Great River Care Center: Staffing, Turnover, and Inspection Record
Great River Care Center is a 39-bed for-profit nursing home in Mc Gregor, 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 63.0% nursing staff turnover (Iowa average 44.0%).
Great River Care Center
1400 West MainMc Gregor, IA 52157
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 Great River Care Center, nurse aides logged 2.07 hours per resident per day, 17% below the Iowa average. With about 30 residents a day, that works out to roughly 62 aide hours a day, or about 8 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% 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 | 0.67 | 0.56 | 0.86 |
| Registered nurses | 0.67 | 0.74 | 0.69 |
| All nursing staff | 3.42 | 3.82 | 3.86 |
| All nursing staff, weekends | 2.86 | 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
63.0% of nursing staff at Great River 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 100.0%.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 21, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $8,281 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 2, 2025 | Fine | $8,281 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Great River Care Center holds 4 of 5 overall; the Iowa average is 3.1.
About Great River Care Center
- Ownership: For profit - Limited Liability company
- Chain: Edgewood Convalescent Home, 5 homes
- Legal name: McGregor Care LLC
- Medicare and Medicaid certified since: Jan 1, 1997
- Councils: resident council
- Area: rural
Nursing homes near Great River Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Prairie Maison Prairie Du Chien | 3.3 | 50 | 2.92 | 4.48 | 32.8% | 2 | $152,525 |
| Elkader Care Center Elkader | 16.1 | 40 | 2.07 | 3.73 | 54.5% | 4 | None |
| Guttenberg Care Center Guttenberg | 17.1 | 46 | 2.29 | 3.65 | 40.0% | 5 | None |
| Good Samaritan - Waukon Waukon | 22.4 | 60 | 1.81 | 3.17 | 43.5% | 2 | $8,281 |
| Northgate Care Center Waukon · SFF candidate | 23.1 | 50 | 2.04 | 2.97 | 34.3% | 1 | $87,160 |
| Thornton Manor Nursing and Care Center Lansing | 23.7 | 40 | 2.37 | 3.88 | 38.5% | 4 | None |
| Care and Rehab - Boscobel Boscobel | 25.6 | 50 | 3.01 | 4.57 | 47.4% | 4 | $157,729 |
| Dove Healthcare - Fennimore Fennimore | 26.8 | 50 | 2.72 | 4.04 | 60.4% | 2 | $104,515 |
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.