The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Elkader Care Center
Elkader, IA · Medicare-certified · 40 beds
In good standing
For-profitChain member
4 of 5 overall
Elkader Care Center has a 4 out of 5 star overall rating, with 4-star health inspection and staffing scores and a 3-star quality rating. It reported 3.59 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent inspection citations included pressure ulcer care, following treatment/care orders and resident preferences, and facility administration.
Facility ratings
Health inspections
Staffing
3.5854 hrs/resident/day
Quality measures
Last inspection: December 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5854.
Staffing detail
- Registered nurses
- 1.15
- Licensed practical nurses
- 0.35
- Nurse aides
- 2.09
- Weekend nursing
- 3.04
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 57%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.1%Steady
Residents with a fall causing major injury
1.1%Worsening
Residents with pressure ulcers (bedsores)
4.7%Worsening
Residents with a urinary tract infection
2.1%Improving
Residents who lost too much weight
8.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.9%Steady
Residents whose ability to walk got worse
10.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
27%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
30.8%Worsening
Residents with depressive symptoms
3.9%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
90.5%Improving
Short-stay residents given the pneumonia vaccine
85.2%Steady
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
The home failed to run its operations effectively and efficiently using its available resources. Cited October 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: D
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited August 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EDGEWOOD CONVALESCENT HOME · 5 homes · 4.4 stars avg
- Occupancy
- 23 residents on an average day (57% of 40 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.