024-04-04 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-17
2024-04-04 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-17
2024-04-04 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-17
2024-04-04 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
F0887 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-17

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Sioux Valley Memorial Hospital Association (organization)5%+ Direct Ownership Interest · 100%
Geha, Andrew (individual)Administrator · NOT APPLICABLE
Heartland Care Center INC (organization)Administrator · NOT APPLICABLE
Nielsen, Tim (individual)Administrator · NOT APPLICABLE
Sioux Valley Memorial Hospital Association (organization)Administrator · NOT APPLICABLE
Nielsen, Tim (individual)Corporate Officer · NOT APPLICABLE
Alesch, Lisa (individual)Managing Control - Governing Body · NOT APPLICABLE
Brady, Dennis (individual)Managing Control - Governing Body · NOT APPLICABLE
Gross, Rozanne (individual)Managing Control - Governing Body · NOT APPLICABLE
Irwin, Kristi (individual)Managing Control - Governing Body · NOT APPLICABLE
Jordan, Gary (individual)Managing Control - Governing Body · NOT APPLICABLE
Leavitt, Robert (individual)Managing Control - Governing Body · NOT APPLICABLE
Schlenger, Edward (individual)Managing Control - Governing Body · NOT APPLICABLE
Schneider, John (individual)Managing Control - Governing Body · NOT APPLICABLE
Geha, Andrew (individual)Operational/managerial Control · NOT APPLICABLE
Heartland Care Center INC (organization)Operational/managerial Control · NOT APPLICABLE
Nielsen, Tim (individual)Operational/managerial Control · NOT APPLICABLE
Sioux Valley Memorial Hospital Association (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Heartland Care Center?

Heartland Care Center has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does Heartland Care Center have?

It has 38 certified beds and cares for about 25 residents per day.

Has Heartland Care Center been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Heartland Care Center?

(712) 376-2500. The facility is located at 604 East Fenton PO Box 608, Marcus, IA 51035.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.