PlainNursing
CMS Nursing Home Compare · August 2026

Palo Alto County Hospital

3201 First Street, Emmetsburg, IA 50536

Palo Alto County Hospital, a 22-bed government - county nursing facility in Emmetsburg, IA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #113 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm 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: 7128525520

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4 / 5
Above average · CMS overall · nat'l 3.0
#113 of 385
In-state rank among rated IA homes
3.07
Well below average · nurse hrs/day · nat'l 3.86
1
Inspection findings

The verdict

Palo Alto County Hospital, a 22-bed government - county nursing facility in Emmetsburg, IA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #113 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall · national 3.0
#113 of 385
In-state rank among rated IA homes
3.07
Nurse hrs/resident-day · national 3.86
1
Inspection findings on file

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 Government - County. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
16E668
Ownership
Government - County
Provider Type
Medicaid
Beds
22
Residents
22
In Hospital
Yes
County
Palo Alto
Last Inspection
Jul 17, 2025

Staffing Data

How the 3.07 total nursing hours per resident-day are staffed:

RN Hours
1.36 (nat'l avg: 0.69)
LPN Hours
0.13
CNA Hours
1.57
Total Nursing Hours
3.07 (nat'l avg: 3.86)
PT Hours
0.00
Nursing Turnover
17.6%
RN Turnover
14.3%

What the CMS Record Reveals About Palo Alto County Hospital

According to CMS Nursing Home Compare, Palo Alto County Hospital ranks #113 of 385 rated nursing homes in IA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Palo Alto County Hospital operates 22 certified beds in Emmetsburg, IA with approximately 22 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 4★ · quality 4★).

The inspection file contains 1 deficiency record from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Reported nurse staffing runs 3.07 total hours per resident day (national average 3.86); RN hours specifically are 1.36 per resident day.

Classified as "Government - County" ownership and operating as a "Medicaid" provider embedded within a hospital campus, Palo Alto County Hospital falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 17.6% (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 (1 most recent)

F - Widespread - Minimal harm Jul 17, 2025 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: Aug 7, 2025

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 23.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.9% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 6.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% 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 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 95.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 12.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Palo Alto County Hospital, both outside IA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Palo Alto County Hospital

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 22 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 Palo Alto County Hospital?
Palo Alto County Hospital has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (4★).
Where does Palo Alto County Hospital rank among nursing homes in IA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Palo Alto County Hospital ranks 113th among 385 rated nursing homes in IA (#113 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 Palo Alto County Hospital?
Palo Alto County Hospital reports 3.07 total nursing hours per resident day (national average: 3.86). RN hours are 1.36 per resident day (national average: 0.69). Nursing staff turnover is 17.6%.
How many beds does Palo Alto County Hospital have?
Palo Alto County Hospital has 22 certified beds with approximately 22 residents. The facility is located at 3201 First Street, Emmetsburg, IA 50536.
Does Palo Alto County Hospital have any deficiencies on record?
Yes, Palo Alto County Hospital has 1 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Palo Alto County Hospital received any fines or penalties?
No, Palo Alto County Hospital has no fines or penalties on record.
Who owns Palo Alto County Hospital?
Palo Alto County Hospital is classified as "Government - County" ownership. The facility type is "Medicaid" and is located within a hospital.
When was Palo Alto County Hospital last inspected?
The most recent health inspection for Palo Alto County Hospital was on Jul 17, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Palo Alto County Hospital?
Palo Alto County Hospital 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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