Great River Care Center

Nursing Home, Assisted Living & Skilled Nursing · Mcgregor, IA

CMS overall rating

1400 West Main, Mcgregor, Ia 571570370 View map

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Great River Care Center accepts Medicare, Medicaid, and private pay.

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Great River Care Center accepts Medicare, Medicaid, and private pay.

Overview of Great River Care Center

Owned by Edgewood Convalescent Home Inc., Great River Care Center is a skilled nursing home with four decades of experience serving residents in Iowa. It accepts Medicare, Medicaid, and private pay, providing ways for families to arrange care. The 39-bed facility has an occupancy rate of 79% and operates with the expectation of longer-term stays. Residents stay an average of around 291 days.

The facility provides rehabilitation services and maintains nursing care at 4 hours and 22 minutes per resident daily. Registered nurses, nurse aides, and licensed practical nurses are distributed throughout the day. This level of staffing supports residents working toward recovery and those requiring ongoing skilled nursing support.

The location has a score of 43 for walkability. Some errands can be handled on foot, while most trips will need transportation. The surrounding area is typical of Iowa nursing homes, with a combination of residential character and accessibility to regional services.

Inspections over the past six years focused on operational and care-procedure matters. The facility has worked through findings and maintained compliance certifications. Families touring the home should ask how the care team manages daily clinical processes and staff routines.

Facility Direct Line (563) 873-3527

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 22m per day

vs avg

5 of 6 metrics below state avg

Standout metric LPN / LVN is +23% 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.	28m per day	▼ 37% 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.	42m 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 55m per day	▼ 24% 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 37m per day	▼ 22% 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	▼ 45% 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.	24m per day	▼ 19% State avg: 30m per day · National avg: 28m per day

Capacity and availability

291 days

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.

Walk Score: 43 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

80%

Higher than the Iowa average: 75.4%

Occupied beds

31 / 39

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

IssuanceFebruary 1, 1987

ExpirationNovember 1, 2026

CountyClayton

License Number220074

CMS Certification Number165301

Certification TypeFALSE

Great River Care Center is administered by Amy Murphy.

Rehabilitation Services

Email kpoots@greatrivercare.com

Fax5638733723

Pets not allowed

Since 2020 · 6 years of data 13 deficiencies 15 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average

Overall vs. IA average

Latest Inspection December 2, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	13	27	This facility has 52% fewer total deficiencies than a typical Iowa assisted living residence (13 vs. IA avg 27).↓ 52% better
Deficiencies per year Average deficiencies per year since 2020.	2.2	4.5	This facility has 51% fewer deficiencies per year than a typical Iowa assisted living residence (2.2 vs. IA avg 4.5).↓ 51% better
Deficiencies per inspection Average deficiencies per inspection.	0.9	1.8	This facility has 50% fewer deficiencies per inspection than a typical Iowa assisted living residence (0.9 vs. IA avg 1.8).↓ 50% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	15	15	This facility has total inspections in line with the Iowa average (15 vs. IA avg 15).— At avg

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

December 2, 2025 inspection found Immediate Jeopardy for failure to secure exit doors, allowing a cognitively impaired resident to elope 0.8 miles on a busy highway before corrective actions removed the IJ.
August 21, 2025 annual survey cited three deficiencies in feeding tube care, including failure to provide water flush, measure formula accurately, and raise the bed during feeding.
September 5, 2025 plan of correction accepted certifying the facility in compliance following the August 2025 survey deficiencies.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

State average N/A

Last Health inspection on Aug 2025

Total health citations

State average N/A

Citations per inspection

1.33

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

4 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Quality of Care moderate citation Aug 21, 2025

Corrected

Care Planning moderate citation Oct 02, 2024

Corrected

Care Planning moderate citation Oct 26, 2023

Corrected

Resident Rights moderate citation Oct 26, 2023

Corrected

Total staff 88

Employees 35

Contractors 53

Staff to resident ratio 3.03 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 15

