Nursing Care Index

Terrace Glen Village

Marion, Linn County, Iowa · CCN 165625 · For-profit (Corporation) · part of Pivotal Health Care (9 facilities, chain average 3.9 stars)

CMS rates Terrace Glen Village 5 of 5 overall as of August 2026. 40 certified beds, 38 residents a day on average. 10 citations on record from the current inspection cycles, 3 involving actual harm; no fines on record.

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★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 5 of 5

Staffing

Total nurse staffing4.23372 hours per resident per day
Registered nurses1.49099 hours per resident per day
Weekend total3.81715 hours per resident per day
Nursing staff turnover32.6% (registered nurses 23.1%)
Administrators who left0

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.

SurveyFindingSeverityStatus
2025-11-19 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-11
2025-11-19 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.
Nutrition and Dietary Deficiencies · tag F0803
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-11
2025-11-19 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
2025-12-11
2024-10-03 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-10-10
2023-06-29 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2023-07-19
2023-06-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2023-07-19
2023-06-29 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2023-07-19
2023-06-29 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · tag F0640
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-19
2023-06-29 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 · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-19
2023-06-29 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
2023-07-19

Fines and payment denials

No fines or payment denials on record since 2023.

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.

NameRoleShareSince
Mercy Medical Center
Organization
adp of the snf2024-11-01
Pivotal Health Care LLC
Organization
adp of the snf2025-05-27
Summit Care, LLC
Organization
adp of the snf2018-11-01
Abernathy Family Farms LLC
Organization
direct ownership interest2018-11-01
Mouw Family Investments, LLC
Organization
direct ownership interest2018-11-01
Scenic Development LLC
Organization
direct ownership interest2018-11-01
Scenic Holdings LLC
Organization
direct ownership interest2024-01-01
3rk, LLC
Organization
indirect ownership interest2024-01-01
5 R Cattle, LLC
Organization
indirect ownership interest2018-11-01
Cadet Investment LLC
Organization
indirect ownership interest2018-11-01
Lmray, LLC
Organization
indirect ownership interest2018-11-01
Poky - 5r LLC
Organization
indirect ownership interest2024-01-01
Poky Feeders Inc.
Organization
indirect ownership interest2018-11-01
Wsg LLC
Organization
indirect ownership interest2018-11-01
Pivotal Health Care LLC
Organization
operational/managerial control2018-11-01
Scenic Development LLC
Organization
operational/managerial control2018-11-01
Gulledge, Scott
Individual
adp of the snf2018-11-01
Gulledge, Travis
Individual
adp of the snf2025-01-01
Taeger, Vincent
Individual
adp of the snf2024-11-01
Tressel, Stephen
Individual
adp of the snf2019-06-03
Anderson, Jordan
Individual
indirect ownership interest2021-10-01
Anderson, Marlene
Individual
indirect ownership interest2018-11-01
Anderson, Wayne
Individual
indirect ownership interest2018-11-01
Gulledge, Scott
Individual
indirect ownership interest2018-11-01
Gulledge, Travis
Individual
indirect ownership interest2021-10-01
Howard, Steven
Individual
indirect ownership interest2018-11-01
Wood, Gilbert
Individual
indirect ownership interest2018-11-01
Anderson, Jordan
Individual
operational/managerial control2025-01-01
Gulledge, Scott
Individual
operational/managerial control2018-11-01
Gulledge, Travis
Individual
operational/managerial control2025-01-01
Taeger, Vincent
Individual
operational/managerial control2024-11-01
Tressel, Stephen
Individual
operational/managerial control2019-06-03
Wood, Gilbert
Individual
operational/managerial control2018-11-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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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 Linn County.