Buchanan County Health Center – Independence, IA

CMS Verified | 2026-03-01

Buchanan County Health Center

1600 First Street East, Independence, IA 50644
(319) 334-6071
39 beds
All Independence facilities
4.0*
Overall
3.0*
Health Inspection
4.0*
Quality Care
5.0*
Staffing
81.03
Score /100
#3224
National Rank

#3224
of 14703 facilities
National
78.1% position
#76
of 390 in IA
State Rank
#1
of 2 in Buchanan
County Rank
#1
of 2 in Independence
City Rank
#1
of 2 in ZIP 50644
ZIP Rank






About Buchanan County Health CenterBuchanan County Health Center is located at 1600 First Street East, Independence, IA, reachable at (319) 334-6071. This Government – County facility operates 39.0 certified beds and serves an average of 30 residents per day. Medicare and Medicaid services have been provided since 1974-10-01. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Buchanan County Health Center

Address

1600 First Street East, Independence, IA 50644

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicaid
Facility Details
  • 39 Certified Beds
  • Ownership: Government – County
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
✅ Excellent (5★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
⚠️ 1 fine(s) over 5 years
5-Year Trend
Declining over 5 years
81.03
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#3224 of 14703 nationally – #76 of 390 in Iowa

Who Is This Facility Best For?

Buchanan County Health Center offers a mid-range care option in Independence, IA. Above-average staffing levels make it a good option for residents needing intensive nursing care.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

4 / 5
Health Inspection

3 / 5
Staffing Rating

5 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightBuchanan County Health Center currently provides 4 hours 29 minutes of total nurse staffing per resident per day, including 1 hour 10 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 5 out of 5 reflects strong nurse coverage. RN hours per resident have increased from 51 min/day (2022) to 70 min/day (2026), a positive sign of investment in skilled nursing. Total nursing staff turnover is 22.2%, near the national average.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing4 hours 29 minutes
Nurse Aide Hours2 hours 50 minutes
Licensed Practical Nurse (LPN) Hours29 minutes
Registered Nurse (RN) Hours1 hour 10 minutes
Physical Therapist Hours0 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 39 minutes
Weekend Registered Nurse (RN) Hours47 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $4,011. No substantiated complaints have been recorded in the available data.
Number of Fines (current period) 1
Total Fines Amount $4011.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 32.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#3,224
of 14,703
National
Top 22%
#76
of 390
IA State
Top 19% in IA
#1
of 2
️ Buchanan County
Best in county
#1
of 2
️ Independence
Best in city
#1
of 2
ZIP 50644
Best in ZIP

Nationally, Buchanan County Health Center ranks 3224th out of 14,703 facilities (composite score: 81.0/100), placing it in the top 25% nationwide. Within IA, it ranks 76th out of 390 nursing homes. In Independence, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #2,446 nationally and RN hours rank #1,243 nationally (#25 in IA).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank IA State Rank Note
2022 4.00 #4,350 / 14,703 #102 / 390 Above average
2023 4.19 #3,144 / 14,703 #80 / 390 Top 25%
2024 4.07 #3,855 / 14,703 #93 / 390 Above average
2025 3.95 #4,929 / 14,703 #122 / 390 Above average
2026 4.49 #2,446 / 14,703 #51 / 390 Top 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank IA State Rank Note
2022 0.85 #3,254 / 14,703 #91 / 390 Top 25%
2023 1.12 #1,267 / 14,703 #35 / 390 Top 10%
2024 0.89 #2,459 / 14,703 #74 / 390 Top 25%
2025 0.89 #2,655 / 14,703 #92 / 390 Top 25%
2026 1.17 #1,243 / 14,703 #25 / 390 Top 10%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Buchanan County Health Center is certified as a Medicaid facility and has been approved to provide these services since 1974-10-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (319) 334-6071 or your local Medicaid office to verify current eligibility.

Buchanan County Health Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (5★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 81.0/100, placing it #3224 of 14703 facilities nationally and #76 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Buchanan County Health Center receives a reported average of 4 hours 29 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 10 minutes; Licensed Practical Nurse (LPN) — 29 minutes; Nurse Aide — 2 hours 50 minutes. On weekends, total nurse staffing is 3 hours 39 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 22.2%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $4,011. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $4,011, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 32.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Buchanan County Health Center ranks 3224th out of 14,703 facilities (composite score: 81.0/100), placing it in the top 25% nationwide. Within IA, it ranks 76th out of 390 nursing homes. In Independence, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #2,446 nationally and RN hours rank #1,243 nationally (#25 in IA). Our composite quality score of 81.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Independence, visit: https://nursinghomesnearme.org/iowa/independence/

Contact and Location

ADR
Address

1600 First Street East, Independence, IA 50644
Get directions on Google Maps

TEL
LLC
Legal Name

Legal Business Name Not Available

MAP
Browse by Location

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Independence ·
ZIP 50644

Facility Details

Number of Certified Beds 39
Average Residents / Day 30 (79% occupancy)
Ownership Type Government – County
Provider Type Medicaid
County Buchanan County, IA
City Independence, IA
ZIP Code 50644
Approved Since October 1, 1974
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 16E050
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org