Cycle 1
Health 2025-09-25 · Fire 2025-09-25
1 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Edgewood, IA
Edgewood Convalescent Home
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
513 Bell Street, Edgewood, IA
(563) 928-6461
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
56
Certified beds
Average residents
45
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1998-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.88
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.25
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.34
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.47
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.13
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
2.76
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.58
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.07
CMS adjusted RN staffing hours
Adjusted total hours
4.19
CMS adjusted total nurse staffing hours
Case-mix index
1.13
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,895
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.19
Composite VBP score used to determine payment impact.
Payment multiplier
0.9913
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
4.71
Baseline 30.44% · Performance 44.44% · Measure score 4.71 · Achievement 4.71 · Improvement 0
Adjusted total nurse staffing
2.93
Baseline 3.82 hours · Performance 3.91 hours · Measure score 2.93 · Achievement 2.93 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.89% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 31 · Observed rate 3.23% · Lower 95% interval 6.46% |
| Discharge to community | 49.86% |
50.57%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 27 · Observed rate 48.15% · Lower 95% interval 36.78% |
| Medicare spending per beneficiary | 0.6 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 88.89% |
95.27%
6.4 pts worse
|
Numerator 32 · Denominator 36 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 36 |
| Discharge self-care score | 74.19% |
53.69%
20.5 pts better
|
Numerator 23 · Denominator 31 |
| Discharge mobility score | 45.16% |
50.94%
5.8 pts worse
|
Numerator 14 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 5.56% |
2.29%
3.3 pts worse
|
Numerator 2 · Denominator 36 · Adjusted rate 7.05% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 1.79% |
8.2%
6.4 pts worse
|
Numerator 1 · Denominator 56 |
| Staff flu vaccination coverage | 49.06% |
42%
7.1 pts better
|
Numerator 52 · Denominator 106 |
| Discharge function score | 77.42% |
56.45%
21 pts better
|
Numerator 24 · Denominator 31 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.5
0.7 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.6 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
2.1
1.2 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.2% |
94.0%
11.8 pts worse
|
93.4%
11.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 79.5% · Q2 79.5% · Q3 85.0% · Q4 85.0% · 4Q avg 82.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.2%
4.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.1% |
3.7%
2.4 pts worse
|
3.3%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 7.7% · Q3 7.5% · Q4 7.5% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.1% |
4.0%
1.1 pts worse
|
11.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 7.1% · Q3 7.1% · Q4 3.4% · 4Q avg 5.1% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
4.9%
0.6 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 9.1% · Q3 5.7% · Q4 0.0% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.1% |
20.6%
2.5 pts better
|
19.6%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 21.2% · Q3 17.1% · Q4 14.7% · 4Q avg 18.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.2% |
19.8%
12.6 pts better
|
16.7%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 7.4% · Q3 11.1% · Q4 6.9% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.9% |
18.5%
2.6 pts better
|
16.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q4 20.0% · 4Q avg 15.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.2% |
18.3%
5.9 pts worse
|
14.9%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 18.5% · Q3 25.8% · Q4 32.3% · 4Q avg 24.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.7%
1 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.7% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
2.5%
1.9 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.6% |
26.0%
2.6 pts worse
|
19.8%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.9% · Q2 34.4% · Q3 24.4% · Q4 17.5% · 4Q avg 28.6% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
4.3%
1.4 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.0% · Q3 0.0% · Q4 5.9% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
84.3%
13.8 pts better
|
81.7%
16.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 100.0% · Q4 95.7% · 4Q avg 98.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.7% |
13.1%
3.4 pts better
|
12.0%
2.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.7% · Observed 8.3% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.9%
1.9 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.1% |
73.3%
20.8 pts better
|
79.7%
14.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.3% |
21.3%
2 pts better
|
23.9%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 16.7% · Expected 20.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-31 · Fire 2024-10-31
1 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Cycle 3
Health 2023-10-05 · Fire 2023-10-05
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-09-25
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-10-02
D · Potential for more than minimal harm
2025-09-25
K222 · Egress Deficiencies
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.
Corrected 2025-10-06
F · Potential for more than minimal harm
2024-10-31
E29 · Emergency Preparedness Deficiencies
Fire Safety
Develop a communication plan.
Corrected 2024-11-05
F · Potential for more than minimal harm
2024-10-31
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-11-05
F · Potential for more than minimal harm
2024-10-31
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-13
F · Potential for more than minimal harm
2023-10-05
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-10-26
F · Potential for more than minimal harm
2023-10-05
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-09
E · Potential for more than minimal harm
2023-10-05
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-10-12
D · Potential for more than minimal harm
2023-10-05
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-10-10
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-25
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-10-25
F · Potential for more than minimal harm
2024-10-31
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-11-30
D · Potential for more than minimal harm
2023-10-05
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-06
Penalties and ownership
What sits behind the stars
Ownership
Kevin Perrinjaquet Estate
5% Or Greater Indirect Ownership Interest · Organization
Moser, Maylo
5% Or Greater Indirect Ownership Interest · Individual
Perrinjaquet, Marjorie
5% Or Greater Indirect Ownership Interest · Individual
Arthur, Kristen
Corporate Director · Individual
Arthur, Kristen
Corporate Officer · Individual
Funke, James
Corporate Director · Individual
Funke, James
Corporate Officer · Individual
Kendrick, Timothy
Corporate Director · Individual
Kendrick, Timothy
Corporate Officer · Individual
Kruger, Gisele
Operational/Managerial Control · Individual
Meyer, David
Corporate Director · Individual
Ostwinkle, Anthony
Corporate Director · Individual
Perrinjaquet, Jerod
Corporate Director · Individual
Sampson, Elaine
Corporate Director · Individual
Stone, Barbara
Corporate Director · Individual
Stramer, Paige
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Strawberry Point Lutheran Home
Strawberry Point, IA
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Good Neighbor Home
Manchester, IA
3-star overall rating with 2-star inspections with $6,279 in total fines with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Elkader Care Center
Elkader, IA
4-star overall rating with 4-star inspections
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