Heartland Care Center: Staffing, Turnover, and Inspection Record
Heartland Care Center is a 38-bed nonprofit nursing home in Marcus, Iowa. In the CMS August 2026 release it reported 1.92 nurse aide hours per resident per day, 24% below the Iowa average of 2.51, and 35.5% nursing staff turnover (Iowa average 44.0%).
Heartland Care Center
604 East Fenton PO Box 608Marcus, IA 51035
Cherokee County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Heartland Care Center, nurse aides logged 1.92 hours per resident per day, 24% below the Iowa average. With about 25 residents a day, that works out to roughly 47 aide hours a day, or about 6 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 20% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.92 | 2.51 | 2.32 |
| Licensed practical nurses | 0.60 | 0.56 | 0.86 |
| Registered nurses | 1.93 | 0.74 | 0.69 |
| All nursing staff | 4.45 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.55 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
35.5% of nursing staff at Heartland Care Center left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 14.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 7, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Iowa average 6.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Heartland Care Center holds 5 of 5 overall; the Iowa average is 3.1.
About Heartland Care Center
- Ownership: Non profit - Corporation
- Legal name: Heartland Care Center Inc
- Medicare and Medicaid certified since: Aug 1, 1998
- Councils: resident council
- Area: rural
Nursing homes near Heartland Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Happy Siesta Health Care Center Remsen | 8.3 | 62 | 2.22 | 3.30 | 52.5% | 4 | None |
| Careage Hills Rehabilitation and Healthcare Cherokee | 13.5 | 44 | 1.90 | 3.15 | 59.3% | 2 | None |
| Cherokee Specialty Care Cherokee | 13.7 | 62 | 2.63 | 3.67 | 41.3% | 3 | None |
| Accura Healthcare of Cherokee, LLC Cherokee | 14.3 | 44 | 2.28 | 3.69 | 42.9% | 3 | $8,021 |
| Good Samaritan - Lemars Le Mars | 17.5 | 64 | 2.08 | 3.17 | 47.4% | 4 | None |
| Accura Healthcare of Le Mars Le Mars | 18.0 | 46 | 3.08 | 4.51 | 26.1% | 4 | None |
| Prairie Ridge Care Center Orange City | 18.0 | 95 | 2.66 | 3.91 | 34.0% | 5 | None |
| Kingsley Specialty Care Kingsley | 18.0 | 43 | 2.28 | 3.63 | 42.4% | 1 | $27,378 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.