Nursing home report
Mc Gregor, IA · Medicare-certified · 39 beds
Great River Care Center has a 4-star overall rating, with strong health inspection and quality scores but a weaker 2-star staffing rating. Reported nurse staffing is 3.08 hours per resident per day, below the 4.1-hour federal benchmark, and it had $12,740 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
3.078 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.078.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited August 2025 — isolated incident, potential for harm.
F-Tag 693 — 42 CFR §483.25 — S/S: D
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited October 2024 — isolated incident, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited October 2023 — isolated incident, potential for harm.
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited October 2023 — isolated incident, potential for harm.
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $12,740 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $12,740 in total fines.
Federal fine
Dec 2, 2025
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.
