Silver Oak Nursing and Rehabilitation Center LLC
455 31st Street · Marion, IA · 52302 · 3193777363
91 certified beds For profit - Corporation Chain: Ivy Healthcare Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.40 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.03 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 2 · $29,107 |
Inspection citations (73 in the current record)
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Potential for harm · D April 23, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D October 23, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 5, 2025 · Resident Rights
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Potential for harm · D September 15, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 15, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected October 15, 2025 · Administration
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Potential for harm · D April 9, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected May 9, 2025 · Resident Rights
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Potential for harm · D April 9, 2025
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected May 9, 2025 · Nursing and Physician Services
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Potential for harm · D April 9, 2025
Observe each nurse aide's job performance and give regular training.
Corrected May 9, 2025 · Nursing and Physician Services
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Potential for harm · D April 9, 2025
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.
Corrected May 9, 2025 · Nutrition and Dietary
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Potential for harm · E April 9, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 9, 2025 · Nutrition and Dietary
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Potential for harm · E April 9, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 9, 2025 · Infection Control
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Potential for harm · E April 9, 2025
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.
Corrected May 9, 2025 · Infection Control
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Potential for harm · D April 9, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected May 9, 2025 · Nursing and Physician Services
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Potential for harm · E April 9, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 9, 2025 · Resident Rights
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Potential for harm · D April 9, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 9, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 9, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 9, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · E April 9, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · F April 9, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 9, 2025 · Nursing and Physician Services
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Potential for harm · D April 9, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 9, 2025 · Pharmacy Service
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Potential for harm · D April 9, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 9, 2025 · Nutrition and Dietary
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Potential for harm · F April 9, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 9, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 22, 2024 | Fine | $16,068 |
| February 22, 2024 | Payment Denial | 24 days |
| October 5, 2023 | Fine | $13,039 |
| October 5, 2023 | Payment Denial | 2 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165171 · certified since July 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.