Madrid Home For The Aged
Madrid, Boone County, Iowa · CCN 165118 · Non-profit (Corporation) · part of Western Home Communities (6 facilities, chain average 3.7 stars)
CMS rates Madrid Home For The Aged 3 of 5 overall as of August 2026. 64 certified beds, 58 residents a day on average. 14 citations on record from the current inspection cycles; no fines on record and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 2 / 5 of 5 |
Staffing
| Total nurse staffing | 3.69619 hours per resident per day |
|---|---|
| Registered nurses | 0.62622 hours per resident per day |
| Weekend total | 3.41101 hours per resident per day |
| Nursing staff turnover | 46.8% (registered nurses 83.3%) |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-26 | 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 · tag F0605 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-04-10 |
| 2026-03-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-04-10 |
| 2026-03-26 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance |
| 2026-03-26 complaint survey |
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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-10 |
| 2026-03-26 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-10 |
| 2026-03-26 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · tag F0851 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance |
| 2025-03-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-18 |
| 2025-03-20 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-18 |
| 2025-03-20 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-18 |
| 2025-03-20 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-18 |
| 2025-03-20 | 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 · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-18 |
| 2024-06-06 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-23 |
| 2024-06-06 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-23 |
| 2024-06-06 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-23 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-06 | Payment denial for 12 days from 2024-06-28 | — |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Bank Iowa Organization | 5% or greater mortgage interest | — | 2025-01-01 |
| Bank Iowa Organization | adp of the snf | — | 2025-01-01 |
| Brighton Consulting Group LLC Organization | adp of the snf | — | 2024-10-01 |
| Cbs Staffing LLC Organization | adp of the snf | — | 2023-04-01 |
| Cliftonlarsonallen LLP Organization | adp of the snf | — | 2021-08-25 |
| Grape Tree Medical Staffing LLC Organization | adp of the snf | — | 2023-04-01 |
| J Evans Nutrition Consulting LLC Organization | adp of the snf | — | 2020-10-01 |
| Medical Solutions LLC Organization | adp of the snf | — | 2023-04-01 |
| Nextaff Group LLC Organization | adp of the snf | — | 2025-01-01 |
| Rc And Associates Organization | adp of the snf | — | 2025-01-01 |
| Reliant Care Pharmacy Services LLC Organization | adp of the snf | — | 2023-02-28 |
| Signature Healthcare LLC Organization | adp of the snf | — | 2025-01-01 |
| Sugar Creek Health Management LLC Organization | adp of the snf | — | 2022-09-30 |
| Tech Of Ages LLC Organization | adp of the snf | — | 2025-01-01 |
| Total Nurses Network Organization | adp of the snf | — | 2025-01-01 |
| Western Home Services Inc. Organization | adp of the snf | — | 2022-01-01 |
| Western Home Services Inc. Organization | operational/managerial control | — | 2022-01-01 |
| Ager, Wendy Individual | adp of the snf | — | 2022-01-01 |
| Colby, Richard Individual | adp of the snf | — | 2026-03-18 |
| Evans, Angela Individual | adp of the snf | — | 2022-01-01 |
| Hansen, Kris Individual | adp of the snf | — | 2022-01-01 |
| Harris, Jerry Individual | adp of the snf | — | 2022-01-01 |
| Mccormick, Darrell Individual | adp of the snf | — | 2022-01-01 |
| O'Leary, Patrick Individual | adp of the snf | — | 2022-01-01 |
| Whyms, Brian Individual | adp of the snf | — | 2026-03-18 |
| Sannes, Aaron Individual | corporate director | — | 2025-01-15 |
| Schroeder, Heather Individual | corporate director | — | 2025-01-15 |
| Susong, Katherine Individual | corporate director | — | 2025-01-15 |
| Brockelsby, Sheri Individual | corporate officer | — | 2018-01-18 |
| Brown, Sarah Individual | corporate officer | — | 2021-01-01 |
| Frankhauser, Richard Individual | corporate officer | — | 2021-01-01 |
| Gaines, Ronald Individual | corporate officer | — | 2021-01-01 |
| Hansen, Kris Individual | corporate officer | — | 2022-01-01 |
| Schultz, Dianne Individual | corporate officer | — | 2021-01-01 |
| Hansen, Kris Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-03-18 |
| Ager, Wendy Individual | operational/managerial control | — | 2022-01-01 |
| Bollinger, Hannah Individual | operational/managerial control | — | 2023-11-08 |
| Colby, Richard Individual | operational/managerial control | — | 2025-01-01 |
| Elsberry, Brandon Individual | operational/managerial control | — | 2022-09-06 |
| Evans, Angela Individual | operational/managerial control | — | 2022-01-01 |
| Hansen, Kris Individual | operational/managerial control | — | 2002-01-01 |
| Harris, Jerry Individual | operational/managerial control | — | 2022-01-01 |
| Mccormick, Darrell Individual | operational/managerial control | — | 2022-01-01 |
| Moore, Anthony Individual | operational/managerial control | — | 2024-04-17 |
| O'Leary, Patrick Individual | operational/managerial control | — | 2022-01-01 |
| Peterson, Rebecca Individual | operational/managerial control | — | 2025-03-25 |
| Phipps, Molly Individual | operational/managerial control | — | 2021-09-08 |
| Pies, Jennifer Individual | operational/managerial control | — | 2021-01-16 |
| Ridder, Lisa Individual | operational/managerial control | — | 2013-06-05 |
| Ross, Krystal Individual | operational/managerial control | — | 2021-07-12 |
| Whyms, Brian Individual | operational/managerial control | — | 2024-09-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Madrid Home For The Aged.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Boone County.