Elkader Care Center
116 Reimer Street SW, Elkader, IA 52043 · Clayton County · 40 certified beds · avg 21 residents/day · certified since Apr 1, 1998
Part of chain: EDGEWOOD CONVALESCENT HOME (5 facilities, chain avg rating 4.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 24, 2024 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 25, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (4)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Oct 24, 2024 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Aug 30, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 3 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.74 | 4.37 | 3.95 | top 30% in Iowa; top 18% in the U.S. |
| Registered Nurse hours | 1.56 | 0.85 | 0.69 | top 4% in Iowa; top 4% in the U.S. |
| Weekend total nurse staffing | 3.96 | 3.86 | 3.50 | top 41% in Iowa; top 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.69 | 0.51 | 0.48 | top 17% in Iowa; top 17% in the U.S. |
| Total nursing staff turnover (%) | 54.5 | 44.0 | 45.8 | bottom 21% in Iowa; bottom 26% in the U.S. |
| RN turnover (%) | 63.6 | 42.1 | 42.9 | bottom 20% in Iowa; bottom 17% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.73, RN 1.22, weekend 3.11. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Edgewood Convalescent Home INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 11/01/2021 |
| Kevin Perrinjaquet Estate | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Moser, Maylo | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2000 |
| Perrinjaquet, Marjorie | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/21/2024 |
| Arthur, Kristen | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Dunlap, Kristin | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/26/2025 |
| Dunlap, Kristin | Individual | ADP of the SNF | NOT APPLICABLE | 07/26/2025 |
| Edgewood Convalescent Home INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2021 |
| Grabe, Tyler | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Grabe, Tyler | Individual | ADP of the SNF | NOT APPLICABLE | 12/13/2024 |
| Lawlor, Donna | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2022 |
| Lawlor, Donna | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Strawberry Point Lutheran Home | 12.8 mi | Strawberry Point, IA | ★★★★☆ | 4/5 | |
| Edgewood Convalescent Home | 14.2 mi | Edgewood, IA | ★★★★★ | 4/5 | |
| Guttenberg Care Center | 15.8 mi | Guttenberg, IA | ★★★★★ | 5/5 | |
| Great River Care Center | 16.1 mi | Mc Gregor, IA | ★★★★☆ | 4/5 | |
| Prairie Maison | 19.3 mi | Prairie Du Chien, WI | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165391.