Home›Iowa›Clayton County›Great River Care Center
C
Below Standard

Great River Care Center

1400 West Main · Mc Gregor, IA 52157

5638733527 · For profit - Limited Liability company

39 beds29.1 residents93 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Great River Care Center receives an overall staffing grade of C (Below Standard). With 3.0665 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5323 HPRD, below the recommended 0.75. It is 0.83 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 21.58% compared to weekdays. The facility relies heavily on temporary agency staff (23.62% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (4)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0665 HPRD — needs 0.41 more hours per resident per day.
⚠️RN staffing (0.5323 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️23.62% 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 (0)

Limited strengths identified for this quarter.

Total Nurse HPRD
3.0665hrs/resident/day▼ 0.83
CMS benchmark: 3.48
RN HPRD
0.5323hrs/resident/day▼ 0.15
Recommended: 0.75
Weekend Drop-off
21.58%
3.2657 weekday → 2.5609 weekend
⚠ Significant weekend reduction
Agency Staff
23.62%
45.18% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.8626hrs/resident/day
Direct care aides
LPN HPRD
0.6716hrs/resident/day
Licensed practical nurses
Consistency
0.4856std 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-0.64 HPRD
3.70
03.07 HPRD
vs. Iowa State Average-0.75 HPRD
3.82
03.07 HPRD
vs. National Average-0.83 HPRD
3.90
03.07 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
Great River Care Center ★
Mc Gregor · This facility
—
C
3.06650.5323★★★★☆
Elkader Care Center
Elkader
16.1 mi
B
3.52411.0005★★★★☆
Guttenberg Care Center
Guttenberg
17 mi
C
3.47120.6524★★★★★
Good Samaritan Society - Waukon
Waukon
22.3 mi
C
3.30750.9476★★★☆☆
Northgate Care Center
Waukon
23.1 mi
D
2.80550.3671★★★☆☆
Thornton Manor Nursing and Care Center
LANSING
23.6 mi
A
4.29660.902★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
5
Total Deficiencies
$12,740
Fines Assessed
Dec 2, 2025Health
1 deficiency cited· Includes actual harm
▼
Aug 21, 2025Health
1 deficiency cited
▼
Oct 2, 2024Health
1 deficiency cited
▼
Oct 26, 2023Health
2 deficiencies cited
▼

Penalty History

Dec 2, 2025Fine
$12,740
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.