nursing home in Emmetsburg, IA
Emmetsburg Care Center
2405 21st Street, Emmetsburg, IA 50536 · (712) 852-4266
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Emmetsburg Care Center at a glance
Emmetsburg Care Center is a 46-bed for-profit nursing home in Emmetsburg, Iowa (Palo Alto County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3.7 hours of nursing care per day (0.7 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (July 28, 2025) found 16 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $25,695.
Nursing staff turnover is 56.9% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 46
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Legacy Healthcare
- Medicare-certified since
- August 1, 1997
- Resident/family council
- None
- County
- Palo Alto County
- CMS Certification Number
- 165352
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.66 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.65 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.67 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.27 hrs | 3.37 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 56.9% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 57.1% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 16 | 6 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 10 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 115.5 | 54.5 | 80.6 | Worse |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $25,695 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 46 | 65 | 107 | |
| Average residents per day | 41 | 52 | 86 | |
| Occupancy | 90% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.7% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 18.6% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 12.9% | 17.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 13% | 16.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.7% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 7% | 20.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 31.7% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 88.2% | 94% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.5% | 2.1% | 1.6% | Average |
| Short-stay residents given a flu vaccine (higher is better) | 81.8% | 73.3% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 51.6% | 84% | 82% | Worse |
Inspection citations
State inspectors cited this home for 22 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 11, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected May 29, 2026 |
| May 11, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected May 29, 2026 |
| May 11, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected May 29, 2026 |
| May 11, 2026 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected May 29, 2026 |
| May 11, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 29, 2026 |
| May 11, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected May 29, 2026 |
| May 11, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 29, 2026 |
| May 11, 2026 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 29, 2026 |
| January 8, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 20, 2026 |
| January 8, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected January 20, 2026 |
| July 28, 2025 Fire safety | Construct fire resistant interior walls. Smoke Deficiencies · Tag K0331 | F Potential harm, widespread | Corrected July 22, 2025 |
| July 28, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected July 22, 2025 |
| July 28, 2025 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | J Immediate jeopardy, isolated | Corrected August 15, 2025 |
| July 28, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected August 15, 2025 |
| July 28, 2025 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected August 15, 2025 |
| July 28, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 15, 2025 |
| July 28, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected August 15, 2025 |
| July 28, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 15, 2025 |
| February 20, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 20, 2025 |
| September 12, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected September 27, 2024 |
| September 12, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected September 27, 2024 |
| September 12, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected September 27, 2024 |
| September 12, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected September 27, 2024 |
| September 12, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected September 27, 2024 |
| September 12, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected September 27, 2024 |
| September 12, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected September 27, 2024 |
| September 12, 2024 Complaint | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected October 4, 2024 |
| September 12, 2024 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected October 4, 2024 |
| September 12, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected October 4, 2024 |
| September 12, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected October 4, 2024 |
| September 12, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 4, 2024 |
| June 22, 2023 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected June 26, 2023 |
| June 22, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected July 11, 2023 |
| June 22, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected July 26, 2023 |
| June 22, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected July 11, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $25,695 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 28, 2025 | Fine | $25,695 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CASCADE CAPITAL HOLDINGS LLC Organization | 5% or greater indirect ownership interest | 100% | 08/15/2024 |
| BEASLEY, KARLA Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| BEHOUNEK, LINSEY Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| BORCHERDING, JENNY Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| BURKEN, SHERI Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| CASCADE CAPITAL HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| CASCADE CAPITAL PARTNERS LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| CCG GORGONA LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| EMMETSBURG IA PROPERTY HOLDINGS, LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| FRIEDENBERG, LAURA Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| GORGONA HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| GORGONA PROPCO HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| GORGONA SUB HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| GPN FAMILY TRUST U/A/D 4/28/08 Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| HEDBERG, JENNIFER Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| HENNAGER, CHRISTINA Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| HEYING, LARINA Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| HOUSTON, MINDY Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| JAEGER, KRYSTLE Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| KAMSTRA, LEE Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| KNUTSON, MICHELE Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| LARSON, MELISSA Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| MCCLURE, DOROTHY Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| MN8 RH HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| OTTERBECK, PATRICIA Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| RAJCHENBACH, CHAIM Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| RUNKSMEIER, DAWN Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| SCOTT, KATHLEEN Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| SEU, JOSHUA Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| SHABAT, MENACHEM Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| SHEAR, KILEY Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| STAUDT, SANDRA Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| THAYER, KAY Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| VAN VEGHEL, ELIZABETH Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| WIERSCHEM, BOBBIE Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| WOOD, ROSEMARY Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| WRIGHT, AMY Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| SHABAT, MENACHEM Individual | corporate officer | NOT APPLICABLE | 08/15/2024 |
| BEASLEY, KARLA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
Showing 40 of 71 records.
Other nursing homes near Emmetsburg Care Center
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2701 Mitchell Street Box 0, Ruthven, IA 51358 · 11.2 mi
Non-profit · 46 beds
★★★★★4Above averageWest Bend Health and Rehabilitation
203 Fourth Street NW, West Bend, IA 50597 · 15.5 mi
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★★★★★5Much above average- ★★★★★4Above average
Estherville Community Care Center
2001 First Avenue North, Estherville, IA 51334 · 21.9 mi
For-profit · 46 beds
- New owner (last 12 months)
★★★★★2Below average
Frequently asked questions
What is Emmetsburg Care Center's rating?
Emmetsburg Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Emmetsburg Care Center receive?
Its most recent standard health inspection found 16 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Emmetsburg Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Emmetsburg Care Center?
It is for profit - corporation and part of Legacy Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Emmetsburg Care Center and how do I contact it?
Emmetsburg Care Center is at 2405 21st Street, Emmetsburg, IA 50536. Phone: (712) 852-4266.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.