facebook tracking Madrid Home for the Aged, Madrid IA: CMS Ratings
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Madrid Home for the Aged

All states › Iowa › Madrid › Madrid Home for the Aged

613 West North Street Madrid, IA 50156 · Boone County

(515) 795-3007

Accepts Medicare Accepts Medicaid 64 certified beds Non profit Continuing care retirement community

CMS certification number 165118 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Madrid Home for the Aged a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Madrid Home for the Aged as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Iowa average of 3.1. Inspectors issued 15 citations in the last three years. CMS imposed 1 penalty in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 2 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.77 hours per resident per day at Madrid Home for the Aged, about the same as the Iowa median of 3.76 (US median: 3.72). About 0.64 of those hours are from registered nurses. On weekends it falls to 3.55 hours, 6% below its all-week average. 49.3% of nursing staff left within a year (Iowa median 41.7%).

Nursing care per resident per day 3.77 hours
About the Iowa median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.64 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.55 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 49.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 83.3% a year Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds64
Residents per day 57 About 89% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceDecember 1983
Part of a chainWestern Home Communities
Legal business nameMADRID HOME FOR THE AGING

Paying for care at Madrid Home for the Aged: Medicare and Medicaid

Madrid Home for the Aged is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on March 26, 2026 and found 4 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 15 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 15 citations at Madrid Home for the Aged across 4 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 15 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (5) and nutrition and dietary (3). The most serious was cited under the CMS rule to "prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function" (tag F0605, level E, March 26, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.

August 6, 2026 · 1 citation · includes complaint inspection

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Aug 14, 2026)

March 26, 2026 · 6 citations · includes complaint inspection

EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Apr 10, 2026)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 10, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Past Non-Compliance

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Apr 10, 2026)

DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Apr 10, 2026)

DElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Potential for more than minimal harm · Administration Deficiencies · Tag F0851 · Past Non-Compliance

March 20, 2025 · 5 citations · includes complaint inspection

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 18, 2025)

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Apr 18, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Apr 18, 2025)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Apr 18, 2025)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Apr 18, 2025)

June 6, 2024 · 3 citations

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Jun 23, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jun 23, 2024)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Jun 23, 2024)

Questions to ask on a tour of Madrid Home for the Aged

  1. CMS cited the home under its abuse and neglect rules on March 26, 2026. How are staff trained, and how are concerns reported?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years.

DateTypeAmount or length
Jun 6, 2024 Payment Denial 12 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 3/5 3/5
August 2026 3/5 3/5 3/5 4/5
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Location

Hospitals near Madrid Home for the Aged

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 12.6 mi
    Boone County Hospital Boone
    Emergency room
    Median ER visit 2h 2m for patients treated and sent home
  • 14.1 mi
    Dallas County Hospital Perry
    Emergency room
    Median ER visit 1h 53m for patients treated and sent home
  • 15.4 mi
    Mary Greeley Medical Center Ames
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 26m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Granger Nursing & Rehabilitation Center Granger · 8.0 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 67 beds · Medicaid
On With Life Long Term Care Polk City · 9.1 mi away ★★★★★ Inspection 5/5 · Staffing — 40 beds · Medicaid
Green Hills Health Care Center Ames · 12.7 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 56 beds
Perry Lutheran Homes Eden Acres Campus Perry · 13.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 57 beds · Medicaid
Westhaven Community Boone · 13.1 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 100 beds · Medicaid

More nursing homes near Madrid Home for the Aged ›   All nursing homes in Madrid ›

Compare Madrid Home for the Aged with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Other Western Home Communities nursing homes in Iowa

Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Western Home Communities nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/iowa/madrid/madrid-home-for-the-aged/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.