Nursing homes › Iowa › Heartland Care Center
604 East Fenton Po Box 608, Marcus, IA 51035 · 7123762500 · 38 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
Total nurse staffing: 4.45 (Iowa median: 3.69). RN hours: 1.93. Weekend total: 3.55. Nursing staff turnover: 36%.
All-time on record: 18 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-07 | 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. | E | Health | corrected 2026-06-03 |
| 2026-05-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-06-03 |
| 2026-05-07 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2026-06-03 |
| 2026-05-07 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Health | corrected 2026-06-03 |
| 2026-05-07 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-06-03 |
| 2025-09-25 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2025-11-25 |
| 2025-04-10 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Health | corrected 2025-04-25 |
| 2025-04-10 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Health | corrected 2025-04-25 |
| 2025-04-10 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-04-25 |
| 2025-04-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-04-25 |
| 2025-04-10 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-04-25 |
| 2024-04-04 | 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. | E | Health | corrected 2024-04-17 |
| 2024-04-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-04-17 |
| 2024-04-04 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Health | corrected 2024-04-17 |
| 2024-04-04 | 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. | D | Health | corrected 2024-04-17 |
| 2024-04-04 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-04-17 |
| 2024-04-04 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-04-17 |
| 2024-04-04 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Health | corrected 2024-04-17 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/19/2023 |
| ALESCH, LISA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2026 |
| BRADY, DENNIS | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2026 |
| GROSS, ROZANNE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2026 |
| IRWIN, KRISTI | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2026 |
| JORDAN, GARY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2026 |
| LEAVITT, ROBERT | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2026 |
| SCHLENGER, EDWARD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2026 |
| SCHNEIDER, JOHN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2026 |
| NIELSEN, TIM | Corporate Officer | Individual | NOT APPLICABLE | since 10/20/2025 |
| HEARTLAND CARE CENTER INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/19/2023 |
| SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/19/2023 |
| GEHA, ANDREW | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/19/2019 |
| NIELSEN, TIM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/20/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165397. Corrections: data@carerecords.org.