Quick answers
- Where is Shell Rock Senior Living?
- 920 North Cherry Street, Shell Rock, IA 50670, in Butler County, Iowa.
- What is the phone number of Shell Rock Senior Living?
- (319) 885-4341, as listed by Medicare (CMS).
- What is the Medicare star rating of Shell Rock Senior Living?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Shell Rock Senior Living been fined?
- Medicare lists 1 fine totaling $17,167.
- What did inspectors find at Shell Rock Senior Living?
- In its last three inspection cycles (October 5, 2023 to September 4, 2025), Medicare lists 22 health citations; the most serious was level L. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 5, 2023 to September 4, 2025), Shell Rock Senior Living had 22 health citations; the most serious was level L (immediate jeopardy to resident health or safety). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $17,167 in total (1 fine, the latest on July 19, 2024). Nurse staffing is 3.73 hours per resident per day; the Iowa average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: September 4, 2025 — 7 health citations
Inspections in this cycle: September 4, 2025 (standard health inspection).
Show 7 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0732 Level E
“Post nurse staffing information every day.”
F0803 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0925 Level D
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
Previous cycle: September 15, 2024 — 4 health citations
Inspections in this cycle: September 15, 2024 (standard health inspection); September 4, 2025 (complaint investigation).
Show 4 citations (levels A to F, no actual harm)
F0727 Level F
“Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
F0688 Level D
“Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”
F0641 Level B
“Ensure each resident receives an accurate assessment.”
Earlier cycle: October 5, 2023 — 11 health citations
Inspections in this cycle: October 5, 2023 (standard health inspection); May 9, 2024 (complaint investigation); July 19, 2024 (complaint investigation); September 15, 2024 (complaint investigation).
F0812 Level L
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
immediate jeopardy to resident health or safety; widespread (many residents) · Nutrition and Dietary Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 9 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0801 Level C
“Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”
F0814 Level C
“Dispose of garbage and refuse properly.”
F0868 Level C
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (18)
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0918 Level E
“Have generator or other power source capable of supplying service within 10 seconds.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
Fines and payment denials
Total fines over about the last three years: $17,167 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| July 19, 2024 | Fine | $17,167 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Iowa | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.57 | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.54 | 0.56 | 0.86 |
| Nurse aide hours per resident per day | 2.62 | 2.56 | 2.35 |
| Total nurse staff hours per resident per day | 3.73 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.23 | 3.38 | 3.43 |
| RN hours per resident per day on the weekend | 0.32 | 0.51 | 0.48 |
| Nursing staff turnover (per year) | 51.4% | 44.1% | 45.3% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 44 nursing homes: Accura Healthcare.
Legal business name: Shell Rock Healthcare Center Inc.
Owners and managers Medicare lists (4)
| Name | Role | Share | Since |
|---|---|---|---|
| Tealwood Enterprise Inc | Direct owner | 100% | January 1, 2012 |
| Groff, Howard | Indirect owner | 50% | September 3, 2008 |
| Sheridan, Gail | Indirect owner | 50% | September 3, 2008 |
| American Healthcare Management Services LLC | Management company (operational or managerial control) | NOT APPLICABLE | October 1, 2019 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 41 |
| Average residents per day | 37.9 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Accura Healthcare |
| Legal business name | Shell Rock Healthcare Center Inc |
| First approved by Medicare/Medicaid | 1997-01-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 920 North Cherry Street, Shell Rock, IA 50670 |
| County | Butler County |
| State | Iowa |
| Phone | (319) 885‑4341 |
| CMS Certification Number | 165309 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Woodland Terrace4.2 mi · Waverly, IA · 5 of 5 stars
- Clarksville Skilled Nursing & Rehab Center7.0 mi · Clarksville, IA · 4 of 5 stars
- Rehabilitation Center of Allison12 mi · Allison, IA · 3 of 5 stars
- Denver Sunset Home12 mi · Denver, IA · 5 of 5 stars
- Cedar Falls Health Care Center14 mi · Cedar Falls, IA · 1 of 5 stars
Nearest hospital emergency rooms
- Waverly Health Center4.7 mi · Waverly, IA · Critical Access Hospital
- Sartori Memorial Hospital, Inc14 mi · Cedar Falls, IA · Acute Care Hospital
- Allen Hospital18 mi · Waterloo, IA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13