Madrid Home for the Aged: Staffing, Turnover, and Inspection Record
Madrid Home for the Aged is a 64-bed nonprofit nursing home in Madrid, Iowa, part of Western Home Communities. In the CMS August 2026 release it reported 2.67 nurse aide hours per resident per day, 6% above the Iowa average of 2.51, and 46.8% nursing staff turnover (Iowa average 44.0%).
Madrid Home for the Aged
613 West North StreetMadrid, IA 50156
Boone 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 Madrid Home for the Aged, nurse aides logged 2.67 hours per resident per day, 6% above the Iowa average. With about 58 residents a day, that works out to roughly 154 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.67 | 2.51 | 2.32 |
| Licensed practical nurses | 0.40 | 0.56 | 0.86 |
| Registered nurses | 0.63 | 0.74 | 0.69 |
| All nursing staff | 3.70 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.41 | 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
46.8% of nursing staff at Madrid Home for the Aged left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 83.3%.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 26, 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 0 fines and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 6, 2024 | Payment Denial | 12 days from Jun 28, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Madrid Home for the Aged holds 3 of 5 overall; the Iowa average is 3.1.
About Madrid Home for the Aged
- Ownership: Non profit - Corporation
- Chain: Western Home Communities, 6 homes
- Legal name: Madrid Home for the Aging
- Medicare and Medicaid certified since: Dec 1, 1983
- Part of a continuing care retirement community
- Councils: resident council
- Area: urban
Nursing homes near Madrid Home for the Aged
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Granger Nursing & Rehabilitation Center Granger | 8.0 | 67 | 2.44 | 3.17 | 97.2% | 3 | None |
| On With Life Long Term Care Polk City | 9.1 | 40 | — | — | — | 5 | None |
| Green Hills Health Care Center Ames | 12.7 | 56 | 3.35 | 4.53 | 47.1% | 5 | None |
| Perry Lutheran Homes Eden Acres Campus Perry · abuse citation | 13.0 | 57 | 2.66 | 3.43 | 36.2% | 2 | $9,110 |
| Westhaven Community Boone | 13.1 | 100 | 2.71 | 4.10 | 96.1% | 3 | None |
| Eastern Star Masonic Home Boone | 13.1 | 76 | 2.77 | 4.13 | 39.5% | 3 | None |
| Kennybrook Village Grimes | 13.1 | 40 | 2.89 | 4.54 | 49.1% | 3 | None |
| Perry Lutheran Home Perry | 13.9 | 70 | 2.74 | 3.86 | 49.3% | 1 | $16,351 |
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.