Federal inspection record · CMS data as of October 1, 2026
Great River Care Center
1400 West Main, Mc Gregor, IA · (563) 873-3527
- Certified beds
- 39
- Residents per day
- 30
- Ownership
- For-Profit
- Chain
- Edgewood Convalescent Home
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1997
1
How this home got 4 stars
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Great River Care Center carries 19 inspection points. That is fewer than 69% 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
5 health citations on record since 2023. 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 (1)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care1D
- D
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.
Resident Rights1D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspection history
2025-08-21
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-10-02
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2023-10-26
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 23 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
3 h 23 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 61% of nursing staff and 100% of registered nurses left in the past year.
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
$8,281 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-02 | Fine | $8,281 |
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 days0.4 pts worse | 1.8 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.2 pts worse | 4.1 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts better | 97.3% | 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 injury4.9 pts worse | 8.8% | 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 weight4.1 pts worse | 8.5% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11 pts worse | 32.0% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.9 pts better | 5.9% | 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 worsened3.7 pts better | 11.5% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts worse | 19.1% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts better | 0.4% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.9% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8 pts better | 17.0% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers8.5 pts worse | 12.6% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.9 pts better | 84.9% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication5.3 pts worse | 7.4% | 2.1% | 1.5% |
·
Who owns and runs it
25 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 |
|---|---|---|---|
| Andrea Paris Revocable Trust | 5% Or Greater Indirect Ownership Interest · Organization | 6% | 2 facilities |
| Perrinjaquet, Cade | 5% Or Greater Indirect Ownership Interest · Individual | 6% | 2 facilities |
| Perrinjaquet, Jerod | 5% Or Greater Indirect Ownership Interest · Individual | 6% | 3 facilities |
| Perrinjaquet, Jordan | 5% Or Greater Indirect Ownership Interest · Individual | 6% | 2 facilities |
| Arthur, Kristen | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Arthur, Kristen | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Dehart, David | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dehart, David | Adp Of The SNF · Individual | 0% | 1 facilities |
| Edgewood Convalescent Home Inc | Direct Ownership Interest · Organization | 0% | 2 facilities |
| Edgewood Convalescent Home Inc | Adp Of The SNF · Organization | 0% | 2 facilities |
| Fink, Alicia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fink, Alicia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Funke, James | Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Kendrick, Timothy | Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Meyer, David | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Moser, Maylo | Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Murphy, Amy | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Murphy, Amy | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ostwinkle, Anthony | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Perrinjaquet, Jerod | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Poots, Katlyn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Poots, Katlyn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rose, Sophie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rose, Sophie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stone, Barbara | Managing Control - Governing Body · Individual | 0% | 3 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
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Other homes nearby
-
Prairie Maison
Prairie Du Chien, WI
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 19 min
- Fines
- $149,380
-
Elkader Care Center
Elkader, IA · Edgewood Convalescent Home
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0
-
Guttenberg Care Center
Guttenberg, IA · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0