Nursing homeActive
Great River Care Center
1400 West Main, Mc Gregor, IA 52157563873352739 certified beds · 30 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
5
● 0● 4● 1
Penalties · 3 yrs
$8,281
1 fine
Last survey
2025-12-02
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-12-02 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-08-21 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2024-10-02 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-26 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-11-03Record 165301-20251202-F689
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-05Record 165301-20250821-F693
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-03Record 165301-20241002-F656
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 165301-20231026-F550
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 165301-20231026-F658
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-12-02 | Civil money penalty | $8,281 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.67
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.42
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours2.86
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover63%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover100%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 11.1% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.5% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 6.1% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 17.9% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.8% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 30.4% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Arthur, Kristen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dehart, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hoerner, Tyler Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Murphy, Amy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Poots, Katlyn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Smith, Kayla Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dehart, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Edgewood Convalescent Home Inc Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Edgewood Convalescent Home Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Funke, James Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Hoerner, Tyler Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kendrick, Timothy Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kevin Perrinjaquet Estate Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Moser, Maylo Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Murphy, Amy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Perrinjaquet, Marjorie Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Poots, Katlyn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Smith, Kayla Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Edgewood Convalescent Home — 5 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Clayton.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Prairie Maison Prairie Du Chien | 3.3 mi | 2025-07-30 | 083 |
| Guttenberg Care Center Guttenberg | 17.1 mi | 2025-11-20 | 000 |
| Elkader Care Center Elkader | 16.1 mi | 2025-12-18 | 021 |
| Thornton Manor Nursing and Care Center Lansing | 23.7 mi | 2025-04-03 | 060 |
| Good Samaritan - Waukon Waukon | 22.4 mi | 2026-04-30 | 1141 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |