Mount Ayr Health Care Center — nursing home in Mount Ayr, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 46 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: 25.0 CMS, MDS-derived
CMS Certification Number: 165224
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 15, 1994
Ownership type: For profit - Corporation
Operator (legal business name): R.m.h. Incorporated
CMS chain: Not part of a CMS-reported chain
Phone: (641) 464-3204
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Apr 14, 2026

Citations

18

11 health · 7 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E5	F2
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

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165224
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 46
First approved: Jul 15, 1994
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
Apr 14, 2026	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Apr 14, 2026	Health	Health Standard	5	Potential harm	—	Open →
Apr 9, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Apr 9, 2025	Health	Health Standard	4	Potential harm	—	Open →
Jun 27, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jun 27, 2024	Health	Health Standard	2	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.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E5	F2
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Apr 14, 2026	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 21, 2026
Apr 14, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 24, 2026
Apr 14, 2026	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 Apr 24, 2026
Apr 14, 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 24, 2026
Apr 14, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 24, 2026
Apr 14, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 24, 2026
Apr 9, 2025	K-0522	Have an externally vented heating system. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 11, 2025
Apr 9, 2025	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 11, 2025
Apr 9, 2025	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 18, 2025
Apr 9, 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
Apr 9, 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
Apr 9, 2025	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Apr 18, 2025
Jun 27, 2024	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 5, 2024
Jun 27, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 8, 2024
Jun 27, 2024	K-0522	Have an externally vented heating system. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 3, 2024
Jun 27, 2024	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 12, 2024
Jun 27, 2024	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 12, 2024
Jun 27, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jul 12, 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 QMNot rated

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 staffing3.64

State avg 3.86US avg 3.90

Registered nurse (RN)0.94

State avg 0.74US avg 0.69

Licensed practical nurse0.32

State avg 0.56US avg 0.86

Nurse aide2.38

State avg 2.56US avg 2.35

Weekend total nurse3.24

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.98 (case-mix index 1.28).

Staff turnover

Total nursing staff turnover33.3%

State avg 44.1%US avg 45.3%

Registered nurse turnover0.0%

State avg 42.1%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Apr 14, 2026
Cycle 1 health score: 24
Total weighted score: 24

Operating entity

R.m.h. Incorporated

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

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

9

Organizations

1

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Marlene Hinz	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	15%	Jan 1, 1994
Robert Hinz	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	15%	Nov 3, 2011

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
Marlene Hinz	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	15%	Jan 1, 1994
Robert Hinz	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	15%	Nov 3, 2011
Walnut Creek Management Company LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 22, 2022
Kiley Brooks	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 22, 2022
Travis Hinz	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2014
Kiley Brooks	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 22, 2022
Marlene Hinz	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jan 1, 1994
Robert Hinz	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Nov 3, 2011
Travis Hinz	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jan 1, 2014

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: 1504 East South Street, Mount Ayr, IA 50854
ZIP: 50854
County: Ringgold County FIPS 19159
State: Iowa
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Clearview Home 406 West Washington, Mount Ayr, IA 50854 CCN 165269	1.2 km	82		May 29, 2026	17	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165224	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165224	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 165224

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