Nursing home
Elkader Care Center
116 Reimer Street Sw, Elkader, IA 52043 · Map
For profit - Limited Liability company · 40 certified beds
Elkader Care Center is a Medicare-certified nursing home in Elkader, Iowa. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.52 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Dec 18, 2025 cited 0 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Elkader Care Center compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.52 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.99 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.17 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 46.9% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 0.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- No health deficiencies cited at the last standard inspection (December 2025)
- Every deficiency from the October 24, 2024 inspection was corrected by October 25, 2024
What inspectors found at Elkader Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Oct 24, 2024 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Oct 24, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 24, 2024 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 30, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 116 Reimer Street Sw
Elkader, IA 52043 - CMS certification #
- 165391
- Ownership
- For profit - Limited Liability company
- Certified beds
- 40
- Avg residents/day
- 25.2
- Provider type
- Medicare and Medicaid
- First certified
- 1998-04-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Elkader Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Mercyone Elkader Medical Center, Elkader. 1.0 mile away, straight line.
- Nearest Medicare nursing home
- Strawberry Point Lutheran Home, Strawberry Point. 12.8 miles away, straight line.
- Nearest home health agency office
- Gundersen Palmer Lutheran Hosp & Clin-Home Health, West Union. 23.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 19.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 52043 as rural (rural area).
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 52043.
St Croix Hospice, office in Strawberry Point, 13.1 miles away, straight line (CMS family survey rating 4 of 5 stars)
Gundersen Palmer Lutheran Hosp And Clinics-Hospice, office in West Union, 23.5 miles away, straight line - Nearest geriatric medicine practice
- Gundersen Clinic Ltd, Viroqua. 55.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Elkader Care Center a good nursing home?
CMS gives Elkader Care Center an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Elkader Care Center staffed?
Elkader Care Center reports 3.52 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Elkader Care Center had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Elkader Care Center have?
Elkader Care Center is certified for 40 beds.