Nursing home
Madrid Home for the Aged
613 West North Street, Madrid, IA 50156 · Map
Non profit - Corporation · 64 certified beds
Madrid Home for the Aged is a Medicare-certified nursing home in Madrid, Iowa. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.12 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on Mar 20, 2025 cited 5 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Madrid Home for the Aged 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) | 4.12 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.70 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.94 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 45.2% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 5.0 | 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.
Penalties in CMS records: 1 total penalty, 1 Medicare payment denial.
What inspectors found at Madrid Home for the Aged
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
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 · Mar 26, 2026 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 26, 2026 · 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 · Mar 20, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 20, 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 · Mar 20, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Mar 20, 2025 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Mar 20, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jun 6, 2024 · 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 · Jun 6, 2024 · 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 · Jun 6, 2024 · 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 · Mar 27, 2023 - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Mar 27, 2023
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
- 613 West North Street
Madrid, IA 50156 - CMS certification #
- 165118
- Ownership
- Non profit - Corporation
- Certified beds
- 64
- Avg residents/day
- 54.2
- Provider type
- Medicare and Medicaid
- First certified
- 1983-12-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Madrid Home for the Aged using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2004
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Feb 13, 2004 to Mar 23, 2005. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: Madrid Home for the Aged (Madrid Home for the Aging). Case 1398233.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Boone County Hospital, Boone. 12.6 miles away, straight line.
- Nearest Medicare nursing home
- Granger Nursing & Rehabilitation Center, Granger. 8.0 miles away, straight line.
- Nearest home health agency office
- Home Care Services Of Boone Co, Boone. 12.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 11.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50156 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Ankeny Dialysis, Ankeny, 14.5 miles away, straight line (CMS rating 4 of 5 stars)
- Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 50156.
Mary Greeley Hospice Services, office in Ames, 15.4 miles away, straight line (CMS family survey rating 4 of 5 stars)
Hospice Of The Midwest, LLC, office in Johnston, 15.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
Wesleylife Hospice, office in Urbandale, 16.7 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Joseph Hoagbin, MD, Marshalltown. 47.4 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: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave very 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 | See above |
| 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 | Could not read the site |
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Frequently asked questions
Is Madrid Home for the Aged a good nursing home?
CMS gives Madrid Home for the Aged an overall rating of 4 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Madrid Home for the Aged staffed?
Madrid Home for the Aged reports 4.12 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Madrid Home for the Aged had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Madrid Home for the Aged have?
Madrid Home for the Aged is certified for 64 beds.