Skilled Nursing

Silver Oak Nursing and Rehabilitation Center LLC

455 31st Street, Marion, IA 52302

91beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.0h

Hrs/resident · weekday

Expected: 4.1h

3.7h

Hrs/resident · weekend

vs 3.0h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
80%
LPNs
CNAs
57%

Administrator turnover: 2 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0689Severity JFeb 22, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected: Feb 22, 2024

53 standard deficiencies in the last 3 years

View all
0658Severity DApr 23, 2026

Ensure services provided by the nursing facility meet professional standards of quality.

0550Severity DOct 23, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0865Severity ESep 15, 2025

Have a plan that describes the process for conducting QAPI and QAA activities.

0609Severity DSep 15, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0947Severity DApr 9, 2025

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0887Severity EApr 9, 2025

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.

0883Severity EApr 9, 2025

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0880Severity FApr 9, 2025

Provide and implement an infection prevention and control program.

0812Severity EApr 9, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0804Severity DApr 9, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0803Severity DApr 9, 2025

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.

0755Severity DApr 9, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0730Severity DApr 9, 2025

Observe each nurse aide's job performance and give regular training.

0728Severity DApr 9, 2025

Ensure 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.

0725Severity FApr 9, 2025

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0689Severity DApr 9, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0686Severity DApr 9, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0684Severity EApr 9, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0677Severity EApr 9, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0658Severity DApr 9, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0625Severity BApr 9, 2025

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.

0623Severity BApr 9, 2025

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0610Severity DApr 9, 2025

Respond appropriately to all alleged violations.

0609Severity DApr 9, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0602Severity DApr 9, 2025

Protect each resident from the wrongful use of the resident's belongings or money.

0578Severity DApr 9, 2025

Honor 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.

0550Severity EApr 9, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0842Severity DFeb 5, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0726Severity DFeb 5, 2025

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0580Severity DFeb 5, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0800Severity ENov 25, 2024

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0684Severity DNov 25, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0684Severity DAug 21, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0684Severity DApr 30, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0658Severity DApr 30, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0943Severity DFeb 22, 2024

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

0887Severity DFeb 22, 2024

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.

0883Severity EFeb 22, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0843Severity FFeb 22, 2024

Have 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.

0812Severity EFeb 22, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0760Severity DFeb 22, 2024

Ensure that residents are free from significant medication errors.

0726Severity DFeb 22, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0684Severity DFeb 22, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0658Severity DFeb 22, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0554Severity DFeb 22, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

0550Severity EFeb 22, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0761Severity EOct 5, 2023

Ensure 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.

0727Severity FOct 5, 2023

Have 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.

0697Severity GOct 5, 2023

Provide safe, appropriate pain management for a resident who requires such services.

0689Severity GOct 5, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0677Severity EOct 5, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

0658Severity DOct 5, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

0584Severity EOct 5, 2023

Honor 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.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

SILVER OAK NURSING AND REHABILITATION CENTER LLC· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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