Federal inspection record · CMS data as of October 1, 2026
Emmetsburg Care Center
2405 21st Street, Emmetsburg, IA · (712) 852-4266
- Certified beds
- 46
- Residents per day
- 39
- Ownership
- For-Profit
- Chain
- Legacy Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1997
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Emmetsburg Care Center carries 115.5 inspection points. That is fewer than 12% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
22 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care7E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning5D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary3E
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Pharmacy Service2E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure that residents are free from significant medication errors.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspection history
2025-07-28
16 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-09-12
6 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-06-22
0 health deficiencies · 4 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 3 h 38 min of nursing staff time a day, 43 min of it from a registered nurse.
This home
3 h 38 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 56% of nursing staff and 67% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$25,695 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-28 | Fine | $25,695 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 1.7 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days3 pts worse | 4.9 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.9 pts worse | 86.3% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 2.0% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts worse | 7.0% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.1 pts better | 9.9% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.9 pts worse | 21.7% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.5 pts better | 11.7% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.1 pts better | 14.5% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 1.3% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.2 pts worse | 34.2% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts better | 2.3% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine40 pts worse | 44.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit12.8 pts worse | 25.8% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 75.0% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.9 pts better | 16.8% | 20.7% | 23.4% |
·
Who owns and runs it
71 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Cascade Capital Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 30 facilities |
| Beasley, Karla | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Beasley, Karla | Adp Of The SNF · Individual | 0% | 29 facilities |
| Behounek, Linsey | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Behounek, Linsey | Adp Of The SNF · Individual | 0% | 29 facilities |
| Borcherding, Jenny | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Borcherding, Jenny | Adp Of The SNF · Individual | 0% | 29 facilities |
| Burken, Sheri | Operational/Managerial Control · Individual | 0% | 30 facilities |
| Burken, Sheri | Adp Of The SNF · Individual | 0% | 30 facilities |
| Cascade Capital Holdings LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Cascade Capital Partners LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Ccg Gorgona LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Emmetsburg Ia Property Holdings, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Friedenberg, Laura | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Friedenberg, Laura | Adp Of The SNF · Individual | 0% | 29 facilities |
| Friedman, Brian | Trustee Of The SNF · Individual | 0% | 28 facilities |
| Gorgona Holdco LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Gorgona Propco Holdings LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Gorgona Sub Holdco LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Gpn Family Trust U/A/D 4/28/08 | Adp Of The SNF · Organization | 0% | 80 facilities |
| Hedberg, Jennifer | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Hedberg, Jennifer | Adp Of The SNF · Individual | 0% | 29 facilities |
| Hennager, Christina | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Hennager, Christina | Adp Of The SNF · Individual | 0% | 14 facilities |
| Heying, Larina | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Heying, Larina | Adp Of The SNF · Individual | 0% | 29 facilities |
| Houston, Mindy | Operational/Managerial Control · Individual | 0% | 30 facilities |
| Houston, Mindy | Adp Of The SNF · Individual | 0% | 30 facilities |
| Jaeger, Krystle | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Jaeger, Krystle | Adp Of The SNF · Individual | 0% | 29 facilities |
| Kamstra, Lee | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Kamstra, Lee | Adp Of The SNF · Individual | 0% | 3 facilities |
| Knutson, Michele | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Knutson, Michele | Adp Of The SNF · Individual | 0% | 13 facilities |
| Larson, Melissa | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Larson, Melissa | Adp Of The SNF · Individual | 0% | 29 facilities |
| Legacy Healthcare Financial Services LLC | Operational/Managerial Control · Organization | 0% | 78 facilities |
| Legacy Healthcare Financial Services LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Mcclure, Dorothy | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Mcclure, Dorothy | Adp Of The SNF · Individual | 0% | 29 facilities |
| Mn8 Rh Holdco LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Otterbeck, Patricia | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Otterbeck, Patricia | Adp Of The SNF · Individual | 0% | 29 facilities |
| Rajchenbach, Avrum | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Rajchenbach, Chaim | Operational/Managerial Control · Individual | 0% | 55 facilities |
| Rajchenbach, Chaim | Adp Of The SNF · Individual | 0% | 55 facilities |
| Rajchenbach, Rivka | Trustee Of The SNF · Individual | 0% | 28 facilities |
| Runksmeier, Dawn | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Runksmeier, Dawn | Adp Of The SNF · Individual | 0% | 2 facilities |
| Scott, Kathleen | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Scott, Kathleen | Adp Of The SNF · Individual | 0% | 13 facilities |
| Seu, Joshua | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Seu, Joshua | Adp Of The SNF · Individual | 0% | 13 facilities |
| Shabat, Ahuva | Trustee Of The SNF · Individual | 0% | 29 facilities |
| Shabat, Menachem | Corporate Officer · Individual | 0% | 86 facilities |
| Shabat, Menachem | Operational/Managerial Control · Individual | 0% | 86 facilities |
| Shabat, Menachem | Adp Of The SNF · Individual | 0% | 86 facilities |
| Shear, Kiley | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Shear, Kiley | Adp Of The SNF · Individual | 0% | 29 facilities |
| Staudt, Sandra | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Staudt, Sandra | Adp Of The SNF · Individual | 0% | 13 facilities |
| Thayer, Kay | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Thayer, Kay | Adp Of The SNF · Individual | 0% | 1 facilities |
| Van Veghel, Elizabeth | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Van Veghel, Elizabeth | Adp Of The SNF · Individual | 0% | 29 facilities |
| Wierschem, Bobbie | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Wierschem, Bobbie | Adp Of The SNF · Individual | 0% | 29 facilities |
| Wood, Rosemary | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Wood, Rosemary | Adp Of The SNF · Individual | 0% | 13 facilities |
| Wright, Amy | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Wright, Amy | Adp Of The SNF · Individual | 0% | 14 facilities |
·
Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Provide properly protected cooking facilities.
- F
Construct fire resistant interior walls.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness2F
- F
List the names and contact information of those in the facility.
- F
Conduct testing and exercise requirements.
Egress1F
- F
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.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Services1D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
·
Other homes nearby
-
Lakeside Lutheran Home
Emmetsburg, IA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h
- Fines
- $0
-
Palo Alto County Hospital
Emmetsburg, IA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 45 min
- Fines
- $0
-
Ruthven Community Care Center
Ruthven, IA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 11 min
- Fines
- $0