Iowa › Clayton County › Mc Gregor
Great River Care Center
1400 West Main, Mc Gregor, IA 52157
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.
Certified for 39 beds, Great River Care Center serves Mc Gregor in Clayton County, Iowa and has taken Medicare and Medicaid residents since 1997.
CMS gives it 4 of 5 stars overall, above the Iowa median of 3; the health inspection rating is 4, staffing 3 and quality measures 4.
Inspectors recorded 5 health deficiencies across the three most recent survey cycles (2, 1, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 12.8 per 100 beds, fewer than the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 3.4 hours per resident per day (0.7 RN), close to the Iowa median of 3.7; nursing staff turnover is 63.0%.
Compared with county, state and nation
| Measure | This facility | Clayton Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 5 | 4 | 16 | 28.7 |
| Citations per 100 beds | 12.8 | 10.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 0.7 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 63.0% | 54.5% | 41.9% | 45.8% |
| Fines listed | $8,281 | $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: 21 Aug 2025, 2 Oct 2024.
Severity mix: J ×1 D ×4
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 |
|---|---|---|---|---|---|
| 2 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 3 Nov 2025 |
| 21 Aug 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 5 Sep 2025 |
| 2 Oct 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 | 3 Oct 2024 |
| 26 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 3 Nov 2023 |
| 26 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 3 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 2 Dec 2025 | Fine | $8,281 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 63.0%, RNs 100.0%; — 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 | 17.9% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.5% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 9.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.6% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 11.1% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.1% | 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, limited liability company. Legal business name: Mcgregor Care Llc. Chain: Edgewood Convalescent Home (5 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Edgewood Convalescent Home Inc | Direct ownership interest | NOT APPLICABLE | 11/01/2021 |
| Kevin Perrinjaquet Estate | Indirect ownership interest | NOT APPLICABLE | 11/01/2021 |
| Edgewood Convalescent Home Inc | Adp of the snf | NOT APPLICABLE | 11/01/2021 |
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 Clayton County
| 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 |
| Strawberry Point Lutheran Home | Strawberry Point | 16 | 4 | 4 | 4 | 10 | 62.5 | — | 17 Jun 2026 |
All 5 facilities in Clayton County
Questions and answers
How many deficiencies has Great River Care Center been cited for?
5 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Great River Care Center been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Great River Care Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Great River Care Center?
It is part of the Edgewood Convalescent Home chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Edgewood Convalescent Home Inc and Kevin Perrinjaquet Estate. Individual owners and managers are not listed on this site.
When was Great River Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 2 Dec 2025; the most recent standard health survey was 21 Aug 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.