Total staff
114
Employees
48
Contractors
66
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Emmetsburg Care Center
Nursing Home · Iowa, IA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Emmetsburg Care Center
Nursing Home · Iowa, IA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Emmetsburg Care Center accepts Medicare, Medicaid, and private pay.
Emmetsburg Care Center focuses on healing, wellness, and enriching lives through compassionate care. It offers a welcoming atmosphere where expert caregivers deliver personalized treatments, aiding in physical recovery and enhancing overall quality of life. The facility specializes in a full spectrum of rehabilitation services and amenities.
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 148th out of 241 homes in Iowa. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 148th out of 241 homes in Iowa. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 59m per day
Rank #148 / 241Nurse hours — State benchmarkedThis home is ranked 148th out of 241 homes in Iowa. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 241 Iowa SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Iowa avg
-7%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 31m per day | ▼ 30% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 20m per day | ▼ 41% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 29m per day | ■ Avg State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 4m per day | ▼ 8% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 29m per day | ▼ 3% State avg: 30m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
63.2%
Rank #212 / 401Occupancy rate — State benchmarkedThis home is ranked 212th out of 401 homes in Iowa. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 401. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
109 days
Occupancy rate
63.2%
Rank #212 / 401Occupancy rate — State benchmarkedThis home is ranked 212th out of 401 homes in Iowa. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 401. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
109 days
Walk Score: 63 / 100 Rank #134 / 528Walk Score — State benchmarkedThis home is ranked 134th out of 528 homes in Iowa. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Rehabilitation Services
Short-Term Rehab
Specific ProgramsIndependent & Assisted Living, Rehab-to-home
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
2.59:1
27% better than Iowa average
Avg staff/day
21
Average shift
7.5 hours
0% compared with Iowa average
Total staff hours (quarter)
14,524
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
65
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
14.1%
2,043 contractor hours this quarter
Certified Nursing Assistant: 37
Licensed Practical Nurse: 10
Registered Nurse: 7
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Physical Therapy Aide: 2
Occupational Therapy Aide: 1
Medical Director: 1
Qualified Social Worker: 1
Occupational Therapy Assistant: 1
Clinical Nurse Specialist: 1
Physical Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 28 | 37 | 65 | 8,560 | 92 | 100% | 7.6 |
| Registered Nurse | 4 | 7 | 11 | 1,678 | 91 | 99% | 8.3 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,150 | 86 | 93% | 9.2 |
| Licensed Practical Nurse | 5 | 10 | 15 | 912 | 71 | 77% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 522 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Dietitian | 1 | 0 | 1 | 434 | 59 | 64% | 7.3 |
| RN Director of Nursing | 1 | 0 | 1 | 277 | 34 | 37% | 8.1 |
| Physical Therapy Assistant | 0 | 1 | 1 | 137 | 21 | 23% | 6.5 |
| Dental Services Staff | 1 | 0 | 1 | 117 | 31 | 34% | 3.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 73 | 13 | 14% | 5.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 58 | 13 | 14% | 4.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 43 | 15 | 16% | 2.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 41 | 19 | 21% | 2.1 |
| Clinical Nurse Specialist | 0 | 1 | 1 | 28 | 24 | 26% | 1.2 |
| Medical Director | 0 | 1 | 1 | 17 | 16 | 17% | 1.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 15 | 3 | 3% | 5 |
| Qualified Social Worker | 0 | 1 | 1 | 8 | 4 | 4% | 2.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 7 | 2 | 2% | 3.7 |
65 Certified Nursing Assistant
% of Days
100%
11 Registered Nurse
% of Days
99%
5 Medication Aide/Technician
% of Days
93%
15 Licensed Practical Nurse
% of Days
77%
1 Nurse Practitioner
% of Days
71%
1 Administrator
% of Days
61%
1 Dietitian
% of Days
64%
1 RN Director of Nursing
% of Days
37%
1 Physical Therapy Assistant
% of Days
23%
1 Dental Services Staff
% of Days
34%
1 Other Dietary Services Staff
% of Days
14%
2 Speech Language Pathologist
% of Days
14%
1 Occupational Therapy Aide
% of Days
16%
2 Respiratory Therapy Technician
% of Days
21%
1 Clinical Nurse Specialist
% of Days
26%
1 Medical Director
% of Days
17%
1 Occupational Therapy Assistant
% of Days
3%
1 Qualified Social Worker
% of Days
4%
2 Physical Therapy Aide
% of Days
2%
Penalties and fines
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$40K Rank #201 / 246Federal fines — State benchmarkedThis home is ranked 201st out of 246 homes in Iowa. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 246 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
18% lower than Iowa averageIowa average: $48K
Number of fines
1
41% fewer fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$40K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 28, 2025 · $40K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 28, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 28, 2025
$40K
Last updated: Jan 2026
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.
