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Nursing homeFAID #4230

Shell Rock Senior Living

920 NORTH CHERRY STREET, SHELL ROCK, IA, 50670

(319) 885-4341

accura.healthcare

41 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

920 North Cherry Street

Shell Rock, IA 50670

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

165309

Care type

Nursing home

County

Butler

Facility name

Shell Rock Senior Living

Street address

920 NORTH CHERRY STREET

City / state / ZIP

Shell Rock, IA 50670

Phone

(319) 885-4341

Website

accura.healthcare

About this facility — Shell Rock Senior Living

Shell Rock Senior Living is a Medicare/Medicaid-certified skilled nursing facility in Shell Rock, Iowa. It is licensed for 41 beds — below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 3 senior care facilities in Shell Rock 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 Shell Rock Senior Living 40 times across 10 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $17,167 in fines. 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

Parent company

Accura Healthcare

Ownership type

For profit - Corporation

Registered owners & officers

Tealwood Enterprise Inc

Direct owner — 100% stake — since 2012

Groff, Howard

Indirect owner · Officer — 50% stake — since 2008

Sheridan, Gail

Indirect owner · Officer — 50% stake — since 2008

American Healthcare Management Services Llc

Operational control — since 2019

Leneave, Ted

Officer · Operational control — since 2019

Spurgin, Kassidy

Managing employee — since 2023

Regulatory standing

Federal court records

1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1997-01-01

CMS overall rating

1 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

$17,167 total

Last standard inspection

2025-09-04

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$250 per day (≈ $7,600/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

26% Medicaid · 5% Medicare · 69% private/other

Occupancy

69% (fiscal year 2023)

Vs. state median

27% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds

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 6 food-safety citations on its three-year record — flagged below among the inspections.

2025-09-04Health inspectionComplaint-triggered7 citations

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2025-09-22

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-09-22

F-0732

E · No harm found

Post nurse staffing information every day.

Corrected 2025-09-22

F-0803

E · No harm foundFood safetyFrom a complaint

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 2025-09-22

F-0812

F · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-22

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-09-22

F-0925

D · No harm foundFrom a complaint

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-09-22

2024-09-15Health inspectionComplaint-triggered4 citations

F-0641

B · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-10-10

F-0685

D · No harm foundFrom a complaint

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-10-10

F-0688

D · No harm foundFrom a complaint

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 2024-10-10

F-0727

F · No harm foundFrom a complaint

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.

Corrected 2024-10-10

6 earlier / fire-safety inspections (29 citations)

2024-07-19Health inspectionComplaint-triggered2 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-07-20

F-0812

L · Immediate jeopardyFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-07-20

2024-05-09Health inspectionComplaint-triggered1 citation

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-22

2023-10-05Health inspection8 citations

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-10-13

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-10-13

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-10-13

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-10-13

F-0801

C · 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 2023-10-13

F-0812

F · 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 2023-10-13

F-0814

C · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2023-10-13

F-0868

C · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-10-13

2025-09-04Fire-safety inspection6 citations

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-10-01

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-10-01

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-10-01

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-10-01

K-0918

E · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-10-01

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-10-01

2024-09-15Fire-safety inspection3 citations

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-10-23

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-10-23

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-23

2023-10-05Fire-safety inspection9 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2023-11-03

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-11-03

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-11-03

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-11-03

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-11-03

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-11-03

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-11-03

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-11-03

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-11-03

Federal penalties

2024-07-19Fine$17,167

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 165309.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 40 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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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