Total staff
59
Employees
39
Contractors
20
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Estherville Community 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.
Estherville Community 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.
Estherville Community Care Center accepts Medicare, Medicaid, and private pay.
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.
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 120th 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 120th 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.
4h 14m per day
Rank #120 / 241Nurse hours — State benchmarkedThis home is ranked 120th 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
-2%
Standout metric
LPN / LVN is +47% above state avg
| 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.
| 43m per day | ■ Avg 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.
| 50m per day | ▲ 47% 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 4m per day | ▼ 18% 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 0m per day | ▼ 10% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m 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.
| 28m per day | ▼ 7% 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
47.5%
Rank #293 / 401Occupancy rate — State benchmarkedThis home is ranked 293rd 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
242 days
Occupancy rate
47.5%
Rank #293 / 401Occupancy rate — State benchmarkedThis home is ranked 293rd 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
242 days
Walk Score: 0 / 100 Rank #514 / 528Walk Score — State benchmarkedThis home is ranked 514th 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.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Rehabilitation Services
Respite Care
24-Hour Staffing
Pets Allowed
Private And Semi-Private Rooms
Hospice And Honeymoon Suites
Central Living And Dining Area
Delicious Home Cooked Meals And Snacks
Enriching Activities
ActivitiesEnriching, meaningful activities available.
Specific ProgramsClinical Services, Therapy Services, Support Services
Food DescriptionDelicious home cooked meals and snacks provided.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.79:1
13% worse than Iowa average
Avg staff/day
22
Average shift
7.4 hours
0% compared with Iowa average
Total staff hours (quarter)
9,936
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
5
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 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
37
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
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
9.2%
910 contractor hours this quarter
Certified Nursing Assistant: 16
Physical Therapy Aide: 1
Physical Therapy Assistant: 1
Qualified Social Worker: 1
Respiratory Therapy Technician: 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 | 21 | 16 | 37 | 4,245 | 61 | 100% | 6.9 |
| Registered Nurse | 5 | 0 | 5 | 1,549 | 61 | 100% | 8.5 |
| Licensed Practical Nurse | 6 | 0 | 6 | 1,512 | 60 | 98% | 8.7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 364 | 42 | 69% | 8.7 |
| Nurse Practitioner | 1 | 0 | 1 | 328 | 41 | 67% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 320 | 40 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 312 | 39 | 64% | 8 |
| Dietitian | 1 | 0 | 1 | 307 | 43 | 70% | 7.1 |
| Dental Services Staff | 1 | 0 | 1 | 296 | 39 | 64% | 7.6 |
| Physical Therapy Assistant | 0 | 1 | 1 | 246 | 42 | 69% | 5.9 |
| Physical Therapy Aide | 0 | 1 | 1 | 204 | 39 | 64% | 5.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 200 | 23 | 38% | 8.7 |
| Qualified Social Worker | 0 | 1 | 1 | 40 | 9 | 15% | 4.4 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 12 | 14 | 23% | 0.8 |
37 Certified Nursing Assistant
% of Days
100%
5 Registered Nurse
% of Days
100%
6 Licensed Practical Nurse
% of Days
98%
1 Occupational Therapy Aide
% of Days
69%
1 Nurse Practitioner
% of Days
67%
1 Clinical Nurse Specialist
% of Days
66%
1 Administrator
% of Days
64%
1 Dietitian
% of Days
70%
1 Dental Services Staff
% of Days
64%
1 Physical Therapy Assistant
% of Days
69%
1 Physical Therapy Aide
% of Days
64%
1 Mental Health Service Worker
% of Days
38%
1 Qualified Social Worker
% of Days
15%
1 Respiratory Therapy Technician
% of Days
23%
Penalties and fines
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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
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
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%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.69
Number of hospitalizations per 1,000 long-stay resident days.
1.69
14% worse 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.
3.20
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.20
53% 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
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%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.5%
In line with Iowa averageIowa average: 21.3%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
11.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.1%
15% better than Iowa averageIowa average: 13.1%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better 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.
59.3%
Percentage of residents at or above expected ability to care for themselves at discharge.
59.3%
10% better 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.
52.7%
Rate of successful return to home or community from a skilled nursing facility.
52.7%
In line with 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
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
33
Medicare
1
3% of residents
Medicaid
25
75.8% of residents
Private pay or other
7
21.2% of residents
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.
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
-$328.6K
↑ ~$145.3K vs 2022
Total Payroll
$1.5M
↓ $248 vs 2022
Profit Margin
-9.1%
↑ 3.5pp vs 2022
Finances and operations
Privately-owned community
Home revenue
$3.7M
Operating loss
-$328.6K
Privately-owned community
Home revenue
$3.7M Rank #219 / 242Revenue — State benchmarkedThis home is ranked 219th 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.
Operating loss
-$328.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #238 / 242Payroll — State benchmarkedThis home is ranked 238th 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.
$1.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #238 / 242Payroll — State benchmarkedThis home is ranked 238th 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.
$2.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.0M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Estherville Community Care Center
3.8 miles from city center
Estimated distance in miles from Estherville's city center to Estherville Community Care Center's address, calculated via Google Maps.
Calculate Travel Distance to Estherville Community Care Center
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Financial Assistance for
Nursing Home in Iowa
Estherville Community Care Center is located in Estherville, 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.
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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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| 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 | -27% | -2% | $0 | 24 | 3.4 | 1 | 35 | - | 0 | - | $3.7M | $1.5M | 39.9% | 165523 |
Frequently Asked Questions about Estherville Community Care Center
Are there photos of Estherville Community Care Center?
Yes — there are 6 photos of Estherville Community Care Center in the photo gallery on this page.
What is the address of Estherville Community Care Center?
Estherville Community Care Center is located at 2001 1st Ave North.
What is the phone number of Estherville Community Care Center?
(712) 362-3594 will put you in contact with the team at Estherville Community Care Center.
Is Estherville Community Care Center Medicare or Medicaid certified?
Yes — Estherville Community Care Center is a CMS-certified provider of Medicare and Medicaid.
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