105 Continuing Care Retirement Communities in Iowa
105 of the 388 Medicare-certified nursing homes in Iowa (27%) are CCRC, and all are listed below. 45 of the 105 graded homes earn an A and 2 earn a D or F. They average 4.17 nursing hours per resident per day, 0.35 hours above the 3.82 for every home in Iowa. Deerfield Health Care Center in Urbandale grades highest at A (100 out of 100).
How CCRC homes in Iowa compare
This group set against every nursing home in Iowa, from the current CMS release.
Westhaven Community runs 4.10 nurse hours per resident day, about 6% above the national average, which helps explain its decent staffing marks, but weekends drop roughly 11% below its own weekday coverage, so care thins out exactly when families tend to visit. The bigger concern is turnover: 96.1% of staff leave each year, more than double the national rate of 45.8%, meaning the people delivering care are constantly new. Add 13 deficiencies on record, including one at the harm level, and an April 2025 inspection that's already aging, and you've got a home with real strengths sitting alongside real instability. It's nonprofit-owned, so nobody's paying dividends, but that doesn't make the churn any easier on residents.
Ramsey Village runs a nonprofit home of 78 beds in Des Moines, and its staffing is the strongest part of the picture: 4.05 nurse hours per resident day, roughly 5% above the national average. The catch is consistency, weekend coverage drops about 11% below weekday levels, and turnover sits at 47.1%, just above the national figure. The inspection record is where families should slow down. Thirty-one deficiencies are on file, including one at the harm level and two tied to abuse, and the last inspection was August 2025. A 2/5 health inspection rating alongside that count tells you the day-to-day care environment has drawn repeated federal scrutiny, even while direct care hours look adequate on paper.
The Vistas At Bettendorf runs 4.36 nurse hours per resident day, roughly 13% above the national average, and that staffing shows up in its four-star rating there. Weekends dip about 6% below its own weekday levels, so coverage holds fairly steady. Turnover is the soft spot: 53.8% of staff leave each year against a 45.8% national figure, which is worth asking about directly. Its 13 deficiencies include none at the harm level and none abuse-related, and the most recent inspection was August 2025. Quality measures score two stars, the weakest area on record. Owned by a for-profit limited liability company.
The Rehabilitation Center of Allison runs on thinner nurse coverage than most homes, 3.54 hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekday pace. That staffing picture is strained further by 65.5% annual turnover, well above the 45.8% national figure, meaning nearly two-thirds of the nurse workforce turns over each year. State inspectors cited 17 deficiencies on the current record, two at harm or jeopardy level and two abuse-related, after a visit in August 2024. The quality measure score looks strong, but it sits alongside a two-star inspection history, and the home is owned by a for-profit limited liability company.
Davenport Lutheran Home is a church-affiliated nonprofit with 98 beds, and its staffing is the clearest strength: 4.19 nurse hours per resident day, about 8% above the national average, with a 4-out-of-5 CMS staffing rating. Turnover sits at 36%, below the 45.8% national figure, which matters for consistency of care. The concerns show up elsewhere. Inspectors cited 21 deficiencies on the current record, three at harm or jeopardy level and three abuse-related, with two fines totaling $43,310, and the most recent inspection was December 11, 2025. Weekend staffing drops roughly 14% below its own weekday level, so coverage thins when families tend to visit. Strong hands on staff, but a recent inspection record that warrants questions.
The New Homestead Care Center runs on thinner staffing than most Iowa nursing homes. At 3.47 nurse hours per resident day, it sits about 10% under the national average, and weekends dip roughly 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 56.3% is well above the 45.8% national figure, meaning aides and nurses cycle through faster than residents can get used to them. The current record shows 24 deficiencies, none at harm or jeopardy level, but one abuse-related citation is worth asking about directly. A 4/5 quality measure score suggests the clinical tracking looks decent, though the 2/5 inspection rating and April 2025 survey date tell you oversight hasn't been spotless.
