CCN 165391 · Clayton County, Iowa
Elkader Care Center
116 Reimer Street SW, Elkader, IA 52043
Elkader Care Center is a 40-bed for-profit nursing home in Elkader, Iowa, first certified for Medicare or Medicaid in 1998. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 20.9 residents a day, about 52% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 40
- Average residents per day
- 20.9 (52.2% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Elkader Care LLC
- Certified since
- Apr 1, 1998
- Chain or affiliated group
- Edgewood Convalescent Home (5 facilities, chain average 4.4 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Iowa median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 78 at 1, 61 at 2, 86 at 3, 69 at 4, 91 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 3.73 | 3.69 | 3.68 |
| RN hours per resident per day | 1.22 | 0.70 | 0.58 |
| Weekend nurse hours per resident per day | 3.11 | ||
| Nursing staff turnover | 54.5% | 41.9% | 44.9% |
| Occupancy (residents / beds) | 52.2% | 83.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 0 (Dec 18, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Elkader Care Center meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Andrea Paris Revocable TrustOrganization | Indirect Ownership Interest | 6% | 07/08/2026 |
| Perrinjaquet, CadeIndividual | Indirect Ownership Interest | 6% | 08/28/2025 |
| Perrinjaquet, JerodIndividual | Indirect Ownership Interest | 6% | 08/28/2025 |
| Perrinjaquet, JordanIndividual | Indirect Ownership Interest | 6% | 08/28/2025 |
| Arthur, KristenIndividual | Operational / Managerial Control | n/a | 04/01/2023 |
| Landon, KaitlinIndividual | Operational / Managerial Control | n/a | 06/06/2026 |
| Lawlor, DonnaIndividual | Operational / Managerial Control | n/a | 06/01/2022 |
| Murphy, AmyIndividual | Operational / Managerial Control | n/a | 10/18/2025 |
| Pierce, EmilyIndividual | Operational / Managerial Control | n/a | 01/11/2026 |
| Sallee, MariIndividual | Operational / Managerial Control | n/a | 09/01/2025 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Nov 1, 2021 | Elkader Care LLC | Elkader Nursing Home Company LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.