2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Emmetsburg Care Center coordinates short-term convalescence alongside medical housing from a 46-bed skilled nursing property located at 2405 21st Street in Emmetsburg, Iowa. Financial accounts flow dynamically through traditional out-of-pocket billing pathways or standard state Medicaid and federal Medicare network credentials. Residential intervals track to an average length of stay around 109 days, creating an operational baseline that favors fast-paced post-hospital therapy over indefinite, permanent placements.
The medical staff coordinates an average of 3 hours and 28 minutes of hands-on nursing attention for every individual daily. Certified nurse aides, licensed practical nurses, and registered nurses distribute this 24-hour setup to administer customized speech, occupational, and physical therapies within an internal rehab-to-home framework. For community movement, the surrounding area registers a walkability score of 63 out of 100, providing an accessible town environment where visitors can navigate simple regional errands or local retail stops without a vehicle.
Individuals looking into local enrollment parameters can contact the front administrative desk to check on active room availability, request an intake guide for on-site physical rehabilitation, or plan a morning to walk through the common lounges. The business coordinators are also available to review personal healthcare options and show how insurance policies interface with monthly room statements.
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
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.
Hours per resident per day vs Iowa averages
Total nursing care
This home is ranked 139th out of 235 homes in Iowa for nurse hours. 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
7% below state avg
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.
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.
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.
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.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
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.
4 of 6 metrics below state avg
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
27% more staff per resident than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
11 total: 4 full-time employees and 7 contractors.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursAssists with medical care and medications.
15 total: 5 full-time employees and 10 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursHelps with daily care and mobility.
65 total: 28 full-time employees and 37 contractors.
65
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,043 contractor hours this quarter
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 |
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)
18% lower than Iowa averageIowa average: $48K
41% fewer fines than Iowa averageIowa average: 1.7
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 28, 2025 · $40K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 28, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
7.4%
60% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
13.7%
30% better than Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
60% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.5%
41% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
4.2%
16% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
18.0%
5% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
In line with Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.08
27% better than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.61
25% worse than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
72.5%
15% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
7.6%
310% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.8%
12% better than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
11.9%
44% better than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
31% worse than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
2.6%
232% worse than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
30.3%
44% worse than Iowa averageIowa average: 53.7%
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.
41% of new residents, usually for short-term rehab.
56% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
44State-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.
