The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Aspire of Estherville
Registered name: Estherville Community Care Center
Estherville, IA · Medicare-certified · 46 beds
Needs attention
New ownership (past 12 mo)For-profit
Data as of September 1, 2026
2 of 5 overall
Aspire of Estherville (Estherville, IA) has an overall 2-star rating, with 2-star health inspection and quality measures ratings but 4 stars for staffing. It reports 3.38 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $18,900 in fines in the last 24 months along with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3756 hrs/resident/day
Quality measures
Last inspection: June 10, 2026Penalties, last 24 months: $18,900recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3756.
Staffing detail
- Registered nurses
- 0.91
- Licensed practical nurses
- 0.59
- Nurse aides
- 1.88
- Weekend nursing
- 2.82
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 38%
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
—26.2%—
Residents with a fall causing major injury
2.9%8.3%Worsening
Residents with pressure ulcers (bedsores)
8.1%2.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
18.8%15.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.2%15.2%Improving
Residents whose ability to walk got worse
27.1%9.6%Improving
Long-stay residents on antianxiety or sleep medication
36.4%41.2%Worsening
Short-stay residents newly given an antipsychotic
—4.9%—
Residents with a long-term catheter
3.4%1.8%Improving
Residents with new or worsening incontinence
19.7%20.2%Worsening
Residents with depressive symptoms
8.8%12.1%Worsening
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
—84.8%—
Long-stay residents given the pneumonia vaccine
60%100%Improving
Short-stay residents given the seasonal flu vaccine
—30.4%—
Short-stay residents given the pneumonia vaccine
18.2%40.9%Improving
What the inspectors found
The home failed to submit complete and accurate staffing information based on verifiable records. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: E
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: E
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: E
Recent history
- PENALTY
A federal fine of $18,900 was recorded.
- OWNERSHIP
The facility reported a change in ownership in the past 12 months.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $18,900 in total fines.
- $18,900
Federal fine
Jun 10, 2026
Operator & ownership
Recent ownership change · Nov 1, 2025
Now operated by Estherville Community Care Center, previously Aspire of Estherville.
- Ownership
- For profit - Corporation
- Occupancy
- 39.4 residents on an average day (86% of 46 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 22 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.