Elkader Care Center: Staffing, Turnover, and Inspection Record
Elkader Care Center is a 40-bed for-profit nursing home in Elkader, Iowa, part of Edgewood Convalescent Home. In the CMS August 2026 release it reported 2.07 nurse aide hours per resident per day, 17% below the Iowa average of 2.51, and 54.5% nursing staff turnover (Iowa average 44.0%).
Elkader Care Center
116 Reimer Street SWElkader, IA 52043
Clayton County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Elkader Care Center, nurse aides logged 2.07 hours per resident per day, 17% below the Iowa average. With about 21 residents a day, that works out to roughly 43 aide hours a day, or about 5 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 17% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.07 | 2.51 | 2.32 |
| Licensed practical nurses | 0.43 | 0.56 | 0.86 |
| Registered nurses | 1.22 | 0.74 | 0.69 |
| All nursing staff | 3.73 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.11 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
54.5% of nursing staff at Elkader Care Center left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 63.6%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 18, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 0 health deficiencies (Iowa average 6.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Elkader Care Center holds 4 of 5 overall; the Iowa average is 3.1.
About Elkader Care Center
- Ownership: For profit - Limited Liability company
- Chain: Edgewood Convalescent Home, 5 homes
- Legal name: Elkader Care LLC
- Medicare and Medicaid certified since: Apr 1, 1998
- Councils: resident council
- Area: rural
Nursing homes near Elkader Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Strawberry Point Lutheran Home Strawberry Point | 12.8 | 16 | 3.22 | 5.13 | 56.0% | 4 | None |
| Edgewood Convalescent Home Edgewood | 14.2 | 56 | 2.24 | 3.39 | 29.4% | 5 | None |
| Guttenberg Care Center Guttenberg | 15.8 | 46 | 2.29 | 3.65 | 40.0% | 5 | None |
| Great River Care Center Mc Gregor | 16.1 | 39 | 2.07 | 3.42 | 63.0% | 4 | $8,281 |
| Prairie Maison Prairie Du Chien | 19.3 | 50 | 2.92 | 4.48 | 32.8% | 2 | $152,525 |
| Maple Crest Manor Fayette | 20.5 | 46 | 2.67 | 3.85 | 43.2% | 4 | None |
| Good Samaritan - West Union West Union | 22.2 | 52 | 2.13 | 3.26 | 60.0% | 3 | None |
| Good Neighbor Home Manchester | 25.1 | 112 | 2.81 | 4.33 | 27.2% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.