Heartland Care Center
604 East Fenton PO Box 608, Marcus, IA 51035
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Heartland Care Center, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
How Heartland Care Center Compares
Heartland Care Center is a 38-bed nonprofit nursing facility in Marcus, Iowa. It holds an overall CMS rating of 5 out of 5 stars, above the Iowa average of 3.1 stars. Its strongest area is staffing, rated 5 stars. Its rate of high-risk residents with pressure ulcers (0.0%) is below the Iowa average of 4.2%, a favorable sign for resident care. With 38 certified beds, it has notable available capacity at roughly 65% occupied.
By the numbers vs. Iowa average
- Long-stay antipsychotic medication use: 16.9% — better than the Iowa average of 19.5%.
- Falls with major injury: 6.7% — worse than the Iowa average of 3.8% (74% higher).
- High-risk pressure ulcers: 0.0% — better than the Iowa average of 4.2% (100% lower).
- Short-stay rehospitalization: 11.5% — better than the Iowa average of 20.8% (45% lower).
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Iowa averages across 387 facilities tracked by ElderVoice.
Questions to Ask Heartland Care Center
Use these facility-specific questions when calling admissions, touring the building, or comparing Heartland Care Center with other nursing homes in Marcus.
What keeps Heartland Care Center's staffing levels rating strong?
This category is rated 5 out of 5 stars. Ask for concrete staffing, training, or care-process examples behind the score.
What is Heartland Care Center doing to reduce falls with major injury?
Falls with major injury is 6.7% here versus 3.8% across Iowa. Lower is generally better for this CMS measure.
What practices help Heartland Care Center keep high-risk pressure ulcers below the state average?
High-risk pressure ulcers is 0.0% here versus 4.2% across Iowa. Lower is generally better for this CMS measure.
Why is Heartland Care Center's occupancy below many full facilities?
The facility reports roughly 65% occupancy across 38 certified beds. Lower occupancy can mean availability, but families should ask whether renovations, staffing, reputation, or service mix are factors.
How can a new family connect with existing councils at Heartland Care Center?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at Heartland Care Center?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Marcus
Marcus sits in Cherokee County, where adults 65 and older make up about 23.9% of the population — a higher share of seniors than Iowa as a whole (17.1% statewide). The area's median household income is consistent with state averages.
- Residents 65+
- 2,692 (23.9%)
- Median age
- 45.9 years
- Median household income
- $56,302
- Median home value
- $117,400
Demographics for Cherokee County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Marcus.
Facility Details
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