Strawberry Point Lutheran Home

Name: Strawberry Point Lutheran Home
Address: 313 Elkader Street, Strawberry Point, IA, 52076, US
Telephone: 5639336037

313 Elkader Street, Strawberry Point, IA 52076 · Clayton County · 16 certified beds · avg 16 residents/day · certified since Apr 18, 1986

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

7.24

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (10)

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
Jun 17, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Jun 17, 2026	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Jun 17, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 24, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 24, 2025	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 3, 2025	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
Jun 13, 2024	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jun 13, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jun 13, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 13, 2024	B · Minimal risk, repeated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 3).

Year	Citations	Worst severity that year
2024	4	D
2025	3	D
2026	3	D

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)	7.24	4.37	3.95	top 1% in Iowa; top 1% in the U.S.
Registered Nurse hours	1.88	0.85	0.69	top 1% in Iowa; top 2% in the U.S.
Weekend total nurse staffing	6.04	3.86	3.50	top 1% in Iowa; top 2% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.86	0.51	0.48	top 8% in Iowa; top 9% in the U.S.
Total nursing staff turnover (%)	56.0	44.0	45.8	bottom 18% in Iowa; bottom 23% in the U.S.
RN turnover (%)	66.7	42.1	42.9	bottom 17% in Iowa; bottom 15% 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 5.13, RN 1.33, weekend 4.28. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Althoff, Richard	Individual	Operational/Managerial Control	NOT APPLICABLE	06/02/2014
BCG Holdings INC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Brighton Consulting Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Cascade Lumber Company	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2023
Cattail BCG LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Cattail INC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Clayton Pharmacy Consulting Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2018
Conduff, Amber	Individual	Operational/Managerial Control	NOT APPLICABLE	05/22/2022
Conduff, Amber	Individual	ADP of the SNF	NOT APPLICABLE	09/15/2025
Ecsi INC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Gould, David	Individual	Corporate Director	NOT APPLICABLE	03/27/2025
Gould, Terri	Individual	Corporate Director	NOT APPLICABLE	05/01/2021
Gould, Terri	Individual	Corporate Officer	NOT APPLICABLE	05/01/2021
Green, William	Individual	Corporate Officer	NOT APPLICABLE	03/27/2025
Happel, Dennis	Individual	Corporate Director	NOT APPLICABLE	03/26/2015
Iowa Health Care Association	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Kruse, Jolene	Individual	Operational/Managerial Control	NOT APPLICABLE	08/05/2022
May, Nikolas	Individual	Operational/Managerial Control	NOT APPLICABLE	04/29/2014
May, Nikolas	Individual	ADP of the SNF	NOT APPLICABLE	09/15/2025
Millennium Rehab & Consulting INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Edgewood Convalescent Home	7.4 mi	Edgewood, IA	★★★★★	4/5
Elkader Care Center	12.8 mi	Elkader, IA	★★★★☆	4/5
Good Neighbor Home	14.8 mi	Manchester, IA	★★★☆☆	2/5
Maple Crest Manor	17.5 mi	Fayette, IA	★★★★☆	4/5
Grandview Healthcare Center	18.8 mi	Oelwein, IA	★★★★☆	4/5
Oelwein Health Care Center	18.9 mi	Oelwein, IA	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Strawberry Point →

Facility data as of CMS processing date 2026-08-01. CCN 165135.

The Care File

Visit checklist — Strawberry Point Lutheran Home

313 Elkader Street, Strawberry Point, IA 52076 · 5639336037

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165135 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)