Edgewood, IA · Clayton County
★★★★★CMS 5/556 bedsFor-profitMedicaid
- Nurse hours
- 3.39 /day
- Staff turnover
- 29%
- Serious cites
- 0
Edgewood Convalescent Home holds 56 certified beds in Clayton County and is run by a for-profit corporation. Its recent inspection history is clean: three deficiencies on record, none at the harm or jeopardy level and none tied to abuse, with a survey completed in September 2025. Staff turnover sits at 29.4 percent, comfortably under the national 45.8 percent, which suggests people tend to stay. The trade-off is raw staffing volume, 3.39 nurse hours per resident day, roughly 12 percent under the national average, and weekends drop about 17 percent below the home's own weekday coverage. Those weekend gaps are worth asking about directly.
Strawberry Point, IA · Clayton County
★★★★☆CMS 4/516 bedsNon-profitMedicaid
- Nurse hours
- 5.13 /day
- Staff turnover
- 56%
- Serious cites
- 0
Strawberry Point Lutheran Home is a 16-bed nonprofit in Clayton County, and the numbers suggest a place that runs lean but attentive. Nurse staffing sits at 5.13 hours per resident day, roughly a third more than the national average, though weekends drop about 17% below its own weekday level, worth asking how that gap gets covered. Staff turnover is 56%, higher than the 45.8% national figure, which is common in small rural homes but still means familiar faces cycle through. Nine deficiencies on record, none at the harm level and none abuse-related, with a fresh inspection in April 2025. Its four-star marks across inspections, quality measures, and staffing line up with what you'd expect from a well-staffed, small nonprofit.
Elkader, IA · Clayton County
★★★★☆CMS 4/540 bedsFor-profitMedicaid
- Nurse hours
- 3.73 /day
- Staff turnover
- 55%
- Serious cites
- 0
Elkader Care Center runs 40 beds as a for-profit LLC, and its inspection record is genuinely strong, a 4-out-of-5 health inspection rating with a recent survey from December 2025. But look at the direct-care picture: 3.73 nurse hours per resident per day sits slightly under the national average of 3.86, and weekends drop about 17% below the home's own weekday staffing. Annual turnover of 54.5% tops the national 45.8%, which means the people helping your relative bathe and eat are changing often. Four deficiencies are on record, one involving harm or jeopardy and one tied to abuse. Good inspections, thinner hands-on coverage, worth asking about.
Guttenberg, IA · Clayton County
★★★★★CMS 5/546 bedsFor-profitMedicaid
- Nurse hours
- 3.65 /day
- Staff turnover
- 40%
- Serious cites
- 0
Guttenberg Care Center runs a tight ship on inspections, zero deficiencies on its current record, none at the harm level, nothing abuse-related, and a five-star health inspection rating from CMS, with its last survey in November 2025. Staffing is thinner than average, though: 3.65 nurse hours per resident day against 3.86 nationally, and weekends run about 9% leaner than weekdays, which matters most when families visit and needs don't pause. Turnover sits at 40%, better than the 45.8% national figure, suggesting the crew that's there tends to stay. For 46 beds under limited-liability ownership, the picture is a clean inspection history paired with below-average daily coverage, worth asking the administrator how weekends are actually staffed.
Mc Gregor, IA · Clayton County
★★★★☆CMS 4/539 bedsFor-profitMedicaid
- Nurse hours
- 3.42 /day
- Staff turnover
- 63%
- Serious cites
- 0
Great River Care Center in McGregor runs 39 beds under for-profit LLC ownership, and its recent inspections look solid, four stars for health inspections and quality measures, with the last survey in August 2025. The staffing picture is where it gets shakier. At 3.42 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly 16% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 63% is well above the 45.8% national figure, which matters for continuity of care. Five deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus a single $8,281 fine.