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CMS Nursing Home Compare · March 2026

Elkader Care Center

Elkader Care Center is a for profit - limited liability company facility in Elkader, IA with 40 certified beds and a 4-star overall CMS rating. The inspection file holds 4 deficiency records.

116 Reimer Street SW, Elkader, IA 52043

Phone: 5632451620

Overall CMS Rating

4/5

vs 3.0 national avg

The verdict

Elkader Care Center holds a 4-star CMS overall rating — well above the 3.0-star national average, with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall rating (nat'l avg 3.0)
3.52
Nursing hrs/resident-day (nat'l 3.89)
4
Inspection findings on file · 1 serious
$0
Federal penalties (0)

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating. Read the components below — they often tell a sharper story than the headline.

Health Inspection

4/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
165391
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
40
Residents
25
In Hospital
No
County
Clayton
Last Inspection
Dec 18, 2025

Staffing Data

RN Hours
0.99 (nat'l avg: 0.68)
LPN Hours
0.36
CNA Hours
2.17
Total Nursing Hours
3.52 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
46.9%
RN Turnover
20.0%

What the CMS Record Reveals About Elkader Care Center

Elkader Care Center operates 40 certified beds in Elkader, IA with approximately 25 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 4 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.52 total nursing hours per resident day (national average 3.89), with RN coverage at 0.99 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Elkader Care Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 46.9%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (4 most recent)

D — Isolated - Minimal harm Oct 24, 2024 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Oct 25, 2024

G — Isolated - Actual harm Oct 24, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 25, 2024

D — Isolated - Minimal harm Oct 24, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 25, 2024

D — Isolated - Minimal harm Aug 30, 2023 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 30, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 16.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 91.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 86.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 14.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 26.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 3.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 15.5% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Elkader Care Center?
Elkader Care Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at Elkader Care Center?
Elkader Care Center reports 3.52 total nursing hours per resident day (national average: 3.89). RN hours are 0.99 per resident day (national average: 0.68). Nursing staff turnover is 46.9%.
How many beds does Elkader Care Center have?
Elkader Care Center has 40 certified beds with approximately 25 residents. The facility is located at 116 Reimer Street SW, Elkader, IA 52043.
Does Elkader Care Center have any deficiencies on record?
Yes, Elkader Care Center has 4 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Elkader Care Center received any fines or penalties?
No, Elkader Care Center has no fines or penalties on record.
Who owns Elkader Care Center?
Elkader Care Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Elkader Care Center last inspected?
The most recent health inspection for Elkader Care Center was on Dec 18, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Elkader Care Center?
Elkader Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.