Elkader Care Center
116 Reimer Street Sw, Elkader, IA 52043 · Clayton County · (563) 245-1620
40 certified beds, about 21 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1998
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165391 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 18, 2025, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 4 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.73 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 1.22 of those hours.
54.5% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Edgewood Convalescent Home, an affiliated group of 5 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 4 health citations on file.
December 18, 2025Standard inspection · 0 citations
December 5, 2024Standard inspection · 0 citations
October 24, 2024Complaint inspection · 3 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, clinical record review, Nurse Practitioner/Providers interview, resident and staff interviews, and facility policy and procedure review, the facility failed to provide care consistent with professional standards of practice to prevent pressure ulcers from developing or worsening on residents with a history of pressure ulcers for one of three residents reviewed (Resident #3). The facility reported a census of 28 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, clinical record review, Nurse Practitioner/Physician/Providers interviews, resident and staff interviews, and facility policy review, the facility failed to provide proper assessments and interventions in a timely manner for 2 of 3 residents following a change of condition (Residents #3 & #2). The facility reported a census of 28 residents.
- D Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on observations, clinical record review, Nurse Practitioner/Providers interviews, resident and staff interviews and facility policy review, the facility staff failed to follow their own policy and procedures as a means to prevent and or minimize pressure ulcers from developing on residents with history of pressure ulcers for one of three residents reviewed (Resident #3). The facility reported a census of 28 residents.
August 30, 2023Standard inspection · 1 citation
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on facility record review, employee file review, staff interview, and policy review the facility failed to ensure 1 of 5 staff members (Staff A) completed the two hour Dependent Adult Abuse training within 6 months of their hire date. The facility further failed to complete the Single Contact Repository (SING) background checks prior to hire on 2 of 5 staff members (Staff B & Staff C). The facility reported a census of 29 residents.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.73 | 3.82 | 3.86 |
| Registered nurses | 1.22 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.11 | 3.37 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 0.43 | ||
| Nursing staff turnover (share who left in a year) | 54.5% | 44.0% | 45.8% |
| Registered nurse turnover | 63.6% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.02 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.98 on weekdays and 3.11 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.47 in April to June 2025 to 3.73 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.73 | 1.22 | 3.98 | 3.11 | 12.4% | 0 of 90 | 21 |
| Oct to Dec 2025 | 3.59 | 1.15 | 3.80 | 3.04 | 18.5% | 0 of 92 | 23 |
| Jul to Sep 2025 | 3.52 | 0.99 | 3.72 | 3.00 | 17.5% | 0 of 92 | 25 |
| Apr to Jun 2025 | 3.47 | 0.93 | 3.68 | 2.97 | 9.0% | 0 of 91 | 27 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.5 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.1 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.2 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.1 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.6 | 19.4 | 15.4 |
Owners and operators
Legal business name: ELKADER CARE LLC. CMS links this home to Edgewood Convalescent Home, a group of 5 nursing homes averaging 4.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Edgewood Convalescent Home Inc | Direct ownership interest | Organization | 11/01/2021 | |
| Andrea Paris Revocable Trust | 5% or greater indirect ownership interest | Organization | 6% | 07/08/2026 |
| Perrinjaquet, Cade | 5% or greater indirect ownership interest | Individual | 6% | 08/28/2025 |
| Perrinjaquet, Jerod | 5% or greater indirect ownership interest | Individual | 6% | 08/28/2025 |
| Perrinjaquet, Jordan | 5% or greater indirect ownership interest | Individual | 6% | 08/28/2025 |
| Moser, Maylo | Indirect ownership interest | Individual | 06/05/2000 | |
| Perrinjaquet, Marjorie | Indirect ownership interest | Individual | 06/21/2024 | |
| Arthur, Kristen | Managing control - governing body | Individual | 04/01/2023 | |
| Meyer, David | Managing control - governing body | Individual | 07/01/2021 | |
| Ostwinkle, Anthony | Managing control - governing body | Individual | 11/01/2021 | |
| Stone, Barbara | Managing control - governing body | Individual | 11/01/2021 | |
| Perrinjaquet, Jerod | Corporate director | Individual | 04/01/2024 | |
| Arthur, Kristen | Operational/managerial control | Individual | 04/01/2023 | |
| Landon, Kaitlin | Operational/managerial control | Individual | 06/06/2026 | |
| Lawlor, Donna | Operational/managerial control | Individual | 06/01/2022 | |
| Murphy, Amy | Operational/managerial control | Individual | 10/18/2025 | |
| Pierce, Emily | Operational/managerial control | Individual | 01/11/2026 | |
| Sallee, Mari | Operational/managerial control | Individual | 09/01/2025 | |
| Edgewood Convalescent Home Inc | Adp of the SNF | Organization | 11/01/2021 | |
| Landon, Kaitlin | Adp of the SNF | Individual | 06/06/2026 | |
| Lawlor, Donna | Adp of the SNF | Individual | 06/01/2022 | |
| Murphy, Amy | Adp of the SNF | Individual | 10/18/2025 | |
| Pierce, Emily | Adp of the SNF | Individual | 01/11/2026 | |
| Sallee, Mari | Adp of the SNF | Individual | 09/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on October 24, 2024: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on October 24, 2024: "Administer the facility in a manner that enables it to use its resources effectively and efficiently."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on August 30, 2023: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.11 hours per resident per day, below the Iowa average of 3.37.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Strawberry Point Lutheran Home Strawberry Point, 12.8 mi · 4 of 5 stars · 10 citations
- Edgewood Convalescent Home Edgewood, 14.2 mi · 5 of 5 stars · 3 citations
- Guttenberg Care Center Guttenberg, 15.8 mi · 5 of 5 stars · 0 citations
- Great River Care Center Mc Gregor, 16.1 mi · 4 of 5 stars · 5 citations
- Prairie Maison Prairie Du Chien, 19.3 mi · 2 of 5 stars · 16 citations
- Maple Crest Manor Fayette, 20.5 mi · 3 of 5 stars · 9 citations
- Good Samaritan - West Union West Union, 22.2 mi · 3 of 5 stars · 13 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Elkader Care Center's Medicare star rating?
- CMS rates Elkader Care Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Elkader Care Center get at its last inspection?
- 0 health deficiencies at the standard inspection on December 18, 2025. The Iowa average is 6.5.
- Has Elkader Care Center been fined?
- CMS lists no fines in the last three years.
- Does Elkader Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Elkader Care Center?
- CMS lists 24 owners and managers, and links the home to Edgewood Convalescent Home. Legal business name: ELKADER CARE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.