105 Continuing Care Retirement Communities in Iowa

Nurse hours

5.09 /day

Staff turnover

38%

Serious cites

0

Sunrise Retirement Community runs on 5.09 nurse hours per resident day, roughly a third more than the national average, and that shows up in its staffing rating. Weekend coverage dips about 10% below weekday levels, which is common but worth knowing if your visits land on Saturdays. Staff turnover sits at 37.8%, better than the 45.8% national figure, so the people caring for residents tend to stick around longer than elsewhere. The current inspection record shows 11 deficiencies, none at the harm level and none abuse-related, with the last survey in September 2025. As a nonprofit with 74 beds, it's smaller than many, and its health inspection rating holds at 4 out of 5.

Nurse hours

3.48 /day

Staff turnover

20%

Serious cites

0

Community Care Center in Stuart runs a tight ship on staff retention, 20.4% turnover is less than half the national average of 45.8%, which means the people caring for residents tend to stick around. That stability shows up in the quality and staffing star ratings, both 5 out of 5. The tradeoff is that daily nurse staffing sits at 3.48 hours per resident, about 10% under the national figure, and weekends dip roughly 10% below what the home itself provides on weekdays. Twelve deficiencies appear on the current record, none at the harm level, though three are abuse-related. The last inspection was December 2025, so the picture is recent.

Nurse hours

4.16 /day

Staff turnover

41%

Serious cites

0

The Gardens of Cedar Rapids runs 40 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average of 3.86. That staffing edge is the strongest thing the home has going for it, though weekend coverage dips about 12% below its own weekday level, so care can thin out when families visit. Turnover lands at 40.9%, a bit better than the 45.8% national figure. The harder reading comes from inspections: 17 deficiencies on record, 3 at harm or jeopardy level and 5 tied to abuse, with one fine totaling $19,383. The last inspection was January 22, 2026. Strong staffing, but the inspection history is what a family should ask about directly.

Nurse hours

4.57 /day

Staff turnover

42%

Serious cites

0

Lutheran Retirement Home is a small church-affiliated nonprofit in Northwood, and its staffing is genuinely strong, 4.57 nurse hours per resident day, about 18 percent above the national average, with turnover at 41.9 percent, better than the 45.8 percent norm. Weekends run roughly 17 percent leaner than weekdays, so coverage isn't perfectly even. The trouble sits on the inspection side: 13 deficiencies on the current record, four of them at the harm or jeopardy level and three abuse-related, plus one fine of $24,922. That split, high staffing and quality marks alongside serious inspection findings, is worth asking the administrator about directly, particularly what changed after the February 2026 survey.

Nurse hours

4.33 /day

Staff turnover

27%

Serious cites

0

Good Neighbor Home runs a genuinely strong staffing operation for a 112-bed nonprofit in Manchester. Nurses provide 4.33 hours per resident day, about 12% above the national average, and turnover sits at 27.2% against a national 45.8%, that kind of retention matters more than any single number, because consistent caregivers know the residents. The catch is inspections: eight deficiencies on the current record, three of them serious enough to involve harm or jeopardy, with a $6,279 fine attached. State surveyors last visited in June 2025. Weekend coverage also dips roughly 14% below weekday levels, so care can thin out when families visit. Strong hands on staff, but quality measures and inspection history both sit at two stars.

Nurse hours

3.64 /day

Staff turnover

19%

Serious cites

0

Gracewell runs leaner on nurse hours than the typical American nursing home, 3.64 per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. What stands out more is who stays: turnover sits at 18.5% when the national figure is 45.8%, so the people caring for residents here tend to still be there next year. The inspection record backs that up, with 10 deficiencies on file, none involving harm or jeopardy and none abuse-related, and a survey as recent as August 2025. For a nonprofit home, that combination of steady staff and a clean harm record counts for more than the raw hours suggest.

Nurse hours

3.75 /day

Staff turnover

39%

Serious cites

0

Keystone Nursing Care Center runs 55 beds under corporate for-profit ownership, and its inspection record is genuinely strong, a 5-star health inspection rating with just three deficiencies on file, only one at the harm level and none tied to abuse. Quality measures also score 5 stars. Where it gives ground is staffing: 3.75 nurse hours per resident day sits about 3% under the national average, weekend coverage drops roughly 12% below its own weekday level, and the staffing rating lands at 3 stars. Turnover is the brighter spot at 38.6%, well under the 45.8% national figure. Its last inspection was September 2025.

