Wellington Place
2479 River Road, Decorah, IA 52101
Decorah, Iowa · CMS verdict
Wellington Place's CMS overall star rating stands at 4 of 5, above the Iowa state average (3.1) and reflecting above-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Wellington Place in Decorah, Iowa holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 67 of 100 (grade D). The 56-bed facility operates where a semi-private nursing-home room in Iowa runs a median of $9,277 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 67 is built
Each segment is a dimension's weighted points toward the score, summing to 67.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
On Care Compare (data as of April 2026), Wellington Place carries an overall CMS quality rating of 4 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (4/5), staffing (4/5), and quality measures (2/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Decorah, Iowa, this facility operates 56 certified beds with an average daily census of roughly 51 residents - an occupancy rate of about 91%. The facility is classified under non profit - other ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. With occupancy around 91%, bed usage here sits in the range typical of a stabilized facility.
Inspection record
On the regulatory side, federal and state surveyors have documented a limited number of deficiencies at this facility (3 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. A handful of documented findings is common even among well-run facilities; the F-tag scope and severity codes on the full report distinguish isolated paperwork issues from resident-harm findings.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Wellington Place compares to Iowa
CMS five-star sub-ratings (0–5) for this facility against the Iowa facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Iowa state average. Higher is better on all four CMS measures.
Where Wellington Place ranks in Iowa
Among the 388 CMS-rated nursing homes in Iowa, Wellington Place’s 4-star overall rating is higher than 56% of them. The bars show how all Iowa homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
85 Iowa homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 56 |
| Residents | 51 |
| Ownership | Non profit - Other |
| County | Winneshiek |
| Penalties | 1 |
| Deficiencies | 3 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Wellington Place? ▾
Wellington Place has an overall CMS quality rating of 4 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 4/5, and quality measures rating of 2/5.
How much does a nursing home cost per month in Iowa? ▾
CareScout's 2025 survey puts Iowa's median semi-private nursing home rate at $9,277 per month ($111,325 per year), with private rooms averaging $10,038 per month.
What services does Wellington Place offer? ▾
Wellington Place is a skilled nursing facility with 56 beds with approximately 51 current residents. It operates under non profit - other ownership. The facility has recorded 3 deficiencies and 1 penalties in CMS inspections.
Does Wellington Place have any deficiencies or penalties? ▾
Wellington Place has few deficiencies (3 total) and 1 penalties recorded by CMS. Small counts like this show up even at strong facilities; ask the facility directly what each finding involved and how it was resolved.
What are the alternatives to a nursing home in Iowa? ▾
In Iowa, alternatives include assisted living ($5,381/mo), home health aides ($7,836/mo), and adult day care ($1,614/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Iowa elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 165475.
Read our methodology - how this data is sourced, computed, and verified.