Nursing homeActive
Emmetsburg Care Center
2405 21st Street, Emmetsburg, IA 50536712852426646 certified beds · 41 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
22
● 0● 20● 2
Penalties · 3 yrs
$25,695
1 fine
Last survey
2026-05-11
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
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 |
|---|---|---|---|---|
| 2026-05-11 | Complaint | 080 | CMS-2567 (Care Compare) | — |
| 2026-01-08 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-07-28 | Standard | 042 | CMS-2567 (Care Compare) | — |
| 2025-02-20 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-12 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2023-06-22 | Standard | 000 | 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.
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 2026-05-29Record 165352-20260511-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-29Record 165352-20260511-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-29Record 165352-20260511-F677
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-29Record 165352-20260511-F690
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-29Record 165352-20260511-F755
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-29Record 165352-20260511-F760
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-29Record 165352-20260511-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-29Record 165352-20260511-F880
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 2026-01-20Record 165352-20260108-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-20Record 165352-20260108-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-08-15Record 165352-20250728-F689
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity JHarm
Food & nutrition
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-08-15Record 165352-20250728-F805
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-15Record 165352-20250728-F686
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-15Record 165352-20250728-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-15Record 165352-20250728-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-15Record 165352-20250728-F880
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-20Record 165352-20250220-F684
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 165352-20240912-F604
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 2024-10-04Record 165352-20240912-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 165352-20240912-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 165352-20240912-F684
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 165352-20240912-F805
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-07-28 | Civil money penalty | $25,695 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.65
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.66
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.27
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover57%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover57%
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 | 1.7% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.0% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.6% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.0% | 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 | 12.9% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.7% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 7.0% | 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 |
|---|---|---|---|---|
| Cascade Capital Holdings LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Beasley, Karla Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Behounek, Linsey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Borcherding, Jenny Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Burken, Sheri Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Friedenberg, Laura Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hedberg, Jennifer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hennager, Christina Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Heying, Larina Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Houston, Mindy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Jaeger, Krystle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kamstra, Lee Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Knutson, Michele Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Larson, Melissa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Legacy Healthcare Financial Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mcclure, Dorothy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Otterbeck, Patricia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rajchenbach, Chaim Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Runksmeier, Dawn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Scott, Kathleen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Seu, Joshua Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shear, Kiley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Staudt, Sandra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Thayer, Kay Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Van Veghel, Elizabeth Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wierschem, Bobbie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wood, Rosemary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wright, Amy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Beasley, Karla Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Behounek, Linsey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Borcherding, Jenny Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Burken, Sheri Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cascade Capital Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cascade Capital Partners LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ccg Gorgona LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Emmetsburg Ia Property Holdings, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Friedenberg, Laura Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Friedman, Brian Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Gorgona Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gorgona Propco Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gorgona Sub Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gpn Family Trust U/A/D 4/28/08 Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hedberg, Jennifer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hennager, Christina Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Heying, Larina Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Houston, Mindy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jaeger, Krystle Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kamstra, Lee Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Knutson, Michele Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Larson, Melissa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Legacy Healthcare Financial Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mcclure, Dorothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mn8 Rh Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Otterbeck, Patricia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rajchenbach, Avrum Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Rajchenbach, Chaim Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rajchenbach, Rivka Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Runksmeier, Dawn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Scott, Kathleen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Seu, Joshua Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shabat, Ahuva Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shear, Kiley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Staudt, Sandra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thayer, Kay Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Van Veghel, Elizabeth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wierschem, Bobbie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wood, Rosemary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wright, Amy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Legacy Healthcare — 89 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 Palo Alto.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Lakeside Lutheran Home Emmetsburg | 1.1 mi | 2026-02-26 | 0211 |
| Palo Alto County Hospital Emmetsburg | 1.3 mi | 2025-07-17 | 010 |
| Ruthven Community Care Center Ruthven | 11.2 mi | 2025-10-02 | 040 |
| West Bend Health and Rehabilitation West Bend | 15.5 mi | 2025-05-01 | 0160 |
| Laurens Care Center Laurens | 19.7 mi | 2026-04-16 | 0150 |
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 |