Nurse hours

4.56 /day

Staff turnover

44%

Serious cites

0

The Suites At Western Home Communities runs about 4.56 nurse hours per resident day, roughly 18% above the national average, and weekend staffing only dips about 5% below weekday levels, a small gap, which matters because weekends are where a lot of homes quietly thin out. Turnover sits at 43.6%, slightly better than the 45.8% national figure but still meaning nearly half the nursing staff turning over in a year. The inspection record shows 13 deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. With a nonprofit owner, a recent March 2026 inspection, and 4s across health inspection and quality measures alongside that 5 on staffing, the numbers point to a home that's well-staffed and currently in good standing.

Nurse hours

4.13 /day

Staff turnover

40%

Serious cites

0

Eastern Star Masonic Home runs on 4.13 nurse staffing hours per resident day, about 7% above the national average, and turnover sits at 39.5%, lower than the 45.8% typical elsewhere. Those are real strengths. The trade-offs show up in the inspection record: 19 deficiencies, two of them abuse-related, though none rose to actual harm or jeopardy. Weekend staffing drops roughly 13% below its own weekday level, so care can thin out on Saturdays and Sundays. The last inspection was in April 2025, so the picture is reasonably current. For a 76-bed nonprofit in Boone, this reads as a generally solid home with a specific weekend and abuse-reporting pattern worth asking about directly.

Nurse hours

4.26 /day

Staff turnover

40%

Serious cites

0

Halcyon House sits in Washington, Iowa, with 54 certified beds and a nonprofit owner. The staffing numbers are strong, 4.25 nurse hours per resident day, roughly 10% above the national average, with weekend coverage dipping about 11% below weekdays. Turnover runs 40%, better than the 45.8% national figure, and CMS gives top marks for staffing and quality measures. The tension is in inspections: a 2/5 health inspection rating, five deficiencies on record, one serious enough to reach harm or jeopardy level. No abuse citations. The most recent inspection was March 2026. Good hands on deck, but the survey history is where the concern lives.

Nurse hours

3.96 /day

Staff turnover

33%

Serious cites

0

Heritage House runs a nonprofit operation with 61 beds in Atlantic, and the staffing numbers are the first thing worth noticing. At 3.96 nurse hours per resident day, it sits just above the national average, and weekend coverage dips about 11% below its own weekday level, a gap families should ask about directly. Staff turnover is 33.3%, well under the 45.8% national figure, which matters for whether your parent sees the same faces week to week. The inspection record shows 11 deficiencies, none involving harm or abuse, with the most recent state visit in September 2025. Ownership is nonprofit, which often means steadier budgets and less pressure to trim direct care hours.

Nurse hours

4.78 /day

Staff turnover

28%

Serious cites

0

Friendship Village Retirement runs on a nonprofit model with 72 certified beds in Waterloo, and the staffing numbers are the clearest strength here: 4.78 nurse hours per resident day, roughly a quarter above the national average, with weekend coverage dipping only about 8% from weekday levels. Turnover sits at 28.3%, well under the national 45.8%, which matters for continuity of care. The tradeoffs show up elsewhere. Inspections in November 2025 turned up eight deficiencies, including one at the harm level and one tied to abuse, and the quality measure rating comes in at 2 out of 5, a gap worth asking about directly, since staffing strength doesn't automatically translate into clinical outcomes.

Nurse hours

4.88 /day

Staff turnover

28%

Serious cites

0

Crown Pointe Estates runs 4.88 nurse hours per resident day, well above the national average of 3.86, and the weekend drop is modest at around 12 percent. Staff turnover sits at 27.8 percent against a national figure of 45.8, meaning workers tend to stick around here longer than at most homes. The tradeoff shows up elsewhere: 18 deficiencies on the current record, though none reached harm or jeopardy level and none involved abuse, with the most recent inspection in June 2025. Quality measure scores land below average even as staffing earns top marks, so the picture is a well-staffed nonprofit that hasn't yet turned that advantage into strong clinical outcomes on paper.

