Mc Gregor, IA

Great River Care Center

4-star overall rating with 4-star inspections with $12,740 in total fines with 2 recent health deficiencies

1400 West Main, Mc Gregor, IA

(563) 873-3527

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

39

Certified beds

Average residents

29

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-01-01

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

0.53

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.67

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

1.86

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.06

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.20

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.56

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

3.73

CMS adjusted total nurse staffing hours

Case-mix index

1.12

Higher values indicate more complex resident acuity

RN turnover

89%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

68%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,936

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

38.04

Composite VBP score used to determine payment impact.

Payment multiplier

0.9912

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

3.35

Baseline 43.48% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 0

Adjusted total nurse staffing

4.26

Performance 4.29 hours · Measure score 4.26 · Achievement 4.26 · This facility did not have sufficient data to calculate a baseline period measure result.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	85.71%	95.27% 9.6 pts worse	Numerator 18 · Denominator 21
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 21
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	4.76%	2.29% 2.5 pts worse	Numerator 1 · Denominator 21 · Adjusted rate 3.85%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	34.21%	8.2% 26 pts better	Numerator 13 · Denominator 38
Staff flu vaccination coverage	35.85%	42% 6.1 pts worse	Numerator 19 · Denominator 53
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	89.4%	94.0% 4.6 pts worse	93.4% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 90.9% · Q3 82.6% · Q4 88.0% · 4Q avg 89.4%
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	3.2%	3.7% 0.5 pts better	3.3% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.3% · Q4 8.0% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.0% 4 pts better	11.4% 11.4 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 who lose too much weight	8.8%	4.9% 3.9 pts worse	5.4% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 4.8% · Q4 4.5% · 4Q avg 8.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	28.8%	20.6% 8.2 pts worse	19.6% 9.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 19.0% · Q4 40.9% · 4Q avg 28.8%
Percentage of long-stay residents who received an antipsychotic medication	8.6%	19.8% 11.2 pts better	16.7% 8.1 pts better	Long Stay · 2024Q4-2025Q3 · Q4 5.0% · 4Q avg 8.6% · 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	16.7%	18.5% 1.8 pts better	16.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 16.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.9%	18.3% 4.4 pts better	14.9% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q4 10.0% · 4Q avg 13.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.2%	1.7% 0.5 pts better	1.0% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.5% 2.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.5%	26.0% 0.5 pts better	19.8% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 57.6% · Q3 12.9% · Q4 15.9% · 4Q avg 25.5%
Percentage of long-stay residents with pressure ulcers	8.1%	4.3% 3.8 pts worse	5.1% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 6.4% · Q3 11.6% · Q4 4.9% · 4Q avg 8.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.7%	84.3% 12.4 pts better	81.7% 15 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 96.7%
Percentage of short-stay residents who newly received an antipsychotic medication	5.3%	1.9% 3.4 pts worse	1.6% 3.7 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 5.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-21 · Fire 2025-08-21

2 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-10-02 · Fire 2024-10-02

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-10-26 · Fire 2023-10-26

2 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-02

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-11-08

Inspection history

Recent health citations

J · Immediate jeopardy 2025-12-02

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-11-03

D · Potential for more than minimal harm 2025-08-21

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-09-05

D · Potential for more than minimal harm 2024-10-02

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-03

D · Potential for more than minimal harm 2023-10-26

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-11-03

D · Potential for more than minimal harm 2023-10-26

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-11-03

Penalties and ownership

What sits behind the stars

$12,740 2025-12-02

Fine

Fine · fine $12,740

Fine