Nursing home
Heartland Care Center, East Fenton Po Box 608
604 East Fenton Po Box 608, Marcus, IA 51035 · Map
Non profit - Other · 38 certified beds
Heartland Care Center, East Fenton Po Box 608 is a Medicare-certified nursing home in Marcus, Iowa. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Its most recent inspection on Apr 10, 2025 cited 6 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Heartland Care Center, East Fenton Po Box 608 compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | — | 3.83 | 3.89 | — |
| RN staffing (hrs/resident/day) | — | 0.73 | 0.68 | — |
| Aide staffing (hrs/resident/day) | — | 2.53 | 2.34 | — |
| Nursing staff turnover | 36.1% | 43.9% | 46.4% | below avg |
| Deficiencies cited, last inspection | 6.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Heartland Care Center, East Fenton Po Box 608
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Sep 25, 2025 · Full report (PDF) - Potential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Apr 10, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 10, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Apr 10, 2025 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Apr 10, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Notify 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.
Resident Rights Deficiencies · Apr 10, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 4, 2024 · Full report (PDF) - Potential for harm
Ensure 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.
Nutrition and Dietary Deficiencies · Apr 4, 2024 · Full report (PDF) - Potential for harm
Educate 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.
Infection Control Deficiencies · Apr 4, 2024 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Apr 4, 2024 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Apr 4, 2024 · Full report (PDF) - Potential for harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Apr 4, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 604 East Fenton Po Box 608
Marcus, IA 51035 - CMS certification #
- 165397
- Ownership
- Non profit - Other
- Certified beds
- 38
- Avg residents/day
- 28.1
- Provider type
- Medicare and Medicaid
- First certified
- 1998-08-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Heartland Care Center, East Fenton Po Box 608 using Google Maps.
Other public records
- Website says Works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Heartland Care Center, East Fenton Po Box 608 says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
Heartland Care Center is a nursing home facility that offers a large range of nursing care including long-term care, hospice care, skilled (rehabilitation) nursing care, and assisted living.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Cherokee Regional Medical Center, Cherokee. 13.6 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Happy Siesta Health Care Center, Remsen. 8.3 miles away, straight line.
- Nearest home health agency office
- Cherokee Regional Home Health, Cherokee. 13.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 51035 as rural (rural area).
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 51035.
Cherokee Regional Hospice, office in Cherokee, 13.5 miles away, straight line (CMS family survey rating 5 of 5 stars)
Orange City Hospice, office in Orange City, 18.4 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Homaha Senior Care LLC, Omaha. 108.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Heartland Care Center, East Fenton Po Box 608 a good nursing home?
CMS gives Heartland Care Center, East Fenton Po Box 608 an overall rating of 2 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Has Heartland Care Center, East Fenton Po Box 608 had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Heartland Care Center, East Fenton Po Box 608 have?
Heartland Care Center, East Fenton Po Box 608 is certified for 38 beds.