Historical financial and operational data for Emmetsburg Care Center from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #221 / 239Payroll — State benchmarkedThis home is ranked 221st out of 239 homes in Iowa for payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #110 / 239Payroll % — State benchmarkedThis home is ranked 110th out of 239 homes in Iowa for payroll %. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (56% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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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Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Bethany Home Retirement Center | NH IL MC SNF | Dubuque (Eagle Point District) | 66
Facility
66
IA AVG
71
Rank
#181 / 406 | - | - | 4.19
Facility
4.19
IA AVG
4.30
Rank
#112 / 235 | 0% | -2% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 241 | 2
Facility
2
IA AVG
21.7
Rank
#6 / 234 | 2.0
Facility
2.0
IA AVG
4.1
Rank
#19 / 234 | - | 67 | - |
69
Facility
69
IA AVG
45
Rank
#103 / 528 | Mike Brannon | $9.2MFiscal year ending 12/2023
Facility
$9.2MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#67 / 239 | $6.2MFiscal year ending 12/2023
Facility
$6.2MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#37 / 239 | 68%Fiscal year ending 12/2023
Facility
68%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#43 / 239 | 165584 | ||||
| St Francis Manor | NH AL HOS SNF | Grinnell | 78
Facility
78
IA AVG
71
Rank
#119 / 406 |
69.2%
Facility
69.2%
IA AVG
64.7
Rank
#193 / 379 | +7% | 5.32
Facility
5.32
IA AVG
4.30
Rank
#23 / 235 | +34% | +24% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 241 | 1
Facility
1
IA AVG
21.7
Rank
#1 / 234 | 1.0
Facility
1.0
IA AVG
4.1
Rank
#1 / 234 | - | 54 | - |
82
Facility
82
IA AVG
45
Rank
#39 / 528 | St Francis Manor Inc | $7.3MFiscal year ending 12/2023
Facility
$7.3MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#72 / 239 | $5.0MFiscal year ending 12/2023
Facility
$5.0MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#40 / 239 | 69.4%Fiscal year ending 12/2023
Facility
69.4%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#59 / 239 | 165480 | ||||
| Friendship Village | NH AL IL MC SNF | Waterloo | 72
Facility
72
IA AVG
71
Rank
#143 / 406 |
91.7%
Facility
91.7%
IA AVG
64.7
Rank
#41 / 379 | +42% | 6.17
Facility
6.17
IA AVG
4.30
Rank
#3 / 235 | +5% | +44% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 241 | 8
Facility
8
IA AVG
21.7
Rank
#45 / 234 | 2.0
Facility
2.0
IA AVG
4.1
Rank
#19 / 234 | 1 | 66 | - |
52
Facility
52
IA AVG
45
Rank
#202 / 528 | Friends Of Faith Retirement Homes, Inc | $14.2MFiscal year ending 03/2024
Facility
$14.2MFiscal year ending 03/2024
IA AVG
$7.0M
Rank
#11 / 239 | $11.6MFiscal year ending 03/2024
Facility
$11.6MFiscal year ending 03/2024
IA AVG
$3.1M
Rank
#7 / 239 | 81.4%Fiscal year ending 03/2024
Facility
81.4%Fiscal year ending 03/2024
IA AVG
46.3%
Rank
#113 / 239 | 165081 | ||||
| Prairie Vista Village | NH AL IL SNF | South Altoona | 68
Facility
68
IA AVG
71
Rank
#170 / 406 |
50.0%
Facility
50.0%
IA AVG
64.7
Rank
#255 / 379 | -23% | 4.71
Facility
4.71
IA AVG
4.30
Rank
#58 / 235 | -20% | +10% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 241 | 5
Facility
5
IA AVG
21.7
Rank
#18 / 234 | 1.3
Facility
1.3
IA AVG
4.1
Rank
#8 / 234 | - | 34 | A |
29
Facility
29
IA AVG
45
Rank
#372 / 528 | John Freeman | $9.1MFiscal year ending 12/2023
Facility
$9.1MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#60 / 239 | $3.7MFiscal year ending 12/2023
Facility
$3.7MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#69 / 239 | 40.8%Fiscal year ending 12/2023
Facility
40.8%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#169 / 239 | 165610 | ||||
| Emmetsburg Care Center | NH AL HOS MC RC SNF | Emmetsburg | 46
Facility
46
IA AVG
71
Rank
#273 / 406 |
89.6%
Facility
89.6%
IA AVG
64.7
Rank
#54 / 379 | +39% | 3.98
Facility
3.98
IA AVG
4.30
Rank
#139 / 235 | -18% | -7% | $25.7k
Facility
$25.7k
IA AVG
$53.4k
Rank
#180 / 241 | 12
Facility
12
IA AVG
21.7
Rank
#80 / 234 | 4.0
Facility
4.0
IA AVG
4.1
Rank
#125 / 234 | 2 | 41 | - |
63
Facility
63
IA AVG
45
Rank
#134 / 528 | - | $3.7MFiscal year ending 06/2024
Facility
$3.7MFiscal year ending 06/2024
IA AVG
$7.0M
Rank
#220 / 239 | $2.1MFiscal year ending 06/2024
Facility
$2.1MFiscal year ending 06/2024
IA AVG
$3.1M
Rank
#221 / 239 | 56.4%Fiscal year ending 06/2024
Facility
56.4%Fiscal year ending 06/2024
IA AVG
46.3%
Rank
#110 / 239 | 165352 |
Emmetsburg Care Center has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Emmetsburg Care Center's occupancy is 63.2%.
No, Emmetsburg Care Center has a no-pet policy.
Emmetsburg Care Center is registered as a for-profit.
Yes — there are 6 photos of Emmetsburg Care Center in the photo gallery on this page.
Emmetsburg Care Center is located at 2405 21St Street, Emmetsburg, Ia 505360490.
(712) 852-4266 will put you in contact with the team at Emmetsburg Care Center.
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