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Nursing homeFAID #4265

Emmetsburg Care Center

2405 21ST STREET, EMMETSBURG, IA, 50536
(712) 852-4266
46 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
46
CMS facility ID
165352
Care type
Nursing home
County
Palo Alto
Facility name
Emmetsburg Care Center
Street address
2405 21ST STREET
City / state / ZIP
Emmetsburg, IA 50536
Phone
(712) 852-4266

About this facility — Emmetsburg Care Center

Emmetsburg Care Center is a Medicare/Medicaid-certified skilled nursing facility in Emmetsburg, Iowa. It is licensed for 46 beds — below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 10 senior care facilities in Emmetsburg and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Emmetsburg Care Center 35 times across 10 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $25,695 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Legacy Healthcare
Ownership type
For profit - Corporation

Registered owners & officers

Cascade Capital Holdings Llc
Indirect owner · Additional disclosable party — 100% stake — since 2024
Beasley, Karla
Operational control · Additional disclosable party — since 2024
Behounek, Linsey
Operational control · Additional disclosable party — since 2024
Borcherding, Jenny
Operational control · Additional disclosable party — since 2024
Burken, Sheri
Operational control · Additional disclosable party — since 2024
Cascade Capital Partners Llc
Additional disclosable party — since 2024
Ccg Gorgona Llc
Additional disclosable party — since 2024
Emmetsburg Ia Property Holdings, Llc
Additional disclosable party — since 2024
Friedenberg, Laura
Operational control · Additional disclosable party — since 2024
Friedman, Brian
Trustee — since 2012
Gorgona Holdco Llc
Additional disclosable party — since 2024
Gorgona Propco Holdings Llc
Additional disclosable party — since 2024
Gorgona Sub Holdco Llc
Additional disclosable party — since 2024
Gpn Family Trust U/a/d 4/28/08
Additional disclosable party — since 2025
Hedberg, Jennifer
Operational control · Additional disclosable party — since 2024
Hennager, Christina
Operational control · Additional disclosable party — since 2024
Heying, Larina
Operational control · Additional disclosable party — since 2024
Houston, Mindy
Operational control · Additional disclosable party — since 2024
Jaeger, Krystle
Operational control · Additional disclosable party — since 2024
Kamstra, Lee
Operational control · Additional disclosable party — since 2024
Knutson, Michele
Operational control · Additional disclosable party — since 2024
Larson, Melissa
Operational control · Additional disclosable party — since 2024
Legacy Healthcare Financial Services Llc
Operational control · Additional disclosable party — since 2024
Mcclure, Dorothy
Operational control · Additional disclosable party — since 2024
Mn8 Rh Holdco Llc
Additional disclosable party — since 2024
Otterbeck, Patricia
Operational control · Additional disclosable party — since 2024
Rajchenbach, Avrum
Trustee — since 2008
Rajchenbach, Chaim
Operational control · Additional disclosable party — since 2024
Rajchenbach, Rivka
Trustee — since 2008
Runksmeier, Dawn
Operational control · Additional disclosable party — since 2024
Scott, Kathleen
Operational control · Additional disclosable party — since 2024
Seu, Joshua
Operational control · Additional disclosable party — since 2024
Shabat, Ahuva
Trustee — since 2012
Shabat, Menachem
Officer · Operational control · Additional disclosable party — since 2024
Shear, Kiley
Operational control · Additional disclosable party — since 2024
Staudt, Sandra
Operational control · Additional disclosable party — since 2024
Thayer, Kay
Operational control · Additional disclosable party — since 2024
Van Veghel, Elizabeth
Operational control · Additional disclosable party — since 2024
Wierschem, Bobbie
Operational control · Additional disclosable party — since 2024
Wood, Rosemary
Operational control · Additional disclosable party — since 2024
Wright, Amy
Operational control · Additional disclosable party — since 2024

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1997-08-01
CMS overall rating
1 of 5 stars
Health deficiencies
16 at the last standard inspection
Federal fines
$25,695 total
Last standard inspection
2025-07-28
Nurse staffing
3.7 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$320 per day (≈ $9,730/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
53% Medicaid · 10% Medicare · 38% private/other
Occupancy
63% (fiscal year 2024)
Vs. state median
6% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
46
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-11Health inspectionComplaint-triggered8 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-05-29
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-05-29
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-05-29
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-05-29
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-05-29
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-05-29
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-05-29
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-05-29
2026-01-08Health inspectionComplaint-triggered2 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-01-20
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-01-20
6 earlier / fire-safety inspections (25 citations)
2025-07-28Health inspection6 citations
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-15
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-15
F-0803
E · No harm foundFood safety
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 2025-08-15
F-0805
J · Immediate jeopardyFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-08-15
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-15
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-08-15
2025-02-20Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-20
2024-09-12Health inspectionComplaint-triggered5 citations
F-0604
D · No harm foundFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-10-04
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-04
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-04
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-04
F-0805
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-10-04
2025-07-28Fire-safety inspection2 citations
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-07-22
K-0331
F · No harm found
Construct fire resistant interior walls.
Corrected 2025-07-22
2024-09-12Fire-safety inspection7 citations
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-09-27
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2024-09-27
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-27
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-27
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-09-27
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-09-27
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-09-27
2023-06-22Fire-safety inspection4 citations
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2023-06-26
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2023-07-26
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-07-11
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-07-11

Federal penalties

2025-07-28Fine$25,695
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165352.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 35 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered