Total health inspections
7
Iowa average 4.9
Last Health inspection on Sep 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Nursing Home
Estherville Community Care Center
Estherville Community Care Center provides quality, individualized care for short-term rehabilitation and long-term care services. The facility is dedicated to ensuring a maximum level of independence for each resident. A variety of clinical and therapy services are available to meet the needs of residents.
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
60
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
47.5%
Residents per day (avg)
35
Occupancy rate
47.5%
Residents per day (avg)
35
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
68% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
13% of new residents, often for short stays.
Typical stay
1 - 2 years
Medicaid
18% of new residents, often for long-term daily care.
Typical stay
3 years
Finances and operations
Privately-owned community
Home revenue
$3.7M
Operating loss
-$328.6K
Privately-owned community
Home revenue
$3,669,023.00
Operating loss
$-328,560.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.3M
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.
$2.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.0M
About this community
Safety & Compliance
Care Services
Nursing Services
Rehabilitation Services
Respite Care
24-Hour Staffing
Additional Policies & Features
Pets Allowed
Amenities & Lifestyle
Programs & Activities
Activities
Enriching, meaningful activities available.
Specific Programs
Clinical Services, Therapy Services, Support Services, Enriching Activities
Dining & Nutrition
Food Description
Delicious home cooked meals and snacks provided.
Meals Included
Yes
Health Inspection History
Inspections
Total health citations
24
Iowa average 21.7
Citations per inspection
3.43
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 24 citations resulted from standard inspections; 7 of 24 resulted from complaint investigations; and 1 of 24 came from combined inspections (standard and complaint).
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
23 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 25, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 25, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 25, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 25, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 25, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 25, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 25, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 25, 2025
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
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
Estherville Community 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.
Estherville
60
47.5%
-37%
4.23
-2%
0
24
1
35
-
$3,6M
$1,3M
35.2%
165523
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 Estherville Community Care Center
3.8 miles from city center
Estherville, IA 51365
Calculate Travel Distance to Estherville Community Care Center
Add your location
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
80
Employees
41
Contractors
39
Staff to resident ratio
2.42:1
21% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
21
Average shift
7.2 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
13,846
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
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
5
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 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
48
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
11.7%
1,625 contractor hours this quarter
Certified Nursing Assistant: 25
Registered Nurse: 6
Respiratory Therapy Technician: 2
Occupational Therapy Assistant: 2
Physical Therapy Assistant: 1
Physical Therapy Aide: 1
Qualified Social Worker: 1
Speech Language Pathologist: 1
Staff by category
| Certified Nursing Assistant | 23 | 25 | 48 | 5,508 | 91 | 100% | 6.8 |
| Licensed Practical Nurse | 5 | 0 | 5 | 2,126 | 91 | 100% | 9.1 |
| Registered Nurse | 4 | 6 | 10 | 2,070 | 91 | 100% | 8.5 |
| Medication Aide/Technician | 3 | 0 | 3 | 987 | 82 | 90% | 7.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 863 | 70 | 77% | 7.1 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 471 | 59 | 65% | 8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 416 | 58 | 64% | 7.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 251 | 61 | 67% | 4.1 |
| Qualified Social Worker | 0 | 1 | 1 | 98 | 23 | 25% | 4.3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 37 | 32 | 35% | 1.1 |
| Occupational Therapy Assistant | 1 | 2 | 3 | 15 | 16 | 18% | 0.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 3 | 1 | 1% | 3.3 |
48 Certified Nursing Assistant
% of Days
100%
5 Licensed Practical Nurse
% of Days
100%
10 Registered Nurse
% of Days
100%
3 Medication Aide/Technician
% of Days
90%
2 Other Dietary Services Staff
% of Days
77%
1 Administrator
% of Days
69%
1 Nurse Practitioner
% of Days
68%
1 RN Director of Nursing
% of Days
65%
1 Physical Therapy Assistant
% of Days
64%
1 Physical Therapy Aide
% of Days
67%
1 Qualified Social Worker
% of Days
25%
2 Respiratory Therapy Technician
% of Days
35%
3 Occupational Therapy Assistant
% of Days
18%
1 Speech Language Pathologist
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
33 residents
Residents by payment source
Medicare
1 resident (3%)
Medicaid
25 residents (75.8%)
Private pay or other
7 residents (21.2%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, 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.
16.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.2
58% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.3
12% worse 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
28.5%
Percent of long-stay residents whose need for help with daily activities has increased
28.5%
51% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.1%
Percent of long-stay residents whose ability to move independently worsened
22.1%
12% worse 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
22.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.2%
15% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
36% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
12.0%
Percent of long-stay high risk residents with pressure ulcers
12.0%
174% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
66% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
13.5%
Percent of long-stay residents who lose too much weight
13.5%
170% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.2%
Percent of long-stay residents who have depressive symptoms
5.2%
33% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
31.3%
Percent of long-stay residents who received an antipsychotic medication
31.3%
64% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
68.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
68.0%
28% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
84.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
84.9%
11% worse than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
30.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
30.9%
64% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
4.0%
Percent of short-stay residents who newly received an antipsychotic medication
4.0%
117% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
30.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
30.4%
59% worse than Iowa averageIowa average: 73.3%
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 Estherville Community Care Center based on CMS SNF Cost Reports.
Occupancy Rate
47.5%
↓ 3.7pp vs 2022
Net Income
-$328,560
↑ ~$145K vs 2022
Total Payroll
$1,462,751
↓ $248 vs 2022
Profit Margin
-9.1%
↑ 3.5pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
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
Get financial aid guidanceContact Us
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Estherville Community Care Center
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
