CCN 165301
Great River Care Center
1400 West Main, Mc Gregor, IA 52157 · Clayton County
- Ownership
- For profit - Limited Liability company
- Certified beds
- 39
- Residents per day
- 30.1
- Health citations
- 5
- Penalties
- 1
- Fines
- 1 · $8,281
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.07
- 2.52
- 2.32
- LPN/LVN
- 0.67
- 0.56
- 0.86
- Registered nurse
- 0.67
- 0.74
- 0.69
- Total nurse staff
- 3.42
- 3.82
- 3.86
- Weekend total
- 2.86
- 3.37
- 3.42
- Weekend RN
- 0.38
- 0.51
- 0.48
Adjusted total nurse hours: 4.13. Adjusted RN hours: 0.81. Case-mix total: 3.17. Case-mix index: 1.159.
Total nursing staff turnover: 63.0%. RN turnover: 100.0%. Administrators who left: —.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 1 fine totaling $8,281, and 0 payment denials.
| Date | Type | Amount or days |
|---|
| December 2, 2025 | Fine | $8,281 |
Cycle 1 standard survey: August 21, 2025. Health deficiencies counted in cycle 1: 2. Cycle 1 total health score: 24.
Cycle 2 standard survey: October 2, 2024. Cycle 2/3 health deficiencies: 1. Total weighted health survey score: 19.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 5 citations for this home, including 1 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
December 2, 2025
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Complaint survey · Cycle 1 | J: isolated, immediate jeopardy to resident health or safety | Past Non-Compliance · November 3, 2025 |
August 21, 2025
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F693 | 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 feeding tube. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · September 5, 2025 |
October 2, 2024
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · October 3, 2024 |
October 26, 2023
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · November 3, 2023 |
| F658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · November 3, 2023 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections