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Nursing homes in Clayton County, Iowa
Clayton County, Iowa, has 5 Medicare-certified nursing homes with 197 certified beds.
0% of them are rated 1 or 2 stars overall, a smaller share than the state (38%). Inspectors recorded 22 health deficiencies over three cycles, 11.2 per 100 beds against 31.7 statewide.
Fines in the period covered total $8K across 1 fine.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Clayton County | Iowa | US |
|---|---|---|---|
| Facilities | 5 | 387 | 14690 |
| Rated 1–2 stars overall | 0% | 38% | 41% |
| Median overall rating | 4 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 11.2 | 31.7 | 26.8 |
| Median nurse hours per resident day | 3.7 | 3.7 | 3.7 |
| Fines listed | $8K | $7.5M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Edgewood Convalescent Home | Edgewood | 56 | 5 | 4 | 5 | 3 | 5.4 | — | 25 Sep 2025 |
| Guttenberg Care Center | Guttenberg | 46 | 5 | 5 | 3 | 0 | 0.0 | — | — |
| Elkader Care Center | Elkader | 40 | 4 | 4 | 4 | 4 | 10.0 | — | 24 Oct 2024 |
| Great River Care Center | Mc Gregor | 39 | 4 | 4 | 3 | 5 | 12.8 | $8K | 2 Dec 2025 |
| Strawberry Point Lutheran Home | Strawberry Point | 16 | 4 | 4 | 4 | 10 | 62.5 | — | 17 Jun 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | 2 |
| F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 2 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 2 |
| F0641 | Ensure each resident receives an accurate assessment. | 2 |
| F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | 1 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 4 |
| Non profit | 1 |
Chains present: Edgewood Convalescent Home (3), Legacy Healthcare (1).
Questions and answers
How many nursing homes are in Clayton County, Iowa?
5 Medicare-certified nursing homes with 197 certified beds.
Which nursing homes in Clayton County have the highest CMS ratings?
Edgewood Convalescent Home (5 stars), Guttenberg Care Center (5 stars), Elkader Care Center (4 stars)
How do Clayton County nursing homes compare with Iowa?
0% are rated 1–2 stars overall against 38% statewide; citations run at 11.2 per 100 beds against 31.7 statewide.