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Nelson Manor

  • Nursing Home

Updated Jun 1, 2022 by Nick Reese

Historical Rating
Grade: C
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: BFeb 19: BMar 19: BApr 19: B-May 19: BJun 19: BJul 19: B+Aug 19: B+Sep 19: B+Jan 20: B+Mar 20: BApr 20: BMay 20: BJun 20: BJul 20: BAug 20: BSep 20: BOct 20: BNov 20: BJan 21: CFeb 21: CMar 21: CApr 21: CMay 21: CJun 21: CJul 21: BAug 21: B-Sep 21: B-Oct 21: B+Nov 21: BJan 22: B-Feb 22: CMar 22: CApr 22: CMay 22: CJun 22: C
See Rating Overview
Nelson Manor's website

1500 First Avenue East,
Newton IA 50208

(641) 792-1443

42.77% estimated occupancy 1

Nelson Manor is in Newton, Iowa. This city has a total of 20,417 people. Featuring an overall grade of C, this is likely a middle of the road nursing home. You can definitely do worse than this place. The best part of this place's profile was its remarkable nursing grade. We discuss nursing in the next paragraph.

Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Individual

Registered Staff Hours

Medical Staff Hours Per Patient (2022)
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Nurse Quality

Grade: A-plus

On top of receiving a great overall score, this facility really excelled in the area of nursing, where it received a grade of A+. Few nursing homes performed better in this area. The nursing rating assesses a handful of datapoints, however, the most important one is the quantity of nurse hours per patient per week. This facility provided 0.4 hours of nursing care per resident per day. Finally, we also assessed several nursing quality measures and this place excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any place Iowa in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can frequently be prevented by offering better nursing care, such as having a protocol of moving a patient at least once a day.

Short-term Care Quality

Grade: B-plus

In addition, we awarded this facility a B+ in our short-term care category. This happens to be one of our better scores. Short-term care grades are often used to score a nursing home's performance with rehabilitation. In order to offer good rehabilitation services, facilities generally must offer better levels of skilled nursing services. Skilled nursing includes registered nurses, physical therapists, occupational therapists and other licensed professionals. Fortunately, it appear that this facility employs registered nurses. Not all facilities employs these skilled professionals. However, based on the information this nursing home provided, they do not appear to employ physical therapists. The final item we assessed in this area is the number of residents who were able to leave the nursing home and return to the community. We found that 0 percent of this nursing home's residents returned home.

Long-term Care Quality

Grade: C

This nursing home's next highest area came in the area of long-term care. In that area, we gave this nursing home a grade of C. With our long-term care score, we assess the amount of care provided by a facility, along with a handful of qualitative metrics. After considering the amount of care provided by nurses and other staff, we then looked at the nursing home's vaccination record. We were disappointed to learn that this facility vaccinated only 82.8125 percent of its residents for pneumonia. On a more positive note, this nursing home was able to limit hospitalizations. In fact, it had only 0.01 hospitalizations per one thousand long-term resident days, which is a remarkably low figure.

Facility Inspections

Grade: F

Turning our last category of inspections, this nursing home received an F here. This grade was detrimental to this facility's overall score. For facilities with bad inspection ratings, you should really scrutinize any severe deficiencies found on their recent inspection reports. This particular facility had 7 deficiencies on its inspection report. The only favorable thing we can say is that none of its deficiencies were in the categories that indicate they created a risk to resident health or safety. Finally, we need to draw your attention to the fact that this facility was assessed large government fines totaling over $100,000. This often signifies that a poor performance has been an issue for multiple years.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18May 23

Nelson Manor Quality Metrics

Minimizes Pressure Ulcers

Grade: A-plus

In Nelson Manor, 6.16% of Patients had Pressure Ulcers

This datapoint is is a measure of the percent of long-term residents which suffer from new or worsened pressure ulcers. We have found that pressure ulcers are a great measure of a facility's nursing care quality.

Minimizes Serious Falls

Grade: B

In Nelson Manor, 3.87% of Patients had Serious Falls

This indicates the percent of residents that have had a major fall. Falls leading to major injury are often linked to lower quality nursing care. Additional nurse staffing reduces the percentage of residents in a nursing home who sustain major falls.

Minimizes Urinary Tract Infections

Grade: B

In Nelson Manor, 3.28% of Patients had UTIs

This is a measure of the percentage of long-term patients that have had a urinary tract infection. Although more infections may reflect poorly on a facility's nursing care, it is problematic to compare between nursing homes due to nursing homes having inconsistent reporting standards.

Appropriately Uses Anti-Psychotic Medication

Grade: F

In Nelson Manor, 17.54% of Patients use Anti-Psychotic Medication

This metric measures the percent of long-term stay residents taking antipsychotic medications. While antipsychotic medications play an important role in caring for many residents, it is important to confirm these medications are being used only where medically required. In limited cases, increased usage of these drugs may suggest that a nursing home is using these medications to control patient behavior.

Appropriately Uses Anti-Anxiety Medication

Grade: D

In Nelson Manor, 19.26% of Patients use Anti-Anxiety Medication

This tells you the percent of patients who were prescribed antianxiety drugs. Antianxiety medications are prescribed to residents suffering from anxiety or depression.

Managing Depression Among Residents

Grade: B-plus

In Nelson Manor, 4.67% of Patients

This datapoint is a measure of the percentage of long-term residents showing signs of depression. Many would argue that this is a measure of patient quality of life.

Appropriate Vaccine Usage

Grade: C

In Nelson Manor, 93.67% of Patients

Measures the percentage of long-term patients that have received the flu and pneumonia vaccines. Respiratory viruses can be deadly for nursing home residents, making these types of vaccines critical to patient safety.

Residents Maintain Autonomy

Grade: D

In Nelson Manor, 17.07% Percentage of Patients

This is a measure of the percent of long-term care residents who needed increased assistance with activities of daily living over time. ADL's include activities such as taking medications and bathing. Many would argue that this is a reliable measure of a resident's well-being.

Ability to Keep Residents Mobile

Grade: A

In Nelson Manor, 16.9% Percentage of Residents

This metric tracks the percent of long-term stay patients that were able to retain mobility.


Grade: B-plus

In Nelson Manor, 1.48 Hospitalizations per 1,000 resident days

This datapoint is a measure of the number of hospitalizations per 1,000 days of patient care.

Short-term Care: Rehospitalizations

Grade: D

In Nelson Manor, 16.9 Percentage of Residents Rehospitalized

This indicates the number of times residents are rehospitalized per thousand days of short-term patient care.

Nearby Hospitals

  • Skiff Medical CenterAcute Care Hospitals 0.94 miles away204 N 4th Ave E Newton Iowa 50208Voluntary non-profit - Private(641) 792-1273
  • Grinnell Regional Medical CenterAcute Care Hospitals 15.71 miles away210 Fourth Avenue Grinnell Iowa 50112Voluntary non-profit - Private(641) 236-7511

Nearby Dialysis

  • Newton Dialysis1.14 miles away204 N 4th Ave E Suite 134 Newton Iowa 50208Dialysis Stations: 8 (641) 792-2600
  • University of Iowa Hospital & Clinics - Grinnell16.22 miles away803 Broad St Grinnell Iowa 50112Dialysis Stations: 9 (641) 236-7419