Shell Rock Senior Living
920 North Cherry Street, Shell Rock, IA 50670
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 Shell Rock Senior Living, 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 Shell Rock Senior Living Compares
Shell Rock Senior Living is a 41-bed for-profit nursing facility in Shell Rock, Iowa. It holds an overall CMS rating of 1 out of 5 stars, below the Iowa average of 3.1 stars. Its lowest sub-rating is health inspections at 1 star. Its rate of long-stay antipsychotic medication use (32.9%) is above the Iowa average of 19.5% — a measure worth asking the staff about. With 41 certified beds, it operates near capacity at roughly 96% occupied.
By the numbers vs. Iowa average
- Long-stay antipsychotic medication use: 32.9% — worse than the Iowa average of 19.5% (69% higher).
- Falls with major injury: 2.4% — better than the Iowa average of 3.8% (36% lower).
- High-risk pressure ulcers: 4.2% — about the same as the Iowa average of 4.2%.
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Iowa averages across 387 facilities tracked by ElderVoice.
Questions to Ask Shell Rock Senior Living
Use these facility-specific questions when calling admissions, touring the building, or comparing Shell Rock Senior Living with other nursing homes in Shell Rock.
How is Shell Rock Senior Living addressing its health inspections rating?
CMS currently rates this category 1 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What is Shell Rock Senior Living doing to reduce long-stay antipsychotic medication use?
Long-stay antipsychotic medication use is 32.9% here versus 19.5% across Iowa. Lower is generally better for this CMS measure.
What practices help Shell Rock Senior Living keep falls with major injury below the state average?
Falls with major injury is 2.4% here versus 3.8% across Iowa. Lower is generally better for this CMS measure.
How does Shell Rock Senior Living maintain staffing when occupancy is high?
The facility reports roughly 96% occupancy across 41 certified beds, so ask how staffing is adjusted during full census periods.
How can a new family connect with existing councils at Shell Rock Senior Living?
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 Shell Rock Senior Living?
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 Shell Rock
Shell Rock sits in Butler County, where adults 65 and older make up about 22.5% 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+
- 3,269 (22.5%)
- Median age
- 43.9 years
- Median household income
- $56,473
- Median home value
- $120,100
Demographics for Butler County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Shell Rock.
Facility Details
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