1400 West Main, Mc Gregor, IA 52157 · Clayton County · (563) 873-3527
39 certified beds, about 30 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165301 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 21, 2025, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).
Of 5 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $8,281 in the last three years; the largest was $8,281, and the latest is dated December 2, 2025.
Nurses and nurse aides worked 3.42 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.
63.0% 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.
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.
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 5 health citations on file.
Inspectors wroteBased on observation, clinical record review, staff interview, family interview, police officer interview and facility policy review the facility failed to ensure the staff maintained all secured exit doors resulting in 1 of 3 reviewed residents (Resident #1), identified as exit seeking, exiting the facility while a staff member who entered allowed the resident to exit. The staff member failed to notify any nursing and/or management staff. The resident then walked 0.8 miles from the facility down an identified highway on an incline from a bluff and into town. The resident had left the facility for approximately 45 minutes before the nursing staff realized he was missing, when the resident's family called the facility and informed the staff. This deficient practice resulted in an Immediate Jeopardy (IJ) to the health, safety, and security of the resident. [...]
Inspectors wroteBased on observation, clinical record review, policy review and staff interview, the facility failed to provide a water flush per the physician order, measure the formula amount during feeding set up and raise the head of the bed to 45 degrees in the provision of feeding tube care for 1 of 1 resident sampled (Resident #4). The facility identified a census of 29 residents.
Inspectors wroteBased on record review, staff interviews, and policy review the facility failed to revise the Care Plan to include hospice care for 1 of 1 residents reviewed (Resident #24). The facility reported a census of 25 residents.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interview the facility failed to uphold resident dignity for 1 of 6 residents sampled (Resident #22). The facility identified a census of 27 residents.
Inspectors wroteBased on observation, clinical record review, policy review, manufacturer's full prescribing information, and staff interview, the facility failed to administer medicated eye drops per the physician order and per the manufacturer's prescribing information for 1 of 1 residents sampled (Resident #15). The facility identified a census of 27 residents.
1 fire safety citation on file: 1 on October 2, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| December 2, 2025 | Fine | $8,281 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.42 | 3.82 | 3.86 |
| Registered nurses | 0.67 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.86 | 3.37 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 63.0% | 44.0% | 45.8% |
| Registered nurse turnover | 100.0% | 42.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.17 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.64 on weekdays and 2.86 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.51 in April to June 2025 to 3.42 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 | 3.42 | 0.67 | 3.64 | 2.86 | 17.0% | 0 of 90 | 30 |
| Oct to Dec 2025 | 3.08 | 0.46 | 3.26 | 2.61 | 27.0% | 0 of 92 | 31 |
| Jul to Sep 2025 | 3.06 | 0.53 | 3.26 | 2.56 | 23.6% | 1 of 92 | 29 |
| Apr to Jun 2025 | 3.51 | 0.67 | 3.75 | 2.92 | 12.6% | 0 of 91 | 25 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 17.9 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.5 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 9.4 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.6 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.1 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.1 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Great River Care Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Iowa: 28 better, 21 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 12 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 10.7% · Iowa: 1 better, 1 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 18 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Iowa: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 8 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa56.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 17 residents counted.
0.0% this home
Median of homes: Iowa0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 21 residents counted.
3.8% this home
Median of homes: Iowa1.8% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 21 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 10 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: MCGREGOR 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 | |
| Kevin Perrinjaquet Estate | Indirect ownership interest | Organization | 11/01/2021 | |
| Funke, James | Indirect ownership interest | Individual | 11/01/2021 | |
| Kendrick, Timothy | Indirect ownership interest | Individual | 11/01/2021 | |
| Moser, Maylo | Indirect ownership interest | Individual | 11/01/2021 | |
| Perrinjaquet, Marjorie | Indirect ownership interest | Individual | 11/01/2021 | |
| Arthur, Kristen | Operational/managerial control | Individual | 04/01/2024 | |
| Dehart, David | Operational/managerial control | Individual | 04/07/2015 | |
| Hoerner, Tyler | Operational/managerial control | Individual | 03/03/2025 | |
| Murphy, Amy | Operational/managerial control | Individual | 05/15/2025 | |
| Poots, Katlyn | Operational/managerial control | Individual | 05/29/2025 | |
| Smith, Kayla | Operational/managerial control | Individual | 04/04/2025 | |
| Edgewood Convalescent Home Inc | Adp of the SNF | Organization | 11/01/2021 | |
| Dehart, David | Adp of the SNF | Individual | 04/07/2015 | |
| Hoerner, Tyler | Adp of the SNF | Individual | 03/03/2025 | |
| Murphy, Amy | Adp of the SNF | Individual | 05/15/2025 | |
| Poots, Katlyn | Adp of the SNF | Individual | 05/29/2025 | |
| Smith, Kayla | Adp of the SNF | Individual | 04/04/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.