★★★★☆CMS 4/522 bedsGovernmentMedicaid
- Nurse hours
- 3.07 /day
- Staff turnover
- 18%
- Serious cites
- 0
Palo Alto County Hospital runs a small 22-bed unit, and the numbers suggest it's well run. Staff turnover sits at 17.6%, very low next to the 45.8% national figure, which matters for familiarity and continuity in a place this size. The tradeoff is hours: 3.07 nurse staffing hours per resident day is about 21% under the national average, and weekends drop roughly 25% below the home's own weekday levels. One deficiency on the current record, none at harm level, no abuse findings, and a recent July 2025 inspection back that up. County-owned and financially steady, it looks like a home that keeps its people, with fewer hands on weekends.
★★★☆☆CMS 3/555 bedsNon-profitMedicaid
- Nurse hours
- 4.11 /day
- Staff turnover
- 37%
- Serious cites
- 0
Lakeside Lutheran Home runs on 4.11 nurse hours per resident day, roughly 7% above the national average, and it holds a five-star staffing rating. Weekend coverage dips about 8% below its own weekday level. Turnover sits at 37.2%, better than the 45.8% national figure. The tradeoff shows up in care quality: a one-star quality measure rating and a three-star inspection rating, with 22 deficiencies on record, one at harm level and seven tied to abuse. State inspectors were last in the building in February 2026. Nonprofit ownership, steady staffing, and a thin quality record point in different directions, worth asking about the abuse deficiencies directly.
★☆☆☆☆CMS 1/546 bedsFor-profitMedicaid
- Nurse hours
- 3.66 /day
- Staff turnover
- 57%
- Serious cites
- 0
Emmetsburg Care Center is a 46-bed for-profit home where the numbers point in different directions. Nurse staffing sits at 3.66 hours per resident day, a bit under the national average, and it thins out further on weekends, dropping about 11% below its own weekday levels. Staff turnover is the bigger concern: 56.9% a year against a national average of 45.8%, meaning more than half the nursing staff leaves annually.
Its inspection record shows 22 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with a $25,695 fine. The most recent inspection was July 2025. Quality measures score well, but that sits against the weakest possible inspection rating.