Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Palo Alto County Hospital during CMS and state inspections, most recent first.
The facility did not accurately submit licensed nurse staffing data to CMS via PBJ, as required. Several RN shifts were not reported due to incorrect job coding and lack of a PBJ policy, resulting in unreported nursing coverage for multiple dates.
Failure to Accurately Report Licensed Nurse Staffing Data to PBJ
Penalty
Summary
The facility failed to submit accurate direct care staffing information to CMS through the Payroll Based Journal (PBJ) system, as required. During the review period, the facility reported a census of 21 residents but did not accurately report licensed nurse coverage for multiple dates, as identified in the PBJ Staffing Data Report. Specifically, the Unit Coordinator/Registered Nurse (RN) covered nursing shifts on several dates, but these hours were not reported to PBJ. Additionally, an RN who typically worked in another area covered a nursing shift, but her hours were not coded correctly and thus not reported. The Director of Nursing (DON) confirmed that these nursing hours were omitted from the PBJ submission and acknowledged that the facility did not have a PBJ policy in place.
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Illustrative
What surveyors actually found near you
We read the 121 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Emmetsburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lakeside Lutheran Home | 0.4 mi | ★★★★★ | 6 | 0 |
| Emmetsburg Care Center | 1.3 mi | ★★★★★ | 10 | 0 |
| Ruthven Community Care Center | 10.6 mi | ★★★★★ | 2 | 0 |
| West Bend Health And Rehabilitation | 16.6 mi | ★★★★★ | 0 | 0 |
| Estherville Community Care Center | 20.6 mi | ★★★★★ | 18 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.