Average shift 7.1 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 9,806

Nursing staff breakdown

9.7 hours

8.3 hours

7 hours

Contractor staffing

2,777 contractor hours this quarter

Certified Nursing Assistant: 32 Registered Nurse: 4 Clinical Nurse Specialist: 3 Speech Language Pathologist: 2 Licensed Practical Nurse: 2 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Qualified Social Worker: 1 Administrator: 1 Physical Therapy Aide: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	19	32	51	5,427	92	100%	7
Licensed Practical Nurse	7	2	9	1,966	92	100%	8.3
Registered Nurse	4	4	8	805	71	77%	9.7
Other Dietary Services Staff	1	0	1	432	62	67%	7
Nurse Practitioner	2	0	2	307	37	40%	8.3
Administrator	1	1	2	263	31	34%	8
Clinical Nurse Specialist	1	3	4	200	29	32%	6.4
Speech Language Pathologist	0	2	2	96	41	45%	2.3
Physical Therapy Assistant	0	2	2	84	37	40%	2.3
Occupational Therapy Aide	0	1	1	76	15	16%	5.1
Respiratory Therapy Technician	0	2	2	52	19	21%	2.7
Physical Therapy Aide	0	1	1	41	20	22%	2.1
Qualified Social Worker	0	1	1	41	18	20%	2.3
Occupational Therapy Assistant	0	1	1	12	5	5%	2.4
Medical Director	0	1	1	4	4	4%	1

51 Certified Nursing Assistant

% of Days 100%

9 Licensed Practical Nurse

% of Days 100%

8 Registered Nurse

% of Days 77%

1 Other Dietary Services Staff

% of Days 67%

2 Nurse Practitioner

% of Days 40%

2 Administrator

% of Days 34%

4 Clinical Nurse Specialist

% of Days 32%

2 Speech Language Pathologist

% of Days 45%

2 Physical Therapy Assistant

% of Days 40%

1 Occupational Therapy Aide

% of Days 16%

2 Respiratory Therapy Technician

% of Days 21%

1 Physical Therapy Aide

% of Days 22%

1 Qualified Social Worker

% of Days 20%

1 Occupational Therapy Assistant

% of Days 5%

1 Medical Director

% of Days 4%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 10.0

In line with State average

State average: 10.2

Functional decline score 19.3

11% better than State average

State average: 21.6

Long-stay resident measures

Above average State avg: 3.3

Need for Help with Daily Activities Increased 14.7%

22% better than State average

State average: 18.8%

Walking Ability Worsened 18.1%

8% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 25.2%

In line with State average

State average: 26.2%

Falls with Major Injury 1.0%

71% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 6.6%

52% worse than State average

State average: 4.4%

Urinary Tract Infection 0.0%

100% better than State average

State average: 2.5%

Lost Too Much Weight 9.8%

95% worse than State average

State average: 5.0%

Depressive Symptoms 2.1%

45% better than State average

State average: 3.9%

Antipsychotic Use 10.3%

46% better than State average

State average: 19.0%

Pneumococcal Vaccine 91.8%

In line with State average

State average: 94.4%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.3%

Short-stay resident measures

Pneumococcal Vaccine 94.8%

11% better than State average

State average: 85.1%

Antipsychotic medication increase 3.1%

70% worse than State average

State average: 1.8%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

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

Total residents 29

Medicare

3.4% of residents

Medicaid

58.6% of residents

Private pay or other

37.9% of residents

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.

Financial Trends

Historical financial and operational data for Great River Care Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 67.4% ↑ 4.7pp vs 2022

Net Patient Income -$84.9K ↓ ~$99.9K vs 2022

Payroll Costs $1.4M ↑ ~$108.1K vs 2022

Operating Margin -2.9% ↓ 3.5pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2022	2023
Occupancy %	84.7%	62.8%	58.8%	70.0%	74.4%	73.1%	62.9%	54.4%	68.5%	74.3%	62.8%	67.4%
Beds	50	50	50	50	50	50	50	50	50	39	39	39
Net Income	$259,146	$11,393	-$63,760	$274,916	$213,800	$145,644	-$65,962	-$30,496	$325,560	$510,050	$32,292	-$73,032
Gross Revenue	$2,532,810	$2,242,197	$2,233,445	$2,924,844	$2,831,676	$3,054,916	$2,870,586	$2,581,069	$3,084,277	$3,068,736	$3,064,005	$3,192,981
Operating Expenses	$2,102,419	$1,952,947	$1,935,788	$2,263,092	$2,360,182	$2,535,567	$2,485,915	$2,232,890	$2,398,092	$2,570,581	$2,660,277	$3,006,775
Net Patient Income	$231,629	-$12,587	-$74,450	$253,488	$190,767	$126,621	-$79,998	-$51,090	$307,959	$169,495	$14,989	-$84,926
Net Patient Revenue	$2,334,048	$1,940,360	$1,861,338	$2,516,580	$2,550,949	$2,662,188	$2,405,917	$2,181,800	$2,706,051	$2,740,076	$2,675,266	$2,921,849
Payroll Costs	$1,230,024	$1,060,179	$1,056,060	$1,174,691	$1,346,010	$1,417,563	$1,416,124	$1,255,370	$1,360,510	$1,406,962	$1,262,251	$1,370,364
Operating Margin %	9.9%	-0.7%	-4.0%	10.1%	7.5%	4.8%	-3.3%	-2.3%	11.4%	6.2%	0.6%	-2.9%
Medicare %	3.8%	6.9%	9.4%	7.2%	3.2%	6.2%	8.0%	6.4%	5.8%	7.8%	8.9%	3.1%
Medicaid %	53.7%	60.1%	55.1%	57.1%	61.0%	54.5%	50.2%	50.7%	48.5%	56.5%	35.4%	47.9%
Private %	42.5%	33.0%	35.6%	35.8%	35.8%	39.4%	41.8%	42.9%	45.8%	35.7%	55.8%	49.0%
Net Patient Revenue/Day	$151	$169	$174	$197	$188	$199	$209	$220	$216	$258	$299	$304
Cost/Day	$136	$170	$180	$177	$174	$190	$216	$225	$192	$242	$298	$313
Avg Length of Stay	336.2 days	359.2 days	429.1 days	283.7 days	234.1 days	238.9 days	164.1 days	236.6 days	231.6 days	186.2 days	165.5 days	290.9 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$2.9M

Net patient income

-$84.9K

For-profit Operated by a single business entity.

Net patient revenue

$2.9M

Net patient income

-$84.9K

Other income

$11.9K

Payroll costs

$1.4M 46.9% of net patient revenue

Other operating costs

$1.6M

Total costs

$3.0M

TYPE OF STAY

Mix 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.

Most new residents arrive under private pay (54% of admissions), and a typical private pay stay runs around 8 - 9 months.

Coverage residents most often arrive under.

Medicare 43%

Private pay 54%

Medicaid 3%

Coverage residents most often leave under.

Medicare 36%

Private pay 55%

Medicaid 9%

0.0 miles from city center Estimated distance in miles from Mcgregor's city center to Great River 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
Friendship Village	NH AL IL MC SNF	Waterloo	-	72	-	52	2 Bed / 3 Bed
Prairie Vista Village	NH AL IL SNF	South Altoona	-	68	A	29	-
St Francis Manor	NH AL HOS SNF	Grinnell	-	78	-	82	-
Great River Care Center	NH AL SNF	Mcgregor	-	39	-	43	-

Nursing Home Explorer

Is Great River Care Center in a walkable area?

Great River Care Center has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Great River Care Center?

According to IA state health department records, Great River Care Center's license number is 220074.

When does Great River Care Center's license expire?

According to IA state health department records, Great River Care Center's license expires on November 1, 2026.

What is the occupancy rate at Great River Care Center?

Great River Care Center's occupancy is 80%.

Are pets allowed at Great River Care Center?

No, Great River Care Center has a no-pet policy.

What is the best email address for Great River Care Center?

The team at Great River Care Center can be reached at KPoots@greatrivercare.com.

Does Great River Care Center operate as a for-profit or non-profit?

Great River Care Center is registered as a for-profit in IA.

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Great River Care Center

Overview of Great River Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Great River Care Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

51 Certified Nursing Assistant

9 Licensed Practical Nurse

8 Registered Nurse

1 Other Dietary Services Staff

2 Nurse Practitioner

2 Administrator

4 Clinical Nurse Specialist

2 Speech Language Pathologist

2 Physical Therapy Assistant

1 Occupational Therapy Aide

2 Respiratory Therapy Technician

1 Physical Therapy Aide

1 Qualified Social Worker

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Clinical Research

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Great River Care Center

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