Shell Rock Senior Living: Staffing, Turnover, and Inspection Record
Shell Rock Senior Living is a 41-bed for-profit nursing home in Shell Rock, Iowa, part of Accura Healthcare. In the CMS August 2026 release it reported 2.70 nurse aide hours per resident per day, 7% above the Iowa average of 2.51, and 43.6% nursing staff turnover (Iowa average 44.0%).
Shell Rock Senior Living
920 North Cherry StreetShell Rock, IA 50670
Butler 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 Shell Rock Senior Living, nurse aides logged 2.70 hours per resident per day, 7% above the Iowa average. With about 39 residents a day, that works out to roughly 106 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.70 | 2.51 | 2.32 |
| Licensed practical nurses | 0.56 | 0.56 | 0.86 |
| Registered nurses | 0.40 | 0.74 | 0.69 |
| All nursing staff | 3.66 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.20 | 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
43.6% of nursing staff at Shell Rock Senior Living left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 4, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $17,167 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jul 19, 2024 | Fine | $17,167 |
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. Shell Rock Senior Living holds 1 of 5 overall; the Iowa average is 3.1.
About Shell Rock Senior Living
- Ownership: For profit - Corporation
- Chain: Accura Healthcare, 41 homes
- Legal name: Shell Rock Healthcare Center Inc
- Medicare and Medicaid certified since: Jan 1, 1997
- Councils: resident council
- Area: rural
Nursing homes near Shell Rock Senior Living
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Woodland Terrace Waverly | 4.2 | 100 | 2.92 | 4.44 | 40.9% | 5 | None |
| Clarksville Skilled Nursing & Rehab Center Clarksville | 7.0 | 42 | 2.62 | 3.87 | 33.3% | 4 | None |
| Rehabilitation Center of Allison Allison | 11.9 | 48 | 2.45 | 3.54 | 65.5% | 3 | None |
| Denver Sunset Home Denver | 12.4 | 31 | 2.56 | 3.97 | 40.0% | 4 | None |
| Cedar Falls Health Care Center Cedar Falls | 13.8 | 70 | 1.87 | 2.72 | 43.8% | 2 | None |
| Martin Health Center, INC Cedar Falls | 14.4 | 50 | 2.97 | 4.21 | 39.7% | 5 | None |
| Pillar of Cedar Valley Waterloo | 14.5 | 114 | 1.90 | 2.92 | 32.7% | 1 | None |
| Newaldaya Lifescapes Cedar Falls | 15.3 | 112 | 3.13 | 4.52 | 41.6% | 2 | $132,074 |
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.