All states › Iowa › Mc Gregor › Great River Care Center
1400 West Main Mc Gregor, IA 52157 · Clayton County
CMS certification number 165301 · See this home on Medicare Care Compare
Is Great River Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Great River Care Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.39 hours per resident per day at Great River Care Center, below the Iowa median of 3.76 (US median: 3.72). About 0.70 of those hours are from registered nurses. On weekends it falls to 2.74 hours, 19% below its all-week average. Ask how weekends are staffed. 60.7% of nursing staff left within a year (Iowa median 41.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Great River Care Center: Medicare and Medicaid
Great River Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 21, 2025 and found 1 deficiency, plus 1 from complaint inspections in the same period. In total, inspectors issued 5 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 5 citations at Great River Care Center across 4 inspection dates, 1 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 2, 2025 (complaint inspection). The most common areas cited were quality of life and care (2) and resident assessment and care planning (2). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, December 2, 2025).
December 2, 2025 · 1 citation · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 21, 2025 · 1 citation
DEnsure 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 feeding tube.
October 2, 2024 · 1 citation
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
October 26, 2023 · 2 citations
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure services provided by the nursing facility meet professional standards of quality.
Questions to ask on a tour of Great River Care Center
- Inspectors cited the home at the immediate-jeopardy level on December 2, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- Weekend staffing is 19% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 60.7% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $8,281 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 2, 2025 | Fine | $8,281 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 3/5 | 3/5 |
| August 2026 | 4/5 | 4/5 | 3/5 | 4/5 |
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Location
Hospitals near Great River Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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3.1 mi
Crossing Rivers Health Medical Center Prairie du ChienEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 42m for patients treated and sent home
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15.8 mi
Mercyone Elkader Medical Center ElkaderEmergency roomMedian ER visit 1h 54m for patients treated and sent home
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16.8 mi
Guttenberg Municipal Hospital GuttenbergEmergency roomMedian ER visit 1h 36m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Great River Care Center › All nursing homes in Mc Gregor ›
Compare Great River Care Center with the 3 closest homes side by side ›
Other Edgewood Convalescent Home nursing homes in Iowa
- Evans Senior Living Community · Cresco · 5 stars
- Edgewood Convalescent Home · Edgewood · 5 stars
- Elkader Care Center · Elkader · 4 stars
- New Hampton Nursing & Rehab Center · New Hampton · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 5 Edgewood Convalescent Home nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.