5.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.4
48% 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.
15.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.1
30% better than Iowa averageIowa average: 21.6
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
7.4%
Percent of long-stay residents whose need for help with daily activities has increased
7.4%
60% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
13.7%
Percent of long-stay residents whose ability to move independently worsened
13.7%
30% 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
24.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.2%
8% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
60% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.5%
Percent of long-stay residents with a urinary tract infection
1.5%
41% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.2%
Percent of long-stay residents who lose too much weight
4.2%
16% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.0%
Percent of long-stay residents who received an antipsychotic medication
18.0%
5% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
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%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.08
Number of hospitalizations per 1,000 long-stay resident days.
1.08
27% better than Iowa averageIowa average: 1.48
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.61
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.61
25% worse than Iowa averageIowa average: 2.09
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
72.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
72.5%
15% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
7.6%
Percent of short-stay residents who newly received an antipsychotic medication
7.6%
310% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.8%
12% better than Iowa averageIowa average: 73.3%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
11.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
11.9%
44% better than Iowa averageIowa average: 21.3%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
31% worse than Iowa averageIowa average: 13.1%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.6%
Percentage of SNF residents who experience falls with major injury during their stay.
2.6%
232% worse than Iowa averageIowa average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
30.3%
Percentage of residents at or above expected ability to care for themselves at discharge.
30.3%
44% worse than Iowa averageIowa average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
55.2%
Rate of successful return to home or community from a skilled nursing facility.
55.2%
9% better than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
41% of new residents, usually for short-term rehab.
Typical stay
23 days
Private pay
56% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
5 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
44
Medicare
5
11.4% of residents
Medicaid
25
56.8% of residents
Private pay or other
14
31.8% of residents
Programs & Services
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Emmetsburg Care Center based on CMS SNF Cost Reports.
Occupancy Rate
63.2%
↑ 5.6pp vs 2023
Net Income
$407.6K
↑ ~$1.0M vs 2023
Total Payroll
$2.1M
↓ ~$115.4K vs 2023
Profit Margin
11.0%
↑ 33.7pp vs 2023
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$3.7M
Profit
$407.6K
Privately-owned community
Operated by a business corporation.
Home revenue
$3.7M Rank #218 / 242Revenue — State benchmarkedThis home is ranked 218th out of 242 homes in Iowa. Shows this facility's annual revenue compared to the Iowa SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$407.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #219 / 242Payroll — State benchmarkedThis home is ranked 219th out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #219 / 242Payroll — State benchmarkedThis home is ranked 219th out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.4M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Emmetsburg Care Center
0.0 miles from city center
Estimated distance in miles from Emmetsburg's city center to Emmetsburg Care Center's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Iowa
Emmetsburg Care Center is located in Emmetsburg, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Compare Nursing Home around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
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| Emmetsburg 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. | Emmetsburg | 50 | 63.2% | -16% | 3.98 | -18% | -7% | $39.5k | 12 | 4.0 | 2 | 43 | - | 63 | - | $3.7M | $2.1M | 56.2% | 165352 | ||||
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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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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Frequently Asked Questions about Emmetsburg Care Center
Is Emmetsburg Care Center in a walkable area?
Emmetsburg Care Center has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the occupancy rate at Emmetsburg Care Center?
Emmetsburg Care Center's occupancy is 63.2%.
Are there photos of Emmetsburg Care Center?
Yes — there are 13 photos of Emmetsburg Care Center in the photo gallery on this page.
What is the address of Emmetsburg Care Center?
Emmetsburg Care Center is located at 2405 21st Street.
What is the phone number of Emmetsburg Care Center?
(712) 852-4266 will put you in contact with the team at Emmetsburg Care Center.
Is Emmetsburg Care Center Medicare or Medicaid certified?
Yes — Emmetsburg Care Center is a CMS-certified provider of Medicare and Medicaid.
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