Occupancy rate
73%
In line with Iowa averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Elkader Care Center
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
72.5%
Residents per day (avg)
27
Occupancy rate
72.5%
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 community
Home revenue
$3.8M
Surplus of revenue
$169.2K
Voluntary non-profit community
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
In line with Iowa averageOccupied beds
29 / 40
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
February 1, 1987
County:
Clayton
Additional licensing details
License number:
220240
CMS Certification Number:
165391
Certification type:
FALSE
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
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
Show Inspection Reports
Latest inspection
Date:December 18, 2025
7 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Elkader Care Center
The most recent inspection on December 18, 2025 found the facility to be in substantial compliance with no deficiencies cited. Earlier inspections showed a mixed record with some deficiencies related to staff training, background checks, medication administration, nutrition, and care planning. Prior issues included failure to complete required Dependent Adult Abuse training and background checks for some staff, as well as documentation and procedural gaps in psychotropic drug use and dietary services. Complaint investigations during this period were mostly unsubstantiated or found the facility in substantial compliance, with no enforcement actions or fines listed in the available reports. The facility’s inspection history suggests improvement over time, with recent surveys showing compliance following correction of earlier deficiencies.
Health Inspection History
Inspections
Total health inspections
3
Iowa average 4.9
Last Health inspection on Oct 2024
Total health citations
7
Iowa average 21.7
Citations per inspection
2.33
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 7 citations resulted from standard inspections; and 3 of 7 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
1
1
11% worse than Iowa averageIowa average: 0.9
0 critical citations
1 serious citation
6 moderate citations
0 minor citations
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 24, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 24, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 24, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 24, 2024
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 24, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 24, 2024
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 30, 2023
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 30, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Elkader Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Elkader
40
76.5%
+1%
3.34
-22%
0
7
1
27
Dunlap, Kristin
$3,8M
$1,5M
39.6%
165391
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Elkader Care Center
Elkader, IA 520439558
Elkader, IA 520439558
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
80
Employees
34
Contractors
46
Staff to resident ratio
2.96:1
48% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
16
Average shift
6.7 hours
9% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
9,692
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
39
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
12.2%
1,183 contractor hours this quarter
Certified Nursing Assistant: 15
Registered Nurse: 6
Qualified Social Worker: 5
Clinical Nurse Specialist: 5
Respiratory Therapy Technician: 3
Speech Language Pathologist: 3
Occupational Therapy Aide: 2
Physical Therapy Assistant: 2
Licensed Practical Nurse: 1
Physical Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Mental Health Service Worker: 1
Staff by category
| 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 |
39 Certified Nursing Assistant
% of Days
100%
11 Registered Nurse
% of Days
100%
3 Licensed Practical Nurse
% of Days
86%
1 Administrator
% of Days
69%
1 Other Dietary Services Staff
% of Days
65%
5 Clinical Nurse Specialist
% of Days
36%
1 Nurse Practitioner
% of Days
27%
3 Speech Language Pathologist
% of Days
47%
2 Physical Therapy Assistant
% of Days
44%
5 Qualified Social Worker
% of Days
45%
2 Occupational Therapy Aide
% of Days
19%
1 Physical Therapy Aide
% of Days
41%
3 Respiratory Therapy Technician
% of Days
26%
1 Mental Health Service Worker
% of Days
13%
1 Occupational Therapy Assistant
% of Days
8%
1 Medical Director
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
27 residents
Residents by payment source
Medicare
2 residents (7.4%)
Medicaid
18 residents (66.7%)
Private pay or other
7 residents (25.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.3
9% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.1
16% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.1%
Percent of long-stay residents whose need for help with daily activities has increased
15.1%
20% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.5%
Percent of long-stay residents whose ability to move independently worsened
16.5%
16% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.6%
14% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
74% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.7%
Percent of long-stay high risk residents with pressure ulcers
3.7%
15% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.9%
Percent of long-stay residents with a urinary tract infection
2.9%
16% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
10.3%
Percent of long-stay residents who lose too much weight
10.3%
107% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.4%
Percent of long-stay residents who have depressive symptoms
3.4%
12% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
21.2%
Percent of long-stay residents who received an antipsychotic medication
21.2%
12% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.4%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.9%
7% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Iowa Seniors
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