PlainNursing
CMS Nursing Home Compare · August 2026

Estherville Community Care Center

2001 First Avenue North, Estherville, IA 51334

Estherville Community Care Center, a 46-bed for profit - corporation nursing facility in Estherville, IA, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #278 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

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.

Phone: 7123623594

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2 / 5
Below average · CMS overall · nat'l 3.0
#278 of 385
In-state rank among rated IA homes
3.38
Below average · nurse hrs/day · nat'l 3.86
23
Inspection findings · 2 serious

The verdict

Estherville Community Care Center, a 46-bed for profit - corporation nursing facility in Estherville, IA, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #278 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#278 of 385
In-state rank among rated IA homes
3.38
Nurse hrs/resident-day · national 3.86
23
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 387 IA nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
165523
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
46
Residents
39
In Hospital
No
County
Emmet
Last Inspection
Sep 25, 2025

Staffing Data

How the 3.38 total nursing hours per resident-day are staffed:

RN Hours
0.91 (nat'l avg: 0.69)
LPN Hours
0.59
CNA Hours
1.88
Total Nursing Hours
3.38 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
46.2%
RN Turnover
37.5%

What the CMS Record Reveals About Estherville Community Care Center

According to CMS Nursing Home Compare, Estherville Community Care Center ranks #278 of 385 rated nursing homes in IA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Estherville Community Care Center operates 46 certified beds in Estherville, IA with approximately 39 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 4★ · quality 2★).

The inspection file contains 23 deficiency records from recent surveys, of which 2 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. Reported nurse staffing runs 3.38 total hours per resident day (national average 3.86); RN hours specifically are 0.91 per resident day.

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. Reported nursing staff turnover at this facility is 46.2% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.

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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (23 most recent)

G - Isolated - Actual harm Jun 10, 2026 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: Jun 30, 2026

D - Isolated - Minimal harm Mar 19, 2026 Tag: 0628

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

Category: Resident Rights Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Mar 19, 2026 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Apr 1, 2026

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

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

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

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

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

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

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

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

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 Aug 31, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 16, 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 21.6% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 3.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.6% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.3% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 26.2% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 13.1% No
Percentage of long-stay residents who have depressive symptoms Long Stay 7.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 78.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 40.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 84.8% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 23.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 47.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 30.4% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Estherville Community Care Center, both outside IA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Estherville Community Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The IA registry aggregates state averages and the highest-rated homes in this cohort. View IA registry
  • Peer homes near 46 beds show how CMS stars vary at a similar scale in IA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

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 (2★), staffing levels (4★), and quality measures (2★).
Where does Estherville Community Care Center rank among nursing homes in IA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Estherville Community Care Center ranks 278th among 385 rated nursing homes in IA (#278 of 385). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Estherville Community Care Center?
Estherville Community Care Center reports 3.38 total nursing hours per resident day (national average: 3.86). RN hours are 0.91 per resident day (national average: 0.69). Nursing staff turnover is 46.2%.
How many beds does Estherville Community Care Center have?
Estherville Community Care Center has 46 certified beds with approximately 39 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 23 deficiencies on record from recent inspections. Of these, 2 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 2 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. Verify the same CCN on Medicare.gov Care Compare and 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.

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