1/5
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.
1/5
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.
Located at 2001 1st Avenue North in Estherville, Iowa, Estherville Community Care Center is a nursing home that accepts Medicare, Medicaid, and private pay, so families have several options when it comes to covering the cost of care. The facility has 24-hour staffing, which provides nursing support to both rehabilitation patients and longer-term residents. Daily nursing care averages about 4 hours and 14 minutes per resident. Registered nurses, nurse aides, and licensed practical nurses are all part of the care team.
Rehabilitation, respite care, and clinical support services are important parts of the home’s care programs. It serves patients recovering from surgery, illness, or a recent hospital stay who still need skilled nursing oversight. Staff members also work with families to coordinate therapy services and other specialized care based on individual needs.
Residents have access to both private and semi-private rooms. The facility also offers hospice suites and honeymoon suites for residents with different care needs. A central living and dining area serves as a gathering place throughout the day. Home-cooked meals and snacks are prepared daily, giving the community a more familiar atmosphere. Residents can also join in activities to stay engaged and connected with others.
The facility is in a car-dependent area, so most errands and daily activities require transportation. That’s fairly common in rural Iowa communities. Family members visiting from nearby towns will find convenient highway access in the Estherville area.
Residents stay an average of 242 days, which includes individuals receiving short-term rehabilitation and those who choose longer-term placement.
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.
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 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.
| 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.
| 38m per day | ▼ 14% 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.
| 26m per day | ▼ 23% 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.
| 1h 13m per day | ▼ 52% 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.
| 2h 3m per day | ▼ 39% 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.
| 0m per day | ▼ 90% 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.
| 21m per day | ▼ 30% State avg: 30m per day · National avg: 28m per day |
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.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 5 RN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
All 6 LPN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
37 total: 21 full-time employees and 16 contractors.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
910 contractor hours this quarter
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 |
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.
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.
16.2
58% worse than State averageState average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.3
12% worse than State averageState 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
28.5%
51% worse than State averageState average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
22.1%
12% worse than State averageState average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.2%
15% better than State averageState average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
36% worse than State averageState average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
12.0%
174% worse than State averageState average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.9%
66% better than State averageState average: 2.5%
Percent of long-stay residents who lose too much weight
13.5%
170% worse than State averageState average: 5.0%
Percent of long-stay residents who have depressive symptoms
5.2%
33% worse than State averageState average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
31.3%
64% worse than State averageState average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
68.0%
28% worse than State averageState average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
84.9%
11% worse than State averageState average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.69
14% worse than State averageState average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.20
53% worse than State averageState 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
30.9%
64% worse than State averageState average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
4.0%
117% worse than State averageState average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
30.4%
59% worse than State averageState average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.5%
In line with State averageState average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.1%
15% better than State averageState average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
59.3%
10% better than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
52.7%
In line with State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
68% of new residents, usually for short-term rehab.
13% of new residents, often for short stays.
18% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
33Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
Historical financial and operational data for Estherville Community Care Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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 #244 / 246Payroll — State benchmarkedThis home is ranked 244th out of 246 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 #224 / 246Payroll % — State benchmarkedThis home is ranked 224th out of 246 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).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (68% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Bethany Home Retirement Center | NH IL MC SNF | Dubuque (Eagle Point District) | - | 66 | - | 69 | 1 Bed / 2 Bed |
| Sunrise Retirement Community | NH AL IL MC RC SNF | Sioux City | - | 74 | A+ | 22 | Studio |
| Green Hills Retirement Community | NH AL IL MC SNF | Ames (Hamilton Drive) | - | 56 | - | 18 | 1 Bed / 2 Bed |
| Meth Wick Community | NH AL IL MC RC SNF | Cedar Rapids (The Meth-Wick Community) | - | 69 | - | 23 | - |
| Estherville Community Care Center | NH HOS PC RC SNF | North Estherville | - | 46 | - | 0 | - |
Estherville Community Care Center's occupancy is 47.5%.
Estherville Community Care Center is registered as a for-profit.
Estherville Community Care Center is located at 2001 1St Ave North, Estherville, IA 51365.
(712) 362-3594 will put you in contact with the team at Estherville Community Care Center.
Yes — Estherville Community Care Center is a CMS-certified provider of Medicare and Medicaid.
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