Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Great River Care Center during CMS and state inspections, most recent first.
A resident with Alzheimer's Disease and a high fall risk exited the facility unsupervised after a staff member held the door open, and staff failed to promptly notice or report the absence. The resident walked nearly a mile along a highway before being located and returned by police, with staff interviews confirming lapses in supervision and communication.
Feeding tubes were utilized for a resident without clear medical justification or documented consent, and appropriate care for a resident with a feeding tube was not provided as required.
A resident with severe cognitive impairment and multiple diagnoses was admitted to hospice care, but the care plan was not updated to include hospice care. Despite the facility's policy requiring timely updates, the care plan lacked a focus area for hospice care nearly two months after admission. Staff interviews indicated that the nurse consultant responsible for updates did not ensure the care plan reflected the resident's current needs.
Failure to Secure Exit Doors and Supervise Exit-Seeking Resident
Penalty
Summary
A deficiency occurred when staff failed to maintain secured exit doors and provide adequate supervision for a resident identified as exit seeking. The resident, who had diagnoses including Alzheimer's Disease, non-traumatic brain dysfunction, hypertension, anxiety, and disorientation, was assessed as having moderately impaired cognitive skills and a high risk for falls. Despite these risks, the resident was able to exit the facility through the front door after a housekeeper held the door open for him upon her arrival. The housekeeper did not notify nursing or management staff that the resident had left the building. Following the resident's exit, staff did not immediately realize he was missing. The resident walked approximately 0.8 miles down a highway into town, unaccompanied and without appropriate outerwear for the weather conditions, which were cold at the time. The absence of the resident was only discovered when his family called the facility to report that he had contacted them from a location in town. Staff then initiated a search and contacted the police, who located the resident and returned him to the facility. Upon return, the resident was assessed and found to have cold fingertips but no injuries. Interviews with staff revealed that several employees had observed the resident near the front entrance and noted his exit-seeking behavior earlier that morning. However, interventions to prevent his elopement were insufficient, and communication among staff regarding his whereabouts was lacking. The facility's failure to secure the exit and supervise the resident resulted in the resident leaving the premises unsupervised for approximately 45 minutes.
Improper Use and Care of Feeding Tubes
Penalty
Summary
Feeding tubes were used for residents without documented medical necessity or without evidence of resident consent. Additionally, care provided to residents with feeding tubes was not appropriate, as required by regulations. The report identifies failures in ensuring that feeding tubes were only used when medically indicated and agreed upon by the resident, and that proper care was given to those with feeding tubes.
Failure to Update Care Plan for Hospice Care
Penalty
Summary
The facility failed to revise the care plan to include hospice care for a resident with severe cognitive impairment, as indicated by a BIMS score of 0/15. The resident had diagnoses of Alzheimer's disease, non-Alzheimer's dementia, and seizure disorder. Despite being admitted to hospice care, the care plan, revised nearly two months later, lacked a focus area for hospice care. This oversight was identified during a review of the resident's care plan and progress notes. Interviews with facility staff revealed that the responsibility for updating care plans fell to a nurse consultant, who was expected to update the care plan by the next business day following any changes. However, the care plan for the resident in question did not reflect the hospice care admission. The facility's policy required care plans to describe services necessary to maintain the resident's well-being and to be regularly reviewed and revised, but this was not adhered to in this instance.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Mc Gregor
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Prairie Maison | 3.3 mi | ★★★★★ | 0 | 0 |
| Elkader Care Center | 16.1 mi | ★★★★★ | 0 | 0 |
| Guttenberg Care Center | 17.1 mi | ★★★★★ | 1 | 0 |
| Good Samaritan - Waukon | 22.4 mi | ★★★★★ | 9 | 1 |
| Northgate Care Center | 23.1 mi | ★★★★★ | 18 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.