Iowa › Palo Alto County › Emmetsburg
Emmetsburg Care Center
2405 21st Street, Emmetsburg, IA 50536
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Emmetsburg Care Center is a For-profit, corporation nursing home in Emmetsburg, Iowa, certified for 46 beds and caring for about 41 residents a day.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 3 and quality measures 4.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (16, 6, 0 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 47.8 per 100 beds, more than the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $26K.
Reported nurse staffing is 3.7 hours per resident per day (0.7 RN), close to the Iowa median of 3.7; nursing staff turnover is 56.9%.
Compared with county, state and nation
| Measure | This facility | Palo Alto Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 22 | 22 | 16 | 28.7 |
| Citations per 100 beds | 47.8 | 40.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.3 | 3.7 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 56.9% | 37.2% | 41.9% | 45.8% |
| Fines listed | $25,695 | $0 | $0 | — |
County and state figures are medians across facilities (5 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Jul 2025, 12 Sep 2024.
Severity mix: J ×1 G ×1 D ×15 E ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 May 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 29 May 2026 |
| 11 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 29 May 2026 |
| 11 May 2026 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 29 May 2026 |
| 11 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 29 May 2026 |
| 11 May 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 29 May 2026 |
| 11 May 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 29 May 2026 |
| 11 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 29 May 2026 |
| 11 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 29 May 2026 |
| 8 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 20 Jan 2026 |
| 8 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 20 Jan 2026 |
| 28 Jul 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | Standard survey | 15 Aug 2025 |
| 28 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 15 Aug 2025 |
| 28 Jul 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 15 Aug 2025 |
| 28 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Aug 2025 |
| 28 Jul 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 15 Aug 2025 |
| 28 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Aug 2025 |
| 20 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Mar 2025 |
| 12 Sep 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 4 Oct 2024 |
| 12 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 4 Oct 2024 |
| 12 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 4 Oct 2024 |
| 12 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 4 Oct 2024 |
| 12 Sep 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 4 Oct 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 28 Jul 2025 | Fine | $25,695 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 56.9%, RNs 57.1%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.9% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.0% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.7% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.6% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Emmetsburg Ia Skilled Nursing Facility Llc. Chain: Legacy Healthcare (89 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cascade Capital Holdings LLC | 5% or greater indirect ownership interest | 100% | 08/15/2024 |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| Cascade Capital Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Cascade Capital Partners LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Ccg Gorgona LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Emmetsburg Ia Property Holdings, LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Gorgona Holdco LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Gorgona Propco Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Gorgona Sub Holdco LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Legacy Healthcare Financial Services LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Mn8 Rh Holdco LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Palo Alto County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Palo Alto County Hospital | Emmetsburg | 22 | 4 | 4 | 4 | 1 | 4.5 | — | 17 Jul 2025 |
| Ruthven Community Care Center | Ruthven | 46 | 4 | 4 | 4 | 6 | 13.0 | — | 2 Oct 2025 |
| West Bend Health and Rehabilitation | West Bend | 45 | 4 | 3 | 3 | 23 | 51.1 | — | 1 May 2025 |
| Lakeside Lutheran Home | Emmetsburg | 55 | 3 | 3 | 5 | 22 | 40.0 | — | 26 Feb 2026 |
All 5 facilities in Palo Alto County
Questions and answers
How many deficiencies has Emmetsburg Care Center been cited for?
22 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Emmetsburg Care Center been fined?
Yes. CMS lists fines totalling $26K in the period covered.
How does staffing at Emmetsburg Care Center compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Emmetsburg Care Center?
It is part of the Legacy Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Cascade Capital Holdings LLC and Legacy Healthcare Financial Services LLC. Individual owners and managers are not listed on this site.
When was Emmetsburg Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 11 May 2026; the most recent standard health survey was 28 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.