PlainNursing
CMS Nursing Home Compare · March 2026

Estherville Community Care Center

Estherville Community Care Center is a for profit - corporation facility in Estherville, IA with 46 certified beds and a 2-star overall CMS rating. The inspection file holds 24 deficiency records.

2001 First Avenue North, Estherville, IA 51334

Phone: 7123623594

Overall CMS Rating

2/5

vs 3.0 national avg

The verdict

Estherville Community Care Center holds a 2-star CMS overall rating — below the 3.0-star national average, with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall rating (nat'l avg 3.0)
3.62
Nursing hrs/resident-day (nat'l 3.89)
24
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

3/5

Staffing

3/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
165523
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
46
Residents
35
In Hospital
No
County
Emmet
Last Inspection
Sep 25, 2025

Staffing Data

RN Hours
0.72 (nat'l avg: 0.68)
LPN Hours
0.84
CNA Hours
2.07
Total Nursing Hours
3.62 (nat'l avg: 3.89)
PT Hours
0.01

What the CMS Record Reveals About Estherville Community Care Center

Estherville Community Care Center operates 46 certified beds in Estherville, IA with approximately 35 residents currently in care, and carries a CMS overall rating of 2 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 (3★), staffing levels (3★), and quality measures (1★). 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 24 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 3.62 total nursing hours per resident day (national average 3.89), with RN coverage at 0.72 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Estherville Community 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. 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 (24 most recent)

D — Isolated - Minimal harm Sep 25, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Oct 16, 2025

D — Isolated - Minimal harm Sep 25, 2025 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 16, 2025

D — Isolated - Minimal harm Sep 25, 2025 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 1, 2025

D — Isolated - Minimal harm Sep 25, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 1, 2025

D — Isolated - Minimal harm Sep 25, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 18, 2025

D — Isolated - Minimal harm Dec 12, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 24, 2024

F — Widespread - Minimal harm Dec 12, 2024 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Dec 24, 2024

E — Pattern - Minimal harm Dec 12, 2024 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 24, 2024

D — Isolated - Minimal harm Dec 12, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Dec 24, 2024

D — Isolated - Minimal harm Oct 17, 2024 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Nov 5, 2024

G — Isolated - Actual harm Sep 6, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 18, 2024

E — Pattern - Minimal harm Oct 5, 2023 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 7, 2023

E — Pattern - Minimal harm Oct 5, 2023 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Dec 7, 2023

E — Pattern - Minimal harm Oct 5, 2023 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 7, 2023

D — Isolated - Minimal harm Oct 5, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 7, 2023

D — Isolated - Minimal harm Oct 5, 2023 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 7, 2023

D — Isolated - Minimal harm Oct 5, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 7, 2023

E — Pattern - Minimal harm Oct 5, 2023 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 7, 2023

D — Isolated - Minimal harm Oct 5, 2023 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Dec 7, 2023

D — Isolated - Minimal harm Aug 31, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 16, 2023

E — Pattern - Minimal harm Mar 6, 2023 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Apr 6, 2023

D — Isolated - Minimal harm Mar 6, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 6, 2023

E — Pattern - Minimal harm Mar 6, 2023 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 6, 2023

D — Isolated - Minimal harm Mar 6, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Apr 6, 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 27.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 14.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 3.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 3.7% 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 4.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 62.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 25.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 6.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 24.7% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 38.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 84.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 30.4% No
Percentage of long-stay residents with pressure ulcers Long Stay 10.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 21.3% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 34.4% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Estherville Community Care Center?
Estherville Community Care Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (1★).
What are the staffing levels at Estherville Community Care Center?
Estherville Community Care Center reports 3.62 total nursing hours per resident day (national average: 3.89). RN hours are 0.72 per resident day (national average: 0.68).
How many beds does Estherville Community Care Center have?
Estherville Community Care Center has 46 certified beds with approximately 35 residents. The facility is located at 2001 First Avenue North, Estherville, IA 51334.
Does Estherville Community Care Center have any deficiencies on record?
Yes, Estherville Community Care Center has 24 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Estherville Community Care Center received any fines or penalties?
No, Estherville Community Care Center has no fines or penalties on record.
Who owns Estherville Community Care Center?
Estherville Community Care Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Estherville Community Care Center last inspected?
The most recent health inspection for Estherville Community Care Center was on Sep 25, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Estherville Community Care Center?
Estherville Community 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.