Nursing homeActive
Estherville Community Care Center
2001 First Avenue North, Estherville, IA 51334712362359446 certified beds · 39 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
23
● 0● 21● 2
Penalties · 3 yrs
—
none on file
Last survey
2026-06-10
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 2
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 |
|---|---|---|---|---|
| 2026-06-10 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2026-03-19 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-09-25 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-12-12 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-10-17 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-06 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-10-05 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2023-08-31 | Complaint | 010 | 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 GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-06-30Record 165523-20260610-F689
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-01Record 165523-20260319-F558
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-01Record 165523-20260319-F628
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-18Record 165523-20250925-F600
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 165523-20250925-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 165523-20250925-F644
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-16Record 165523-20250925-F699
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-16Record 165523-20250925-F883
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-24Record 165523-20241212-F623
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-24Record 165523-20241212-F636
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-24Record 165523-20241212-F851
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 2024-12-24Record 165523-20241212-F880
F567Honor the resident's right to manage his or her financial affairs.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-05Record 165523-20241017-F567
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 2024-09-18Record 165523-20240906-F689
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-07Record 165523-20231005-F582
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-07Record 165523-20231005-F607
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-07Record 165523-20231005-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-07Record 165523-20231005-F644
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-07Record 165523-20231005-F655
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-07Record 165523-20231005-F726
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-07Record 165523-20231005-F868
F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-07Record 165523-20231005-F943
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-16Record 165523-20230831-F610
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.91
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.38
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours2.82
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover46%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover38%
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 | 5.3% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.7% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 26.2% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.6% | 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 | 21.6% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 13.1% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 40.9% | 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 |
|---|---|---|---|---|
| Genstar Healthcare Mgmt Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Goldberger, Sheldon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gs Estherville Holdings LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kabrick, Jennifer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kugler, Aaron Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Prabhakaran, Madhan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Yager, Sally Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Estherville Propco, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Genstar Healthcare Mgmt Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goldberger, Sheldon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goldberger, Sheldon Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Gs Estherville Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gs Estherville Holdings LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kabrick, Jennifer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kugler, Aaron Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kugler, Aaron Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Prabhakaran, Madhan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Yager, Sally Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
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 Emmet.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Good Samaritan - Estherville Estherville | 0.4 mi | 2026-01-15 | 0150 |
| Ruthven Community Care Center Ruthven | 19.2 mi | 2025-10-02 | 040 |
| Good Samaritan Society - Jackson Jackson | 17.9 mi | 2024-09-05 | 040 |
| Accura Healthcare of Spirit Lake Spirit Lake | 15.4 mi | 2026-04-22 | 0181 |
| Palo Alto County Hospital Emmetsburg | 20.6 mi | 2025-07-17 | 010 |
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 |