Show Inspection Reports
Total Health inspections
3
39% below Iowa average
Iowa average:
4.9
Last Health inspection on Oct 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Elkader Care Center
Elkader Care Center is a Nursing Home in Iowa
Elkader Care Center is a Nursing Home in Iowa
Elkader Care Center
Elkader Care Center is a Nursing Home in Iowa
Elkader Care Center is a Nursing Home in Iowa
Elkader Care Center is a Senior Living Community specializing in long-term care and short-term skilled rehabilitation. The facility offers a variety of services to improve the quality of life for residents. It provides a home-like environment with access to care and assistance as needed.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
40
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
76.5%
Residents per day (avg)
27
Occupancy rate
76.5%
Residents per day (avg)
27
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
52% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
45% of new residents, often for short stays.
Typical stay
10 - 11 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
20 years
Finances and operations
Voluntary non-profit home
Other
Home revenue
$3.8M
Surplus of revenue
$169.2K
Voluntary non-profit home
Other
Home revenue
$3,809,465.00
Surplus of revenue
$169,198.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.6M
40-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
39 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy Rate
73%
Occupied Beds
29 of 40
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Free Standing NF/SNF
License Date
February 1, 1987
Additional licensing details
License number:
220240
CMS Certification Number:
165391
Certification type:
FALSE
County:
Clayton
Ownership & operating entity
Elkader Care Center is administrated by Amy Murphy.
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
5632452198
Amenities & Lifestyle
Programs & Activities
Specific Programs
Assisted Living, Skilled Rehabilitation, Long-Term Care, Activities & News, Contact Us
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
13 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Latest inspection
Date:December 18, 2025
7 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Elkader Care Center
+19%
-22%
+1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 520439558
40
No
DUNLAP, KRISTIN
76.5%
$3,779,456.00
$1,495,090.00
39.6%
26.50
3.3398
-
7
1
+19%-22%+1%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Elkader Care Center
Type of care:
SNF
AL
Community:
IA 520439558
Bed Count:
40
Pets Allowed:
No
Operator:
DUNLAP, KRISTIN
CCN:
165391
Occupancy:
76.5%
Home Revenue:
$3,779,456.00
Payroll Costs:
$1,495,090.00
Payroll %:
39.6%
Avg Residents/Day:
26.50
Overall Rating:
Adj Nurse Hours:
3.3398
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
7
Severe Citations:
1
RN share vs State Avg:
+19%
+19%
Staffing vs State Avg:
-22%
-22%
Occupancy vs State Avg:
+1%
+1%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near Elkader Care Center
Elkader, IA 520439558
Elkader, IA 520439558
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
80
Total Staff
34
Employees
46
Contractors
9,692
Total Hours (Quarter)
16
Avg Staff/Day
6.7
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 11 | 8.5 | Yes |
| Licensed Practical Nurse | 3 | 9.1 | Yes |
| Certified Nursing Assistant | 39 | 6.9 | Yes |
Staff by Category
Administration ⓘ
2 staff
7.5hs shift avg
Nursing Staff ⓘ
53 staff
7.4hs shift avg
Physicians & Practitioners ⓘ
6 staff
7.3hs shift avg
Therapy Services ⓘ
12 staff
1.9hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
5 staff
1.4hs shift avg
Dietary Services ⓘ
1 staff
6.6hs shift avg
Other Services ⓘ
1 staff
3.1hs shift avg
Contractor Analysis
12.2%
of total hours from contractors
1,183 contractor hours this quarter
Certified Nursing Assistant: 15
Licensed Practical Nurse: 1
Respiratory Therapy Technician: 3
Registered Nurse: 6
Occupational Therapy Aide: 2
Physical Therapy Aide: 1
Medical Director: 1
Speech Language Pathologist: 3
Qualified Social Worker: 5
Clinical Nurse Specialist: 5
Physical Therapy Assistant: 2
Occupational Therapy Assistant: 1
Mental Health Service Worker: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 24 | 15 | 39 | 5,194 | 91 | 100% | 6.9 |
| Registered Nurse | 5 | 6 | 11 | 1,811 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 2 | 1 | 3 | 933 | 78 | 86% | 9.1 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 388 | 59 | 65% | 6.6 |
| Clinical Nurse Specialist | 0 | 5 | 5 | 236 | 33 | 36% | 6.9 |
| Nurse Practitioner | 1 | 0 | 1 | 195 | 25 | 27% | 7.8 |
| Speech Language Pathologist | 0 | 3 | 3 | 80 | 43 | 47% | 1.9 |
| Physical Therapy Assistant | 0 | 2 | 2 | 73 | 40 | 44% | 1.7 |
| Qualified Social Worker | 0 | 5 | 5 | 56 | 41 | 45% | 1.4 |
| Occupational Therapy Aide | 0 | 2 | 2 | 55 | 17 | 19% | 3.1 |
| Physical Therapy Aide | 0 | 1 | 1 | 50 | 37 | 41% | 1.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 47 | 24 | 26% | 2 |
| Mental Health Service Worker | 0 | 1 | 1 | 38 | 12 | 13% | 3.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 7 | 8% | 3 |
| Medical Director | 0 | 1 | 1 | 14 | 6 | 7% | 2.3 |
Health Inspection History
Total Health citations
7
68% below Iowa average
Iowa average:
21.7
2.33 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
4 citations
Complaint investigations
3 citations
Breakdown of citations
Critical Health citations
0
100% below Iowa average
Iowa average:
0.6
Serious Health citations
1
11% above Iowa average
Iowa average:
0.9
Moderate Health citations
6
Minor Health citations
0
Citations history (last 3 years)
Administration moderate citation
Oct 24, 2024
Corrected
Quality of Care moderate citation
Oct 24, 2024
Corrected
Quality of Care serious citation
Oct 24, 2024
Corrected
Abuse/Neglect moderate citation
Aug 30, 2023
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: Edgewood Convalescent Home
Resident Census by Payment Source
27
Total Residents
Medicare
2
(7.4%)
ⓘ
Medicaid
18
(66.7%)
ⓘ
Private Pay/Other
7
(25.9%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
9.3
9% better than Iowa average
Iowa average:
10.2
Functional decline score
18.1
16% better than Iowa average
Iowa average:
21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
15.1%
20% below Iowa average.
Walking Ability Worsened
16.5%
16% below Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
22.6%
14% below Iowa average.
Safety & clinical stability
Falls with Major Injury
1.0%
74% below Iowa average.
High Risk Residents with Pressure Ulcers
3.7%
15% below Iowa average.
Urinary Tract Infection
2.9%
16% above Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms
3.4%
12% below Iowa average.
Antipsychotic Use
21.2%
12% above Iowa average.
Preventive care
Pneumococcal Vaccine
91.4%
3% below Iowa average.
Influenza Vaccine
100.0%
5% above Iowa average.
Nutrition & physical health
Lost Too Much Weight
10.3%
107% above Iowa average.Short-stay resident measures
Pneumococcal Vaccine
90.9%
7% better than Iowa average
Antipsychotic medication increase
0.0%
100% better than Iowa average Financial Trends
Historical financial and operational data for Elkader Care Center based on CMS SNF Cost Reports.
Occupancy Rate
76.5%
↓ 8.8pp vs 2022
Net Income
$169,198
↓ ~$173K vs 2022
Total Payroll
$2,154,737
↑ ~$343K vs 2022
Profit Margin
4.5%
↓ 5.5pp vs 2022
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