Silver Oak Nursing and Rehabilitation Center LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 32 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 overall rating (1/5 stars)
- Above-median deficiencies (26 vs median 5)
- High staff turnover (62%)
- High RN turnover (91%)
Bottom 25% in IA · Below recommended RN staffing · Worst in IVY HEALTHCARE GROUP chain · $29,107 in fines
What this means for your family
While recent reviews suggest improvements under new leadership, the facility has a history of serious clinical oversights. When touring, specifically ask for their protocol regarding pain management transitions and how they communicate with families during medical emergencies to ensure your loved one's safety.
Google Reviews
Google Reviews
32 reviews on Google“Silver Oak Nursing and Rehabilitation Center receives highly polarized feedback, with some families praising the compassionate staff and clean environment, while others report severe failures in medical oversight and end-of-life care. Critical concerns include instances of residents suffering from untreated pain, dehydration, and poor communication during medical emergencies. Prospective families should weigh the positive reports of attentive care against the recurring, serious allegations regarding clinical responsiveness and safety protocols.”
Quality Themes
Tap a score for detailsStrengths
- Responsive administrative leadership
- Clean and well-maintained facility
- Compassionate, long-term nursing staff
- Efficient admission and paperwork process
Concerns
- Failure to manage medical needs and pain (mentioned by 3 reviewers)
- Poor communication during medical emergencies or resident decline (mentioned by 3 reviewers)
- Inadequate fall prevention and safety monitoring (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 33 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your team is very active in responding to feedback online; how do you use that family input to improve the daily care experience for residents?
- 2Given that managing complex medical needs and pain levels is a top priority for our family, what is your specific process for monitoring these needs and adjusting care plans as a resident’s condition changes?
- 3How does your nursing team ensure consistent communication with families during urgent medical situations or sudden changes in a resident's health status?
- 4With 26 recent health-related findings, what specific safety improvements or new protocols have you implemented recently to enhance fall prevention and resident monitoring?
- 5Can you walk me through how your staff coordinates medication management to ensure accuracy and timeliness for residents?
- 6What kind of daily activities or social engagement opportunities do you offer that help residents feel connected and active within the community?
Personalized based on this facility's data
Key Review Excerpts
“My wife Lisa Kirk was transferred to #SilverOakNursingAndRehabilitationCenter in Marion Iowa at 11AM Dec. 21. She has been in excruciating pain to the point of tears since she has been there. They failed to continue her pain management plan from the University Hospital for her transition.”
“My mom was there and right toward the end they wouldn’t let hospice come in. Died 5 days after that. When a resident tells you that they are going to fall get a damn wheel chair for them don’t just tell them that they won’t or no their not.”
“The administrator is very responsive to emails and answers questions thoroughly with extra information I wouldn’t have thought to ask. I recommend this facility.”
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
5
measures
11
measures
1
measures
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
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
This facility shows a concerning pattern of recurring complaint-triggered deficiencies, with families filing reports that led to nearly half of the 92 total violations. The most frequent problems involve resident care and treatment, safety and accident prevention, and nursing staff competency issues that persist across multiple surveys from 2022 through 2025. While all deficiencies show correction dates, the repeated nature of similar violations suggests ongoing challenges in maintaining consistent care standards.
Apr 23, 2026Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Oct 23, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Sep 15, 2025Complaint2
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Apr 9, 2025Routine13
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
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.
Nursing and Physician Services Deficiencies
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.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Nutrition and Dietary Deficiencies
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.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Apr 9, 2025Complaint13
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Feb 5, 2025Complaint3
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nursing and Physician Services Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal Penalties
Fine
Feb 22, 2024
$16,068
Payment Denial
Feb 22, 2024
24-day denial
Fine
Oct 5, 2023
$13,039
Payment Denial
Oct 5, 2023
2-day denial
Ownership & Operations
Who Operates This Facility
Silver Oak Nursing and Rehabilitation Center LLC
for profit
Chain Affiliation
Ivy Healthcare Group
4 facilities nationwide
Chain avg rating: 1.8/5 · Rank 4 of 4 (Worst)
Ownership & Management
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
32 reviews from families & visitors
Official Website
Visit silveroaknursing.com
Medicare data downloads
Original nursing home datasets
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