Emmetsburg Care Center
2405 21st Street · Emmetsburg, IA · 50536 · 7128524266
46 certified beds For profit - Corporation Chain: Legacy Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.46 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | 1 · $25,695 |
Inspection citations (14 in the current record)
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Potential for harm · D January 8, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 8, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 20, 2026 · Quality of Life and Care
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Immediate jeopardy · J July 28, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected August 15, 2025 · Nutrition and Dietary
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Actual harm · G July 28, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 15, 2025 · Quality of Life and Care
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Potential for harm · D July 28, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 15, 2025 · Quality of Life and Care
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Potential for harm · E July 28, 2025
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.
Corrected August 15, 2025 · Nutrition and Dietary
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Potential for harm · E July 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 15, 2025 · Nutrition and Dietary
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Potential for harm · D July 28, 2025
Provide and implement an infection prevention and control program.
Corrected August 15, 2025 · Infection Control
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Potential for harm · D February 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 20, 2025 · Quality of Life and Care
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Potential for harm · D September 12, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 12, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 4, 2024 · Quality of Life and Care
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Potential for harm · D September 12, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected October 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 12, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 4, 2024 · Quality of Life and Care
-
Potential for harm · D September 12, 2024 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected October 4, 2024 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 28, 2025 | Fine | $25,695 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165352 · certified since August 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.