Hallmark Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 13 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low staffing rating (1/5 stars)
Below average in IA · No penalties on record
What this means for your family
While Hallmark Care Center has a history of compassionate staff, recent reports from late 2025 indicate a significant decline in cleanliness and management oversight. We strongly recommend conducting an unannounced visit to inspect the facility's current hygiene standards and speaking directly with current residents' families to verify if the reported neglect is an ongoing issue.
Google Reviews
Google Reviews
13 reviews on Google“Hallmark Care Center presents a stark contrast in experiences, with many families praising the compassionate, attentive nursing staff and high-quality care for long-term residents. However, recent reviews from late 2025 highlight severe concerns regarding facility cleanliness, neglect, and poor management transitions. While some families feel their loved ones are treated like family, others report alarming hygiene issues and a lack of professional oversight.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Strong communication with families
- Dignified end-of-life and hospice care
- Professional and dedicated care team
Concerns
- Poor facility cleanliness and hygiene (odors, dust, trash) (mentioned by 3 reviewers)
- Poor management and administrative issues (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 18 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed the facility has a smaller capacity of 55 residents; how does this size impact the daily social activities and community engagement for my loved one?
- 2Given the recent feedback regarding facility maintenance, could you walk me through your current housekeeping schedule and how you ensure a clean, odor-free environment for residents?
- 3With the current staffing levels, what specific systems do you have in place to ensure that residents receive timely assistance with daily needs and personal care?
- 4I appreciate that you actively engage with families online; how do you typically handle administrative concerns or feedback from families once a resident is moved in?
- 5Could you explain your protocol for medical emergencies and how you coordinate with local hospitals to ensure continuity of care?
- 6I understand you have a strong reputation for end-of-life and hospice care; what kind of support do you provide to families during those transitions?
Personalized based on this facility's data
Key Review Excerpts
“My husband has been in and out of 3 other facilities for respite/rehab, and Hallmark has the best staff in my opinion. They treat my husband and me like family.”
“Even after Mom passed away the aides washed her body and handled her like she was their loved one. They talk to and tell the patients everything.”
“The facility now has a strong smell of urine and feces. The facility is no longer kept clean and the floors look like they are no longer vacuumed.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
5
measures
4
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Hallmark Care Center has 8 deficiencies across recent surveys, with 2 triggered by family complaints about food safety and care planning issues. The facility shows recurring problems with resident assessments and care planning across multiple surveys, along with issues in quality of care and food safety. All deficiencies have been corrected according to the facility, but the pattern of repeated assessment problems warrants attention during your visit.
Apr 9, 2026Routine11
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Infection Control Deficiencies
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.
Mar 20, 2025Routine5
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Resident Rights Deficiencies
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 Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
May 22, 2024Complaint2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
May 7, 2026InspectionClean
Fed violations: 0, State violations: 0
Apr 9, 2026InspectionClean
Fed violations: 11, State violations: 0
Dec 16, 2025ComplaintClean
Fed violations: 0, State violations: 0
Nov 12, 2025ComplaintClean
Fed violations: 0, State violations: 0
Apr 23, 2025InspectionClean
Fed violations: 0, State violations: 0
Mar 20, 2025InspectionClean
Fed violations: 5, State violations: 0
Jun 25, 2024InspectionClean
Fed violations: 0, State violations: 0
May 22, 2024InspectionClean
Fed violations: 2, State violations: 0
Ownership & Operations
Who Operates This Facility
Hallmark Care Center
for profit
Chain Affiliation
Legacy Healthcare
89 facilities nationwide
Chain avg rating: 3.0/5 · Rank 40 of 89
Ownership & Management
Owners
Iowa Portfolio Opco Holdings LLC
Owner · Organization
Doros Generation Trust U/a/d 1/3/12
Owner (parent company) · Organization
Gpn Family Trust U/a/d 4/28/08
Owner (parent company) · Organization
Oakway Operations LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
13 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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