Occupancy rate
79%
In line with Iowa averageMix 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.
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Nursing Home
Great River Care Center
Great River Care Center is a senior living community located in McGregor, Iowa. It offers a continuum of lifestyle options including assisted living, skilled nursing rehabilitation, and long-term care. The facility is dedicated to enriching the lives of its residents through compassionate care.
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
39
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
79.5%
Residents per day
31
Occupancy rate
79.5%
Residents per day
31
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
43% of new residents, usually for short-term rehab.
Typical stay
20 days
Private pay
54% of new residents, often for short stays.
Typical stay
8 - 9 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
12 years
Finances and operations
Voluntary non-profit community
Home revenue
$3.2M
Operating deficit
-$73.0K
Voluntary non-profit community
Home revenue
$3,204,875.00
Operating deficit
$-73,032.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.2M
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.
$2.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.3M
39-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
39 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy
In line with Iowa averageOccupied beds
31 / 39
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
February 1, 1987
County:
Clayton
Additional licensing details
License number:
220074
CMS Certification Number:
165301
Certification type:
FALSE
Ownership & operating entity
Great River Care Center is administrated by Amy Murphy.
Care Services
Nursing Services
Rehabilitation Services
Independent Living
Skilled Nursing
Contact Information
Email:
[email protected]
Fax:
5638733723
Amenities & Lifestyle
Programs & Activities
Specific Programs
Lifestyle Options, Long-Term Care, Turner Pointe Assisted Living, Skilled Nursing Rehabilitation, Activities & News, Contact Us
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
15 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:December 2, 2025
6 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Great River Care Center
The most recent inspection on December 2, 2025, identified a deficiency related to inadequate supervision and unsecured exit doors that allowed a cognitively impaired resident to elope, creating an Immediate Jeopardy situation that was resolved with corrective actions. Earlier inspections showed a pattern of deficiencies involving resident care issues such as feeding management, care plan updates, medication administration, and skin care assessment. Complaint investigations were mostly unsubstantiated except for the recent substantiated elopement case. No fines, license suspensions, or other enforcement actions were listed in the available reports. The facility’s record shows some recurring care-related issues, with recent actions addressing immediate risks and prior plans of correction accepted to maintain compliance.
Health Inspection History
Inspections
Total health inspections
3
Iowa average 4.9
Last Health inspection on Aug 2025
Total health citations
4
Iowa average 21.7
Citations per inspection
1.33
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
4 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 21, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 21, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 02, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 02, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 26, 2023
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 26, 2023
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Oct 26, 2023
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Oct 26, 2023
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.
Great River 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.
Mcgregor
39
67.4%
-11%
4.37
+2%
0
4
0
25
Edgewood Convalescent Home Inc
$3,2M
$1,2M
38.2%
165301
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
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 Great River Care Center
Mcgregor, IA 571570370
Mcgregor, IA 571570370
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
58
Employees
32
Contractors
26
Staff to resident ratio
2.00:1
0% compared with Iowa averageIowa average ratio: 2.00:1
Avg staff/day
15
Average shift
6.8 hours
8% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
9,314
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 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.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
24
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
15%
1,395 contractor hours this quarter
Qualified Social Worker: 5
Certified Nursing Assistant: 4
Clinical Nurse Specialist: 4
Respiratory Therapy Technician: 2
Registered Nurse: 2
Occupational Therapy Aide: 2
Speech Language Pathologist: 2
Physical Therapy Aide: 1
Licensed Practical Nurse: 1
Occupational Therapy Assistant: 1
Physical Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 20 | 4 | 24 | 4,714 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 4 | 1 | 5 | 1,765 | 91 | 100% | 7.3 |
| Registered Nurse | 4 | 2 | 6 | 971 | 84 | 92% | 8.8 |
| Administrator | 2 | 0 | 2 | 534 | 65 | 71% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 436 | 54 | 59% | 8.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 383 | 60 | 66% | 6.4 |
| Clinical Nurse Specialist | 0 | 4 | 4 | 130 | 21 | 23% | 5.9 |
| Speech Language Pathologist | 0 | 2 | 2 | 100 | 46 | 51% | 2.2 |
| Occupational Therapy Aide | 0 | 2 | 2 | 77 | 21 | 23% | 3.7 |
| Physical Therapy Assistant | 0 | 1 | 1 | 71 | 44 | 48% | 1.6 |
| Physical Therapy Aide | 0 | 1 | 1 | 39 | 20 | 22% | 1.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 35 | 23 | 25% | 1.5 |
| Qualified Social Worker | 0 | 5 | 5 | 31 | 29 | 32% | 1.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 26 | 7 | 8% | 3.7 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
24 Certified Nursing Assistant
% of Days
100%
5 Licensed Practical Nurse
% of Days
100%
6 Registered Nurse
% of Days
92%
2 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
59%
1 Other Dietary Services Staff
% of Days
66%
4 Clinical Nurse Specialist
% of Days
23%
2 Speech Language Pathologist
% of Days
51%
2 Occupational Therapy Aide
% of Days
23%
1 Physical Therapy Assistant
% of Days
48%
1 Physical Therapy Aide
% of Days
22%
2 Respiratory Therapy Technician
% of Days
25%
5 Qualified Social Worker
% of Days
32%
1 Occupational Therapy Assistant
% of Days
8%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
29 residents
Residents by payment source
Medicare
1 resident (3.4%)
Medicaid
17 residents (58.6%)
Private pay or other
11 residents (37.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Clinical Research
Conducts clinical research trials to develop and test new treatments
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.
10.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.0
In line with Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.3
11% better 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
14.7%
Percent of long-stay residents whose need for help with daily activities has increased
14.7%
22% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.1%
Percent of long-stay residents whose ability to move independently worsened
18.1%
8% 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
25.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.2%
In line with Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
71% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.6%
Percent of long-stay high risk residents with pressure ulcers
6.6%
52% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.8%
Percent of long-stay residents who lose too much weight
9.8%
95% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.1%
Percent of long-stay residents who have depressive symptoms
2.1%
45% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.3%
Percent of long-stay residents who received an antipsychotic medication
10.3%
46% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.8%
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%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
11% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
70% worse than Iowa averageIowa average: 1.8%
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 Great River Care Center based on CMS SNF Cost Reports.
Occupancy Rate
67.4%
↑ 4.7pp vs 2022
Net Income
-$73,032
↓ ~$105K vs 2022
Total Payroll
$1,975,850
↑ ~$207K vs 2022
Profit Margin
-2.3%
↓ 3.3pp vs 2022
Loading trend charts...
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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