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).
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.
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).
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/
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.