Heartland Care Center – Marcus, IA

CMS Verified | 2026-03-01

Heartland Care Center

604 East Fenton PO Box 608, Marcus, IA 51035
(712) 376-2500
38 beds
All Marcus facilities
2.0*
Overall
3.0*
Health Inspection
4.0*
Quality Care
1.0*
Staffing
82.67
Score /100
#2520
National Rank

#2520
of 14703 facilities
National
82.9% position
#64
of 390 in IA
State Rank
#1
of 5 in Cherokee
County Rank
#1
of 1 in Marcus
City Rank
#1
of 1 in ZIP 51035
ZIP Rank






About Heartland Care CenterHeartland Care Center is located at 604 East Fenton Po Box 608, Marcus, IA, reachable at (712) 376-2500. This Non profit – Other facility operates 38.0 certified beds and serves an average of 28 residents per day. Medicare and Medicaid services have been provided since 1998-08-01. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Heartland Care Center

Address

604 East Fenton Po Box 608, Marcus, IA 51035

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 38 Certified Beds
  • Ownership: Non profit – Other
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
⚠️ 1 fine(s) over 5 years
5-Year Trend
Improving over 5 years
82.67
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#2520 of 14703 nationally – #64 of 390 in Iowa

Who Is This Facility Best For?

Heartland Care Center may be considered for families with limited options in Marcus, IA, but its lower CMS ratings suggest careful due diligence is warranted. It performs well for short-stay and post-acute rehabilitation patients. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

3 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

3 / 5
Short-Stay QM Rating

5 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightHeartland Care Center currently provides N/A of total nurse staffing per resident per day, including N/A of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. RN hours per resident have increased from 25 min/day (2022) to 55 min/day (2025), a positive sign of investment in skilled nursing. Total nursing staff turnover stands at 36.1% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing
Nurse Aide Hours
Licensed Practical Nurse (LPN) Hours
Registered Nurse (RN) Hours
Physical Therapist Hours

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours
Weekend Registered Nurse (RN) Hours

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 SummaryThe facility has received 1 fine(s) over the 5-year period, totaling $12,938. 6 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 30.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#2,520
of 14,703
National
Top 17%
#64
of 390
IA State
Top 16% in IA
#1
of 5
️ Cherokee County
Best in county
#1
of 1
️ Marcus
Best in city
#1
of 1
ZIP 51035
Best in ZIP

Nationally, Heartland Care Center ranks 2520th out of 14,703 facilities (composite score: 82.7/100), placing it in the top 25% nationwide. Within IA, it ranks 64th out of 390 nursing homes. For 2025 staffing: total nurse hours rank #7,125 nationally and RN hours rank #2,380 nationally (#78 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 2.16 #13,875 / 14,703 #374 / 390 ⚠️ Bottom 10%
2023 4.30 #2,747 / 14,703 #71 / 390 Top 25%
2024 #14,260 / 14,703 #376 / 390 ⚠️ Bottom 5%
2025 3.68 #7,125 / 14,703 #173 / 390 Above average
2026 #14,175 / 14,703 #368 / 390 ⚠️ Bottom 5%

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

Year Hours/Day National Rank IA State Rank Note
2022 0.42 #10,394 / 14,703 #341 / 390 Below average
2023 0.80 #3,346 / 14,703 #122 / 390 Top 25%
2024 #14,260 / 14,703 #376 / 390 ⚠️ Bottom 5%
2025 0.92 #2,380 / 14,703 #78 / 390 Top 25%
2026 #14,175 / 14,703 #368 / 390 ⚠️ Bottom 5%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Heartland Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1998-08-01. 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 (712) 376-2500 or your local Medicaid office to verify current eligibility.

Heartland Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (1★), 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 82.7/100, placing it #2520 of 14703 facilities nationally and #64 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 Heartland Care Center receives a reported average of N/A of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — N/A; Licensed Practical Nurse (LPN) — N/A; Nurse Aide — N/A. On weekends, total nurse staffing is N/A per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 36.1%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 1 fine(s) over the 5-year period, totaling $12,938. 6 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 30.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Heartland Care Center ranks 2520th out of 14,703 facilities (composite score: 82.7/100), placing it in the top 25% nationwide. Within IA, it ranks 64th out of 390 nursing homes. For 2025 staffing: total nurse hours rank #7,125 nationally and RN hours rank #2,380 nationally (#78 in IA). Our composite quality score of 82.7/100 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 Marcus, visit: https://nursinghomesnearme.org/iowa/marcus/

Contact and Location

ADR
Address

604 East Fenton PO Box 608, Marcus, IA 51035
Get directions on Google Maps

TEL
LLC
Legal Name

HEARTLAND CARE CENTER INC

MAP
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All Iowa ·
Cherokee County ·
Marcus ·
ZIP 51035

Facility Details

Number of Certified Beds 38
Average Residents / Day 28 (74% occupancy)
Ownership Type Non profit – Other
Provider Type Medicare and Medicaid
County Cherokee County, IA
City Marcus, IA
ZIP Code 51035
Approved Since August 1, 1998
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 165397
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