C

Great River Care Center

1400 West Main, Mc Gregor, IA 52157
Score: 66 / 100

With a score of 66 out of 100, Great River Care Center earns a C grade — placing it near the middle of Iowa nursing facilities. Families should review the detailed metrics below when considering this Mc Gregor location.

Staffing levels are a potential concern at Great River Care Center, with 3.06 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 5 deficiencies at Great River Care Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.06 3.8 Below Average
Registered Nurses (RN) 0.53 0.7 Below Average
Licensed Practical Nurses (LPN) 0.67 0.7 Average
Certified Nursing Assistants (CNA) 1.86 2.4 Below Average
Weekend Total Nursing 2.56 3.8 Below Average
Weekend RN Hours 0.33 0.7 Below Average

🔍 Inspection & Deficiency History

5
Total Deficiencies
Dec 1, 2025
Most Recent Inspection
🟠 4 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Dec 1, 2025 · Quality of Life and Care Deficiencies
  • Tag 0693 Severity D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a f
    Aug 20, 2025 · Quality of Life and Care Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Oct 1, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Oct 25, 2023 · Resident Rights Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Oct 25, 2023 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 8.1% 4.5% Worse
Falls with major injury 3.2% 3.0% Average
On antipsychotic medication 8.6% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 13.9% 14.0% Average
Excessive weight loss 8.8% 7.5% Worse
New/worsened incontinence 25.5% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $12,740

How This Grade Was Calculated

This facility's grade of C is based on a score of 66 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
39
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 20, 2025
Deficiencies (Cycle 1)
2

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