Starfile / Iowa

Silver Oak Nursing and Rehabilitation Center LLC

455 31st Street, Marion, IA 52302 · CCN 165171

Inspection history vs Iowa & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$29,107

Number of fines

2

Number of penalties

4

Payment denials

2

Chain

Chain

IVY HEALTHCARE GROUP

Facilities in chain

4

Chain avg overall

1.80 / 5

Inspection citations (73)1 immediate jeopardy2 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-10-23 · Health · corrected 2025-12-05

   Potential for more than minimal harm

2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-15 · Health · corrected 2025-10-15

   Potential for more than minimal harm

3. EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-09-15 · Health · corrected 2025-10-15

   Potential for more than minimal harm

4. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-09 · Health · corrected 2025-05-09

   Potential for more than minimal harm

5. DF0578Honor 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.2025-04-09 · Health · corrected 2025-05-09

   Potential for more than minimal harm

6. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-04-09 · Health · corrected 2025-04-28

   Potential for more than minimal harm

7. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-09 · Health · corrected 2025-04-28

   Potential for more than minimal harm

8. DF0610Respond appropriately to all alleged violations.2025-04-09 · Health · corrected 2025-04-28

   Potential for more than minimal harm

9. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-04-09 · Health · corrected 2025-05-09

   Potential for minimal harm

10. BF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2025-04-09 · Health · corrected 2025-05-09

    Potential for minimal harm

11. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

12. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

13. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

14. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

15. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

16. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

17. DF0728Ensure 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.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

18. DF0730Observe each nurse aide's job performance and give regular training.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

19. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

20. DF0803Ensure 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.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

21. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

22. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

23. FF0880Provide and implement an infection prevention and control program.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

24. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

25. EF0887Educate 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.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

26. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-04-09 · Health · corrected 2025-05-09

    Potential for more than minimal harm

27. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-02-05 · Health · corrected 2025-03-07

    Potential for more than minimal harm

28. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-02-05 · Health · corrected 2025-03-07

    Potential for more than minimal harm

29. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-05 · Health · corrected 2025-03-07

    Potential for more than minimal harm

30. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-25 · Health · corrected 2024-12-21

    Potential for more than minimal harm

31. EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2024-11-25 · Health · corrected 2024-12-21

    Potential for more than minimal harm

32. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-21 · Health · corrected 2024-09-21

    Potential for more than minimal harm

33. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-30 · Health · corrected 2024-05-17

    Potential for more than minimal harm

34. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-30 · Health · corrected 2024-05-17

    Potential for more than minimal harm

35. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-22 · Health · corrected 2024-03-22

    Potential for more than minimal harm

36. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-02-22 · Health · corrected 2024-04-15

    Potential for more than minimal harm

37. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-22 · Health · corrected 2024-03-22

    Potential for more than minimal harm

38. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-22 · Health · corrected 2024-03-22

    Potential for more than minimal harm

39. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-22 · Health · corrected 2024-02-22

    Immediate jeopardy

40. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-02-22 · Health · corrected 2024-03-22

    Potential for more than minimal harm

41. DF0760Ensure that residents are free from significant medication errors.2024-02-22 · Health · corrected 2024-03-22

    Potential for more than minimal harm

42. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-22 · Health · corrected 2024-03-22

    Potential for more than minimal harm

43. FF0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.2024-02-22 · Health · corrected 2024-03-22

    Potential for more than minimal harm

44. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-02-22 · Health · corrected 2024-03-22

    Potential for more than minimal harm

45. DF0887Educate 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.2024-02-22 · Health · corrected 2024-03-22

    Potential for more than minimal harm

46. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-02-22 · Health · corrected 2024-03-22

    Potential for more than minimal harm

47. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-10-05 · Health · corrected 2023-11-05

    Potential for more than minimal harm

48. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-05 · Health · corrected 2023-11-05

    Potential for more than minimal harm

49. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-05 · Health · corrected 2023-11-05

    Potential for more than minimal harm

50. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-05 · Health · corrected 2023-10-19

    Actual harm

51. GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-10-05 · Health · corrected 2023-10-19

    Actual harm

52. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-10-05 · Health · corrected 2023-11-05

    Potential for more than minimal harm

53. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-10-05 · Health · corrected 2023-11-05

    Potential for more than minimal harm

54. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-06-08 · Health · corrected 2023-07-08

    Potential for more than minimal harm

55. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-08 · Health · corrected 2023-07-08

    Potential for more than minimal harm

56. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-08 · Health · corrected 2023-07-08

    Potential for more than minimal harm

57. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-08 · Health · corrected 2023-07-08

    Potential for more than minimal harm

58. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-08 · Health · corrected 2023-07-08

    Potential for more than minimal harm

59. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-08 · Health · corrected 2023-07-08

    Potential for more than minimal harm

60. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-08 · Health · corrected 2023-07-08

    Potential for more than minimal harm

61. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-08 · Health · corrected 2023-07-08

    Potential for more than minimal harm

62. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-29 · Health · corrected 2023-03-31

    Potential for more than minimal harm

63. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-12-15 · Health · corrected 2023-01-19

    Potential for more than minimal harm

64. DF0558Reasonably accommodate the needs and preferences of each resident.2022-12-15 · Health · corrected 2023-01-19

    Potential for more than minimal harm

65. EF0578Honor 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.2022-12-15 · Health · corrected 2023-01-19

    Potential for more than minimal harm

66. BF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-12-15 · Health · corrected 2023-01-19

    Potential for minimal harm

67. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-12-15 · Health · corrected 2023-01-19

    Potential for more than minimal harm

68. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-15 · Health · corrected 2023-01-19

    Potential for more than minimal harm

69. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-12-15 · Health · corrected 2023-01-19

    Potential for more than minimal harm

70. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2022-12-15 · Health · corrected 2023-01-19

    Potential for more than minimal harm

71. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-12-15 · Health · corrected 2023-01-19

    Potential for more than minimal harm

72. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-12-15 · Health · corrected 2023-01-19

    Potential for more than minimal harm

73. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-12-15 · Health · corrected 2023-01-19

    Potential for more than minimal harm

Ownership

Other facilities in Marion

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.