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B
Good

Elkader Care Center

116 Reimer Street SW · Elkader, IA 52043

5632451620 · For profit - Limited Liability company

40 beds25.2 residents108 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A+
Excellent
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Elkader Care Center receives an overall staffing grade of B (Good). With 3.5241 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.37 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.36% compared to weekdays. The facility relies heavily on temporary agency staff (17.5% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️17.5% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.5241hrs/resident/day▼ 0.37
CMS benchmark: 3.48
RN HPRD
1.0005hrs/resident/day▲ 0.32
Recommended: 0.75
Weekend Drop-off
19.36%
3.7281 weekday → 3.0062 weekend
Agency Staff
17.5%
29.93% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1683hrs/resident/day
Direct care aides
LPN HPRD
0.3553hrs/resident/day
Licensed practical nurses
Consistency
0.4561std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Clayton County Average-0.18 HPRD
3.70
03.52 HPRD
vs. Iowa State Average-0.29 HPRD
3.82
03.52 HPRD
vs. National Average-0.37 HPRD
3.90
03.52 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Elkader Care Center ★
Elkader · This facility
—
B
3.52411.0005★★★★☆
Strawberry Point Lutheran Home
STRAWBERRY POINT
12.8 mi
A
4.98811.2601★★★★☆
Edgewood Convalescent Home
Edgewood
14.2 mi
C
3.46950.8833★★★★★
Guttenberg Care Center
Guttenberg
15.8 mi
C
3.47120.6524★★★★★
Great River Care Center
Mc Gregor
16.1 mi
C
3.06650.5323★★★★☆
Good Samaritan Society - West Union
West Union
22.2 mi
C
3.32680.7637★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
4
Total Deficiencies
$0
Fines Assessed
Oct 24, 2024Health
3 deficiencies cited· Includes actual harm
▼
Aug 30, 2023Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.