Emmetsburg Care Center

Nursing Home · Emmetsburg, IA

CMS overall rating 1/5 For profit - Corporation

CMS certification number165352

Contact & location

2405 21st Street
Emmetsburg, IA 50536
Palo Alto County
Phone
(712) 852-4266
ZIP code
50536 – all care providers

Open in Google Maps

Facility details

Certified beds
46
Residents per day
41.4 (90% occupied)
Ownership
For profit - Corporation
Legal name
Emmetsburg Ia Skilled Nursing Facility LLC
Chain
Legacy Healthcare (89 facilities, avg 2.9★)
Medicare certified since
August 1, 1997
Participates in
Medicare and Medicaid

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.7
Quality measures★★★★★ 4/5
State avg 3.3
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.66 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.65 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.35 (state 0.56 · U.S. 0.86)
Nurse aides
2.67 (state 2.51 · U.S. 2.32)
Weekend total
3.27 (state 3.37 · U.S. 3.42)
Nursing staff turnover
56.9 (state 44.0 · U.S. 45.8)%
RN turnover
57.1 (state 42.1 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
July 28, 2025
Health deficiencies (last cycle)
16.0 (state 6.5 · U.S. 9.3)
From complaints
10
Citations on record (3 years)
22 health · 13 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-11 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-29
2026-05-11 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-29
2026-05-11 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-29
2026-05-11 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-29
2026-05-11 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-29
2026-05-11 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-29
2026-05-11 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-29
2026-05-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-29
2026-01-08 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-20
2026-01-08 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-20
2025-07-28 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2025-08-15
2025-07-28 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2025-08-15
2025-07-28 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-08-15
2025-07-28 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-08-15
2025-07-28 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-15
2025-07-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-15
2025-02-20 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-20
2024-09-12 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-04
2024-09-12 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-04
2024-09-12 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-04
2024-09-12 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-04
2024-09-12 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-04

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $25,695 in fines.

DateTypeAmount
2025-07-28Fine$25,695

Ownership & management

NameRoleSince
Cascade Capital Holdings LLC (organization)5%+ Indirect Ownership Interest · 100%
Beasley, Karla (individual)Administrator · NOT APPLICABLE
Behounek, Linsey (individual)Administrator · NOT APPLICABLE
Borcherding, Jenny (individual)Administrator · NOT APPLICABLE
Burken, Sheri (individual)Administrator · NOT APPLICABLE
Cascade Capital Holdings LLC (organization)Administrator · NOT APPLICABLE
Cascade Capital Partners LLC (organization)Administrator · NOT APPLICABLE
CCG Gorgona LLC (organization)Administrator · NOT APPLICABLE
Emmetsburg Ia Property Holdings, LLC (organization)Administrator · NOT APPLICABLE
Friedenberg, Laura (individual)Administrator · NOT APPLICABLE
Gorgona Holdco LLC (organization)Administrator · NOT APPLICABLE
Gorgona Propco Holdings LLC (organization)Administrator · NOT APPLICABLE
Gorgona Sub Holdco LLC (organization)Administrator · NOT APPLICABLE
GPN Family Trust U/A/D 4/28/08 (organization)Administrator · NOT APPLICABLE
Hedberg, Jennifer (individual)Administrator · NOT APPLICABLE
Hennager, Christina (individual)Administrator · NOT APPLICABLE
Heying, Larina (individual)Administrator · NOT APPLICABLE
Houston, Mindy (individual)Administrator · NOT APPLICABLE
Jaeger, Krystle (individual)Administrator · NOT APPLICABLE
Kamstra, Lee (individual)Administrator · NOT APPLICABLE
Knutson, Michele (individual)Administrator · NOT APPLICABLE
Larson, Melissa (individual)Administrator · NOT APPLICABLE
Legacy Healthcare Financial Services LLC (organization)Administrator · NOT APPLICABLE
McClure, Dorothy (individual)Administrator · NOT APPLICABLE
MN8 RH Holdco LLC (organization)Administrator · NOT APPLICABLE
Otterbeck, Patricia (individual)Administrator · NOT APPLICABLE
Rajchenbach, Chaim (individual)Administrator · NOT APPLICABLE
Runksmeier, Dawn (individual)Administrator · NOT APPLICABLE
Scott, Kathleen (individual)Administrator · NOT APPLICABLE
Seu, Joshua (individual)Administrator · NOT APPLICABLE
Shabat, Menachem (individual)Administrator · NOT APPLICABLE
Shear, Kiley (individual)Administrator · NOT APPLICABLE
Staudt, Sandra (individual)Administrator · NOT APPLICABLE
Thayer, Kay (individual)Administrator · NOT APPLICABLE
Van Veghel, Elizabeth (individual)Administrator · NOT APPLICABLE
Wierschem, Bobbie (individual)Administrator · NOT APPLICABLE
Wood, Rosemary (individual)Administrator · NOT APPLICABLE
Wright, Amy (individual)Administrator · NOT APPLICABLE
Shabat, Menachem (individual)Corporate Officer · NOT APPLICABLE
Beasley, Karla (individual)Operational/managerial Control · NOT APPLICABLE
Behounek, Linsey (individual)Operational/managerial Control · NOT APPLICABLE
Borcherding, Jenny (individual)Operational/managerial Control · NOT APPLICABLE
Burken, Sheri (individual)Operational/managerial Control · NOT APPLICABLE
Friedenberg, Laura (individual)Operational/managerial Control · NOT APPLICABLE
Hedberg, Jennifer (individual)Operational/managerial Control · NOT APPLICABLE
Hennager, Christina (individual)Operational/managerial Control · NOT APPLICABLE
Heying, Larina (individual)Operational/managerial Control · NOT APPLICABLE
Houston, Mindy (individual)Operational/managerial Control · NOT APPLICABLE
Jaeger, Krystle (individual)Operational/managerial Control · NOT APPLICABLE
Kamstra, Lee (individual)Operational/managerial Control · NOT APPLICABLE
Knutson, Michele (individual)Operational/managerial Control · NOT APPLICABLE
Larson, Melissa (individual)Operational/managerial Control · NOT APPLICABLE
Legacy Healthcare Financial Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
McClure, Dorothy (individual)Operational/managerial Control · NOT APPLICABLE
Otterbeck, Patricia (individual)Operational/managerial Control · NOT APPLICABLE
Rajchenbach, Chaim (individual)Operational/managerial Control · NOT APPLICABLE
Runksmeier, Dawn (individual)Operational/managerial Control · NOT APPLICABLE
Scott, Kathleen (individual)Operational/managerial Control · NOT APPLICABLE
Seu, Joshua (individual)Operational/managerial Control · NOT APPLICABLE
Shabat, Menachem (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Emmetsburg Care Center?

Emmetsburg Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does Emmetsburg Care Center have?

It has 46 certified beds and cares for about 41 residents per day.

Has Emmetsburg Care Center been fined?

Yes. CMS lists 1 penalty totaling $25,695 in the last three years.

Who owns Emmetsburg Care Center?

It is part of Legacy Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Emmetsburg Care Center?

(712) 852-4266. The facility is located at 2405 21st Street, Emmetsburg, IA 50536.

Other nursing homes in Emmetsburg

Compare all nursing homes in Emmetsburg, IA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.