CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1651712026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Silver Oak Nursing And Rehabilitation Center Llc

455 31St Street · Marion, IA 52302 · Linn County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds91CMS provider file
Recent citation rows74current CMS citation release
Penalty rows4current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-04-23102026-04-234
Cycle 22025-04-09292025-04-093
Cycle 32024-02-22212024-02-227
02 / CITATION DETAIL

74 rows in the current release

3 rows carry G–L scope/severity codes; 1 carry J–L. 16 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-04-23 · HEALTHF0607Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction field: Deficient, Provider has date of correction · 2026-05-07
2026-04-23 · HEALTHF0628Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Correction field: Deficient, Provider has date of correction · 2026-05-23
2026-04-23 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-05-23 · complaint
2026-04-23 · HEALTHF0698Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Correction field: Deficient, Provider has date of correction · 2026-05-23
2026-04-23 · HEALTHF0725Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2026-05-23
2026-04-23 · HEALTHF0865Severity F · widespread; potential for more than minimal harm

Administration Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-05-23
2026-04-23 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-05-23
2026-04-23 · FIREK0291Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has date of correction · 2026-04-24
2026-04-23 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2026-05-01
2026-04-23 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2026-04-24
2026-04-23 · FIREK0920Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2026-04-24
2025-10-23 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-12-05 · complaint
2025-09-15 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-15 · complaint
2025-09-15 · HEALTHF0865Severity E · pattern; potential for more than minimal harm

Administration Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-15 · complaint
2025-04-09 · HEALTHF0550Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-05-09 · complaint
2025-04-09 · HEALTHF0578Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-05-09
2025-04-09 · HEALTHF0602Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-04-28 · complaint
2025-04-09 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-04-28 · complaint
2025-04-09 · HEALTHF0610Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Correction field: Deficient, Provider has date of correction · 2025-04-28 · complaint
2025-04-09 · HEALTHF0623Severity B · pattern; potential for minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-05-09
2025-04-09 · HEALTHF0625Severity B · pattern; potential for minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-05-09
2025-04-09 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-05-09 · complaint
2025-04-09 · HEALTHF0677Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-05-09 · complaint
2025-04-09 · HEALTHF0684Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-05-09 · complaint
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-02-22Fine$16,0680
2024-02-22Payment Denial$024
2023-10-05Fine$13,0390
2023-10-05Payment Denial$02
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • DE JONG, ALSIONIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/2025
  • YOUNGER, CLETEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/01/2016
  • DE JONG, ALSIONIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 08/15/2025
  • HYMAN, CHAIMIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 05/14/2025
  • YOUNGER, CLETEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 02/01/2016

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.55per resident day
RN hours0.65per resident day
Weekend nurse hours3.02per resident day
Staff turnover55.4%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.