Madrid Home for the Aged
A nursing home in Madrid, Iowa 50156
613 West North Street, Madrid, Iowa 50156. (515) 795-3007.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 7 health citations at the latest inspection cycle Iowa average: 6.6
- 3.77 nurse hours per resident per day Iowa average: 3.86
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
7 health citations at the latest inspection cycle
The Iowa average is 6.6.
Last standard inspection Mar 26, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
15 citations in 4 months of the last 36. Last cited Aug 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 15 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 4 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 6, 2026: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Mar 26, 2026: standard inspection4 citations
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Mar 26, 2026: standard and complaint inspection2 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Mar 20, 2025: standard inspection4 citations
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Ensure services provided by the nursing facility meet professional standards of quality.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Mar 20, 2025: standard and complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 6, 2024: standard inspection3 citations
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure services provided by the nursing facility meet professional standards of quality.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Dec 1, 1983.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, corporation.
- 64 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- 1 Medicare payment denial in the last three years.
- 4 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | What | Detail |
|---|---|---|
| Jun 6, 2024 | Medicare payment denial |
Who does the caring?
3.77 nurse hours per resident per day
The Iowa average is 3.86.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Iowa average |
|---|---|---|
| Nurse hours per resident per day | 3.77 | 3.86 |
| Of which registered nurses | 0.64 | 0.74 |
| At weekends | 3.55 | 3.38 |
| Nursing staff turnover | 49.3% | 44.1% |
| Registered nurse turnover | 83.3% | 42.1% |
| Administrators who left | Not given | Not given |
Who owns it?
- Western Home Services Inc. runs it.
- 62 owners or officers are people: Richard A Frankhauser (corporate officer); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Brandon Elsberry (runs it (operational or managerial control)); Hannah Bollinger (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Patrick O’leary (runs it (operational or managerial control)); Patrick O’leary (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Darrell Mccormick (runs it (operational or managerial control)); Darrell Mccormick (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Brian Whyms (runs it (operational or managerial control)); Brian Whyms (additional disclosable party (controls, leases property to, or provides services to the home)); Lisa Ridder (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Aaron Sannes (corporate director); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Anthony M Moore (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Sheri Brockelsby (corporate officer); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Krystal Ross (runs it (operational or managerial control)); Jerry L. Harris (runs it (operational or managerial control)); Jerry L. Harris (additional disclosable party (controls, leases property to, or provides services to the home)); Dianne Schultz (corporate officer); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Kris Wilson Hansen (corporate officer); Kris Wilson Hansen (runs it (operational or managerial control)); Kris Wilson Hansen (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Angela Evans (runs it (operational or managerial control)); Angela Evans (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Jennifer Pies (runs it (operational or managerial control)); Rebecca Peterson (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Heather Schroeder (corporate director); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Katherine Susong (corporate director); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Molly Phipps (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Wendy Ager (runs it (operational or managerial control)); Wendy Ager (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Richard L Colby (runs it (operational or managerial control)); Richard L Colby (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Ronald Gaines (corporate officer); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Sarah Brown (corporate officer); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Western Home Communities (6 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Western Home Services Inc. | Runs it (operational or managerial control) | 100% | Jan 1, 2022 |
| Bank Iowa | Holds 5% or more of the mortgage | 50% | Jan 1, 2025 |
| Cbs Staffing LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2023 | |
| Cliftonlarsonallen | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 25, 2021 | |
| Tech of Ages LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Total Nurses Network | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Reliant Care Pharmacy Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 28, 2023 | |
| Nextaff Group LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Signature Healthcare LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Grape Tree Medical Staffing LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2023 | |
| Sugar Creek Health Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 30, 2022 | |
| Medical Solutions LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2023 | |
| Rc and Associates | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Western Home Services Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2022 | |
| Bank Iowa | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| J Evans Nutrition Consulting LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2020 | |
| Brighton Consulting Group LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2024 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Iowa average 3.4).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 15.1 miles, this one had the 3rd most health citations at the latest inspection cycle (7; the middle value was 5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Madrid Home for the Aged This nursing home | 7 | |
| Granger Nursing & Rehabilitation Center | 8.0 | 4 |
| On With Life Long Term Care | 9.1 | 0 |
| Green Hills Health Care Center | 12.7 | 0 |
| Perry Lutheran Homes Eden Acres Campus | 13.0 | 6 |
| Westhaven Community | 13.1 | 8 |
| Eastern Star Masonic Home | 13.1 | 5 |
| Kennybrook Village | 13.1 | 3 |
| Perry Lutheran Home | 13.9 | 5 |
| Brio of Johnston, LLC | 13.9 | 5 |
| Accura Healthcare of Ogden, LLC | 14.8 | 9 |
| Northridge Village | 15.1 | 0 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.