Great River Care Center
Nursing home in Mc Gregor, Iowa, CMS certification number 165301
1400 West Main, Mc Gregor, IA 52157 · Clayton County
- CMS overall rating
- 4 of 5 stars
- Certified beds
- 39
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 21, 2025
- Deficiencies at that inspection
- 2
- Fines in 3 years
- $8,281 (1)
Does Great River Care Center take Medicare and Medicaid?
Yes to both. Great River Care Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 4 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Great River Care Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.39
- Registered nurse hours
- 0.70
- Licensed practical nurse hours
- 0.70
- Nurse aide hours
- 1.99
- Weekend total hours
- 2.74
- Nursing staff turnover
- 60.7%
- Registered nurse turnover
- 100%
Health inspections and complaints
Inspectors last made a standard visit on August 21, 2025 and cited 2 deficiencies, plus 1 from complaint visits.
The visit before, on October 2, 2024, found 1.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Great River Care Center 1 time in the past 3 years, for $8,281 in total.
Beds and residents
On an average day 29.9 residents live here, about 77% of its 39 certified beds.
- Certified beds
- 39
- Average residents per day
- 29.9
- Certified since
- January 1, 1997
- Resident or family council
- Resident
Who owns Great River Care Center
- Legal business name
- McGregor Care LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 5 homes nationally under Edgewood Convalescent Home, 4.4-star chain average
Other nursing homes near Great River Care Center
- Elkader Care Center116 Reimer Street SW, Elkader 52043
- Guttenberg Care Center1315 Acre Street, Guttenberg 52052
- Good Samaritan - Waukon21 East Main Street, Waukon 52172
- Northgate Care Center960 4th Street NW, Waukon 52172
- Thornton Manor Nursing and Care Center1329 Main Street, Lansing 52151
Who inspects nursing homes in Iowa
Iowa's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Iowa, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Great River Care Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Great River Care Center
What is the CMS star rating of Great River Care Center?
4 out of 5 stars overall.
Does Great River Care Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Great River Care Center?
2 cited at the last standard visit.
Who owns Great River Care Center?
McGregor Care LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.