Nursing HomeInspections

Elkader Care Center

Nursing home in Elkader, IA

Medicare & Medicaid certified4★ overall (CMS)

Call (563) 245-1620Send a messageMap ↗

Public-record details

Address
116 Reimer Street SW, Elkader, IA 52043
Phone
(563) 245-1620
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
165391
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
40
Average residents per day
21
Ownership
For-profit, limited Liability company
Legal business name
Elkader Care LLC
Chain
Edgewood Convalescent Home (5 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1998
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165391. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 18, 2025. CMS lists 4 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 30, 2023 to Oct 24, 2024): 3 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Oct 24, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 24, 2024Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 24, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Aug 30, 2023Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.73 hours
Registered nurse (RN) time per resident per day
1.22 hours
Nurse aide time per resident per day
2.07 hours
Total nurse staffing on weekends
3.11 hours
Nursing staff turnover (yearly)
55%
RN turnover (yearly)
64%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.