Nurse hours

4.10 /day

Staff turnover

46%

Serious cites

0

The Village in Indianola runs on a nonprofit model and staffs above the national average, 4.10 nurse hours per resident day against 3.86, though weekends dip about 10% below its own weekday coverage, so ask how that gap gets filled. Turnover sits at 45.9%, essentially the national average, which means retention here isn't a crisis but isn't a strength either. Seven deficiencies appear on the current record, one serious enough to involve harm or jeopardy, with nothing abuse-related. The last inspection was January 15, 2026, recent enough to trust. Four stars on health inspections and quality measures, five on staffing, with 54 beds, small enough that you can reasonably expect staff to know residents by name.

Nurse hours

4.26 /day

Staff turnover

46%

Serious cites

0

Pleasantview Home runs about 66 certified beds in Kalona under nonprofit ownership, and its nurse staffing sits roughly 10% above the national average at 4.26 hours per resident day. Weekends dip about 10% below its own weekday level, so coverage is thinnest when families tend to visit. Staff turnover lands at 46%, essentially matching the national figure, which means retention is ordinary rather than a standout strength. The current record shows six deficiencies, none at the harm level and none abuse-related, with the most recent inspection dated April 2026. Quality and staffing each earned four stars from CMS, while health inspections came in at three.

Nurse hours

3.98 /day

Staff turnover

35%

Serious cites

0

Hiawatha Care Center runs 109 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.98 hours per resident day, modestly above the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover is 34.5%, meaningfully lower than the 45.8% national figure, which suggests a more stable workforce than many homes manage. The current record shows 10 deficiencies, one at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. CMS gives this home 3 stars for health inspections, 4 for quality measures, and 4 for staffing.

Nurse hours

4.37 /day

Staff turnover

55%

Serious cites

0

Northridge Village runs lean in a way that mostly works. Nurse staffing sits at 4.37 hours per resident day, comfortably above the national average, and that shows up in its staffing rating. The catch is weekends, when coverage drops about 11% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover is the bigger flag: 54.7% annually against a national 45.8%, meaning more than half the nursing staff turned over in a year. Inspections came back recently and cleanly enough, with one deficiency serious enough to register as harm. Six deficiencies total, none tied to abuse.

Nurse hours

4.12 /day

Staff turnover

40%

Serious cites

0

The Vinton Lutheran Home runs a strong floor: 4.12 nurse staffing hours per resident day, roughly 7% above the national average, with turnover at 40% against a national 45.8%. Those are the numbers behind the top staffing rating. The problem sits in the inspection record. Thirteen deficiencies on file, two of them at harm or jeopardy level and one abuse-related, earned a 1 out of 5 inspection rating, and the most recent survey closed April 30, 2026. Weekend staffing also drops about 17% below its weekday level, so coverage thins exactly when families visit and issues tend to surface. Good people, thin margins on compliance. Ask about the plan to fix it.

Nurse hours

4.06 /day

Staff turnover

35%

Serious cites

0

Fieldstone Of Dewitt runs on 4.06 nurse hours per resident day, a bit above the national average of 3.86, and weekend coverage dips roughly 7% below its own weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Annual turnover sits at 34.9%, well below the 45.8% national figure, so the people caring for residents tend to stick around, which matters more than any single inspection score. The home carries four deficiencies on its current record, none at the harm level and none abuse-related, with a health inspection from July 2025. Quality measures land mid-range while staffing and inspections score higher.

Nurse hours

4.32 /day

Staff turnover

29%

Serious cites

0

Mount Carmel Bluffs runs on 4.32 nurse hours per resident day, about 12 percent above the national average, and its staff tends to stay, 29 percent turnover against a national 45.8. That steadiness shows up in the inspection record: seven deficiencies, none at the harm level, none tied to abuse, with a survey completed in late February 2026. The trade-off is quality measures, where the home scores low despite the strong staffing. Weekend coverage slips roughly 10 percent below its own weekday level, so ask how that gap gets filled. It's a for-profit limited liability company with 60 beds.