Madrid Home for the Aged — nursing home in Madrid, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 64 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 56.7 CMS, MDS-derived
CMS Certification Number: 165118
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Dec 1, 1983
Ownership type: Non profit - Corporation
Operator (legal business name): Madrid Home for the Aging
CMS chain: Western Home Communities 6 facilities
Phone: (515) 795-3007
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Aug 6, 2026

Citations

31

15 health · 16 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E8	F10
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

1

Latest

Jun 6, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165118
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 64
First approved: Dec 1, 1983
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Iowa.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 6, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Mar 26, 2026	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Mar 26, 2026	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Mar 20, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Mar 20, 2025	Health	Health Complaint, Health Standard	5	Potential harm	—	Open →
Jun 6, 2024	Fire safety	Fire Safety Standard	11	Potential harm	—	Open →
Jun 6, 2024	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jun 6, 2024	Denial of payment for new admissions	—	Jun 28, 2024 · 12 days	165118\|Payment Denial\|2024-06-28

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E8	F10
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 6, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 14, 2026	Complaint
Mar 26, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 31, 2026
Mar 26, 2026	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 10, 2026
Mar 26, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance	Complaint
Mar 26, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 10, 2026	Complaint
Mar 26, 2026	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Apr 10, 2026
Mar 26, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Apr 10, 2026
Mar 26, 2026	F-0851	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Past non-compliance
Mar 20, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 19, 2025
Mar 20, 2025	K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 19, 2025
Mar 20, 2025	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 19, 2025
Mar 20, 2025	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 19, 2025
Mar 20, 2025	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 18, 2025
Mar 20, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 18, 2025
Mar 20, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 18, 2025	Complaint
Mar 20, 2025	F-0758	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 18, 2025
Mar 20, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Apr 18, 2025
Jun 6, 2024	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 10, 2024
Jun 6, 2024	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 10, 2024
Jun 6, 2024	E-0033	Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 10, 2024
Jun 6, 2024	E-0036	Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 10, 2024
Jun 6, 2024	K-0222	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. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 10, 2024
Jun 6, 2024	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 10, 2024
Jun 6, 2024	K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 10, 2024
Jun 6, 2024	K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 10, 2024
Jun 6, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 10, 2024
Jun 6, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 10, 2024
Jun 6, 2024	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 10, 2024
Jun 6, 2024	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 23, 2024
Jun 6, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 23, 2024
Jun 6, 2024	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 23, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 3.4

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.77

State avg 3.86US avg 3.90

Registered nurse (RN)0.64

State avg 0.74US avg 0.69

Licensed practical nurse0.45

State avg 0.56US avg 0.86

Nurse aide2.68

State avg 2.56US avg 2.35

Weekend total nurse3.55

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.46 (case-mix index 1.18).

Staff turnover

Total nursing staff turnover49.3%

State avg 44.1%US avg 45.3%

Registered nurse turnover83.3%

State avg 42.1%US avg 42.5%

Administrators who leftNot reported

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Mar 26, 2026
Cycle 1 health score: 36
Total weighted score: 33

Operating entity

Madrid Home for the Aging

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Western Home Communities

6 facilities in 1 states. CMS chain ID 887.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 4

Ownership disclosures

Disclosures

51

Organizations

15

Individuals

34

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Kris Hansen	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Mar 18, 2026
Western Home Services Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Wendy Ager	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Hannah Bollinger	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 8, 2023
Richard Colby	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Brandon Elsberry	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 6, 2022
Angela Evans	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Kris Hansen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2002
Jerry Harris	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Darrell Mccormick	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Anthony Moore	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 17, 2024
Patrick O'leary	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Rebecca Peterson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 25, 2025
Molly Phipps	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 8, 2021
Jennifer Pies	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 16, 2021
Lisa Ridder	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 5, 2013
Krystal Ross	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 12, 2021
Brian Whyms	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2024
Aaron Sannes	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 15, 2025
Heather Schroeder	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 15, 2025
Katherine Susong	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 15, 2025
Sheri Brockelsby	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 18, 2018
Sarah Brown	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2021
Richard Frankhauser	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2021
Ronald Gaines	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2021
Kris Hansen	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2022
Dianne Schultz	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2021
Bank Iowa	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Jan 1, 2025
Bank Iowa	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Brighton Consulting Group LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Cbs Staffing LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2023
Cliftonlarsonallen	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 25, 2021
Grape Tree Medical Staffing LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2023
J Evans Nutrition Consulting LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2020
Medical Solutions LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2023
Nextaff Group LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Rc and Associates	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Reliant Care Pharmacy Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 28, 2023
Signature Healthcare LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Sugar Creek Health Management LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 30, 2022
Tech of Ages LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Total Nurses Network	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Western Home Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Wendy Ager	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Richard Colby	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 18, 2026
Angela Evans	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Kris Hansen	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Jerry Harris	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Darrell Mccormick	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Patrick O'leary	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Brian Whyms	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 18, 2026

Same chain in Iowa

All 5 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
The Village of Ackley 502 Butler Street, Ackley, IA 50601 CCN 165443	38	Mar 12, 2026	611 IJ2 harm	$47k
Martin Health Center, Inc 410 East 10th Street, Cedar Falls, IA 50613 CCN 165508	50	Jul 9, 2026	221 harm	—
Parkview Manor Care Center 1009 Third Street, Reinbeck, IA 50669 CCN 165522	28	Jan 14, 2026	403 IJ1 harm	$24k
The Suites at Western Home Communities 5301 Caraway Lane, Cedar Falls, IA 50613 CCN 165622	72	Mar 26, 2026	18	—
Creekside 503 Wical Way, Grundy Center, IA 50638 CCN 165623	55	Jul 8, 2026	16	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 613 West North Street, Madrid, IA 50156
ZIP: 50156
County: Boone County FIPS 19015
State: Iowa
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Granger Nursing & Rehabilitation Center 2001 Kennedy Street, Granger, IA 50109 CCN 165208	12.9 km	67	Feb 26, 2026	57	—
On With Life Long Term Care 1002 W Washington Ave., Polk City, IA 50225 CCN 165281	14.7 km	40	Dec 31, 2025	12	—
Sunny View Care Center 410 N W Ash Drive, Ankeny, IA 50023 CCN 165441	24.4 km	94	Apr 30, 2026	731 harm	—
The Bridges at Ankeny 3510 Northwest Ablilene Road, Ankeny, IA 50023 CCN 165616	24.4 km	100	Aug 5, 2026	572 harm3 open	$9,110

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165118	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165118	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 165118

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction