Where They Care · plain answers about nursing homes

Great River Care Center

1400 West Main, Mc Gregor, IA 52157 · 39 beds · For profit - Limited Liability company

The records flag: 1 citation at the most serious level.

Everything here comes from Medicare's own inspection and payroll records. We don't rank facilities or take payment from them.

Medicare overall rating
★★★★
Above average · 4 of 5
All nursing staff, hours / resident
4.13
RNs, LPNs and aides · state average 4.37
Weekend RN coverage
−53%
vs weekdays
Staff turnover
63%
state average 44%
1 citation at the most serious level
Inspectors judged that residents were placed in danger of serious injury or death. See the inspection section for dates and whether each was corrected.
Weekend nurse coverage drops 53%
Some weekend drop is normal across the industry; a fall this size is at the steep end. Try to visit on a weekend.
Staff turnover of 63% is well above the state average
The average across this state is 44%. High turnover makes continuity of care harder.

These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.

Who's actually on the floor

Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.

Weekdays
0.81 hrs
Weekends
0.38 hrs
IA average
0.85 hrs

Registered nurses only — hours per resident per day. Longer is better.

Registered nurse coverage drops about 53% at weekends.

Staff turnover: 63%

High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.

What inspectors found

State inspectors visit at least once a year and after complaints. Over the last three years this facility received 5 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.

SeverityCitations
Immediate jeopardy
Residents placed at risk of serious injury or death
1
Potential for harm
No one harmed yet, but conditions could allow it
4
No harm
Rule and paperwork findings
0

1 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.

Medicare has issued $8,281 in fines here over the past three years.

Disclosed affiliations

Medicare requires every facility to disclose the people and companies connected to it. Most names below are not owners — they are officers, directors, managers, trustees, and what Medicare calls “additional disclosable parties.” The role beside each name is the one Medicare recorded. This is worth reading because operators tend to run their facilities alike: where the same group stands behind a dozen homes, the record across all twelve tells you more than any single inspection does.

NameRole recorded by MedicareSince
Edgewood Convalescent Home INC Direct owner, Additional disclosable party 11/01/2021
Funke, James Indirect owner 11/01/2021
Kendrick, Timothy Indirect owner 11/01/2021
Kevin Perrinjaquet Estate Indirect owner 11/01/2021
Moser, Maylo Indirect owner 11/01/2021
Perrinjaquet, Marjorie Indirect owner 11/01/2021
Arthur, Kristen Operational or managerial control 04/01/2024
Dehart, David Operational or managerial control, Additional disclosable party 04/07/2015
Hoerner, Tyler Operational or managerial control, Additional disclosable party 03/03/2025
Murphy, Amy Operational or managerial control, Additional disclosable party 05/15/2025
Poots, Katlyn Operational or managerial control, Additional disclosable party 05/29/2025
Smith, Kayla Operational or managerial control, Additional disclosable party 04/04/2025

Of the 12 parties disclosed here, 6 hold an ownership interest; the rest are recorded in a management, officer, financial, or other disclosable capacity. A percentage is shown only where Medicare published one — for most disclosed parties it publishes none.

Other options nearby

Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.

FacilityMilesRating Nurse hrsWeekend
Prairie Maison
Prairie Du Chien
3.3 2 0.72 −40%
Elkader Care Center
Elkader
16.1 4 1.56 −56%
Guttenberg Care Center
Guttenberg
17.1 5 0.66 −32%
Good Samaritan - Waukon
Waukon
22.4 2 1.06 −52%
Northgate Care Center
Waukon
23.1 1 0.48 −36%
Thornton Manor Nursing and Care Center
Lansing
23.7 4 0.98 −47%
Care and Rehab - Boscobel
Boscobel
25.6 4 1.09 −46%
Dove Healthcare - Fennimore
Fennimore
26.8 1 0.95 −37%

Weekend column shows the change in registered-nurse coverage at weekends compared with weekdays.

Worth asking on a visit

Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.

  1. Can I visit on a Sunday rather than a weekday? How many registered nurses are on duty then, and for how many residents?
  2. Turnover here is about 63%. How long has the director of nursing been in post?
  3. Medicare's records show a citation at the most serious level. What happened, and what changed afterwards?
  4. Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?

Where these numbers come from

All figures are published by the Centers for Medicare & Medicaid Services. Different measures cover different periods — some are considerably older than others, so each is dated separately below rather than under one "last updated" stamp.

Staffing hours
Jan–Mar 2026
Staff turnover
calendar year 2025
Inspections & citations
Jul 2023 – Jun 2026
Fines & penalties
last 3 years
Ownership
as reported to Medicare
Star rating & file release
CMS file dated 1 July 2026

We report what the records say and don't draw conclusions about care quality. If you believe something on this page is wrong — email a correction. It reaches a person, not a form. We check every report, fix what is wrong, and say so on the page; see how we handle corrections. If you work at this facility and our figures disagree with your own records, we want to hear that too.