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Nursing homeFAID #4300

Heartland Care Center

604 East Fenton PO Box 608, MARCUS, IA, 51035
(712) 376-2500
38 licensed beds
★★★★★5/5CMS Five-Star overall3/5 health inspections5/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

604 East Fenton Po Box 608
Marcus, IA 51035
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Public record summary

What we can show you for free.
Bed capacity
38
State license
2450
CMS facility ID
165397
Care type
Nursing home
Facility name
Heartland Care Center
Street address
604 East Fenton PO Box 608
City / state / ZIP
Marcus, IA 51035
Phone
(712) 376-2500
State license #
2450

About this facility — Heartland Care Center

Heartland Care Center is a Medicare/Medicaid-certified skilled nursing facility in Marcus, Iowa. It is licensed for 38 beds — below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 2 senior care facilities in Marcus and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Heartland Care Center 26 times across 7 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
Non profit - Corporation

Registered owners & officers

Sioux Valley Memorial Hospital Association
Direct owner · Operational control · Additional disclosable party — 100% stake — since 2023
Alesch, Lisa
Governing body — since 2026
Brady, Dennis
Governing body — since 2026
Geha, Andrew
Operational control · Additional disclosable party — since 2019
Gross, Rozanne
Governing body — since 2026
Heartland Care Center Inc
Operational control · Additional disclosable party — since 2023
Irwin, Kristi
Governing body — since 2026
Jordan, Gary
Governing body — since 2026
Leavitt, Robert
Governing body — since 2026
Nielsen, Tim
Officer · Operational control · Additional disclosable party — since 2025
Schlenger, Edward
Governing body — since 2026
Schneider, John
Governing body — since 2026

Regulatory standing

Licensed / certified since
1998-08-01
CMS overall rating
5 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-05-07
Nurse staffing
4.4 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$390 per day (≈ $11,860/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
45% Medicaid · 6% Medicare · 49% private/other
Occupancy
71% (fiscal year 2024)
Vs. state median
14% above the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
38
Licensed as
Assisted Living Program
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-07Health inspection5 citations
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-06-03
F-0725
D · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-06-03
F-0801
E · No harm foundFood safety
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.
Corrected 2026-06-03
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-06-03
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-06-03
2025-09-25Health inspectionComplaint-triggered1 citation
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-11-25
5 earlier / fire-safety inspections (20 citations)
2025-04-10Health inspection5 citations
F-0625
D · No harm found
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.
Corrected 2025-04-25
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-04-25
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-25
F-0758
E · No harm found
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.
Corrected 2025-04-25
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-04-25
2024-04-04Health inspection7 citations
F-0661
D · No harm found
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-04-17
F-0688
D · No harm found
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.
Corrected 2024-04-17
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-04-17
F-0803
E · No harm foundFood safety
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.
Corrected 2024-04-17
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-17
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-04-17
F-0887
D · No harm found
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.
Corrected 2024-04-17
2026-05-07Fire-safety inspection2 citations
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-05-15
K-0922
D · No harm found
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2026-05-19
2025-04-10Fire-safety inspection2 citations
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-15
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-11
2024-04-04Fire-safety inspection4 citations
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-10
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-04-16
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-04-16
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-05-09
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165397.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 26 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered