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
Data as of July 1, 2026
4 of 5 overall
Elkader Care Center has an overall rating of 4 out of 5 stars. Its health inspection and staffing ratings are also 4 stars, quality measures are 3 stars, reported nurse staffing is below the federal benchmark (3.73 vs. 4.1 hours per resident per day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.7298 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 3.7298.
Staffing detail
- Registered nurses
- 1.22
- Licensed practical nurses
- 0.43
- Nurse aides
- 2.07
- Weekend nursing
- 3.11
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 64%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—13.6%—
Residents with a fall causing major injury
0%4.8%Worsening
Residents with pressure ulcers (bedsores)
5.1%9.6%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
—10%—
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—18.5%—
Residents whose ability to walk got worse
—9.2%—
Long-stay residents on antianxiety or sleep medication
—30%—
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
28.9%55.1%Worsening
Residents with depressive symptoms
—0%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
79.2%100%Improving
Short-stay residents given the pneumonia vaccine
—88.5%—
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
Recent ownership change · Nov 1, 2021
Now operated by Elkader Care LLC, previously Elkader Nursing Home Company LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EDGEWOOD CONVALESCENT HOME · 5 homes · 4.4 stars avg
- Occupancy
- 20.9 residents on an average day (52% 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.