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Medicare-certifiedSkilled Nursing

Silver Oak Nursing and Rehabilitation Center LLC

(319) 377-7363

About Silver Oak Nursing and Rehabilitation Center LLC

Silver Oak Nursing and Rehabilitation Center LLC serves Marion, Iowa families with compassionate skilled nursing and rehabilitation care. Our dedicated team supports recovery and healing through personalized treatment plans, helping residents regain independence and return home whenever possible.

Community at a glance

Capacity

91 residents

Location

Marion, IA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

455 31st Street, Marion, Iowa 52302

(319) 377-7363

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on April 23, 2026, state inspectors cited 10 health deficiencies (the Iowa average is 6.5).

Nurses and nurse aides spend 3 hours 33 minutes with each resident a day, below the Iowa average of 3 hours 49 minutes.

Medicare fined Silver Oak Nursing and Rehabilitation Center LLC once in the last three years, $16,068 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 33 minutesBelow the Iowa average
Registered nurse time per resident, per day39 minutesBelow the Iowa average
Nursing staff who left in the past year55%Above the Iowa average

1 administrator has left the home in the past year.

Inspections

53 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

April 23, 2026 · Standard inspection · 7 citations

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

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected May 23, 2026
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected May 23, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected May 23, 2026
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 23, 2026
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected May 7, 2026
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 23, 2026
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 23, 2026

October 23, 2025 · Complaint investigation · 1 citation

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

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 5, 2025
September 15, 2025 · Complaint investigation · 2 citations+
  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Oct 15, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 15, 2025
April 9, 2025 · Standard inspection · 23 citations+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, widespread (level F)Infection ControlFrom a complaintCorrected May 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.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected May 9, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected May 9, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 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.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected May 9, 2025
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected May 9, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected May 9, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected May 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.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected May 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected May 9, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 9, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 9, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 9, 2025
  • Observe each nurse aide's job performance and give regular training.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected May 9, 2025
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected May 9, 2025
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected May 9, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 28, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 28, 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 9, 2025
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 28, 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.

    Minimal harm or risk, a pattern (level B)Resident RightsCorrected May 9, 2025
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Minimal harm or risk, a pattern (level B)Resident RightsCorrected May 9, 2025
February 5, 2025 · Complaint investigation · 3 citations+
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 7, 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Mar 7, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 7, 2025
November 25, 2024 · Complaint investigation · 2 citations+
  • Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Dec 21, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 21, 2024
August 21, 2024 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 21, 2024
April 30, 2024 · Complaint investigation · 2 citations+
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 17, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 17, 2024
February 22, 2024 · Standard inspection · 12 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Feb 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.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Mar 22, 2024
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 22, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Mar 22, 2024
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 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.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Mar 22, 2024
  • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Mar 22, 2024
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 15, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 22, 2024
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Mar 22, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 22, 2024

Fines and payment denials

1 fine totaling $16,068 and 1 Medicare payment denial in the last three years.

  • February 22, 2024Payment denial, 24 days
  • February 22, 2024Fine: $16,068

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Silver Oak Nursing and Rehabilitation Center LLC
Medicare-certified beds
91
Average residents per day
74
Accepts
Medicare and Medicaid
First certified
July 1, 1991
Part of a chain
Ivy Healthcare Group, 4 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
165171

Location

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455 31st StreetMarion, IA 52302

12 other communities within 10 miles

Senior living near Marion

Questions about Silver Oak Nursing and Rehabilitation Center LLC

How did Silver Oak Nursing and Rehabilitation Center LLC do on its last inspection?+

State inspectors visited on April 23, 2026 and cited 10 health deficiencies, 4 of them from complaint investigations. The Iowa average is 6.5.

How much nursing care does each resident get at Silver Oak Nursing and Rehabilitation Center LLC?+

Nurses and aides spend 3 hours 33 minutes with each resident per day, including 39 minutes from registered nurses. 55% of nursing staff left over the past year.

Has Silver Oak Nursing and Rehabilitation Center LLC been fined by Medicare?+

Yes. Medicare fined Silver Oak Nursing and Rehabilitation Center LLC once in the last three years, totaling $16,068.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Marion Skilled Nursing in Iowa Skilled Nursing guide Information last updated October 2026