Hawkeye Care Center Dubuque runs about 3.33 nursing hours per resident each day, roughly 14% under the national average of 3.86, and weekend coverage dips slightly below its own weekday staffing. The 80-bed home is owned by a for-profit limited liability company and carries ten deficiencies on its current record, one of them serious enough to reach harm or jeopardy level, though none are abuse-related. Its last inspection was September 18, 2025, and CMS gives it three stars each for health inspections, quality measures, and staffing. That's a home sitting squarely in the middle, decent marks across the board, but staffing hours that fall short of what most residents need.
Park View Rehabilitation Center runs 77 certified beds in Sac City under corporate ownership, and the staffing numbers are the place to start. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 12% below its own weekday coverage. Staff turnover lands at 53.2% against a national 45.8%, so nearly half the workforce is cycling through each year. The inspection record shows 19 deficiencies, including 2 at harm or jeopardy level and 1 tied to abuse; the most recent inspection was March 2026, so that record is current. Quality and health inspection measures both rate 2 out of 5.
Nurse staffing at Rehabilitation Center Of Hampton runs about 15% under the national average, roughly 3.27 hours per resident day against 3.86, and weekend coverage drops another 14% below its own weekday levels, so the thinnest shifts are when families tend to visit. The current record shows eight deficiencies, including one at the harm or jeopardy level and one abuse-related citation, though the last inspection was recent, in May 2025. Turnover sits at 46.4%, essentially the national average. The for-profit limited liability company that owns the 52-bed home posts strong marks on inspections and quality measures; the staffing number is what pulls it down.
Luther Manor At Hillcrest runs a for-profit shop with 103 certified beds, and the numbers split in two directions. Nurse staffing sits at 4.49 hours per resident day, about 16 percent above the national average of 3.86, but weekends drop roughly 11 percent below the home's own weekday coverage, and annual turnover is 54.3 percent against a national 45.8. That combination means bodies are scheduled, though not always the same ones.
The inspection record is where the trouble concentrates: a one-out-of-five health inspection rating, 24 deficiencies including three at harm or jeopardy level, and $42,406 in fines across two events. No abuse citations appear. The most recent inspection was February 12, 2026.
Quality measures score two out of five. Ask about weekend coverage and the plan for the three harm-level findings before you decide.
Wellington Place runs on thinner staffing than most homes nationally, 3.47 nurse hours per resident day against a 3.86 average, and weekends dip about 16% below what it manages during the week, which matters when a resident needs help on a Saturday. The inspection record shows three deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $29,689; the most recent inspection was in August 2025, so that picture is current. Turnover sits at 48.1%, slightly above the national 45.8%, and the quality measure rating comes in at 1 out of 5 even as inspections and staffing each rate 4. The nonprofit ownership and recent survey work are the steadier parts here.
The Summit of Bettendorf runs a 39-bed for-profit home where nurses give about 4.58 hours of care per resident per day, roughly 18 percent more than the national average, a real strength. Two things temper that. Weekend staffing drops about 8 percent below the home's own weekday level, so families visiting Saturday or Sunday may see fewer hands. And turnover sits at 56.9 percent against a national 45.8 percent, meaning the people providing that extra care keep changing. The current inspection record carries nine deficiencies, one at the harm or jeopardy level and one abuse-related, along with a single $26,358 fine. The last inspection was in December 2025, so the record is recent rather than stale.
Azria Health Rose Vista runs 76 certified beds in Woodbine under for-profit LLC ownership, and its nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86. Weekends thin out further, roughly 14% below the home's own weekday coverage. Staff turnover is 42.6%, a touch better than the 45.8% national figure, but the inspection record is where the picture darkens: 22 deficiencies on file, including one at the harm or jeopardy level and one abuse-related. That last inspection closed in November 2025, so the findings are current, not old history.
Solon Nursing Care Center sits in Johnson County with 96 certified beds and a for-profit corporate owner. The inspection record is genuinely strong, nine deficiencies on file, just one at the harm level, nothing abuse-related, and a survey as recent as July 2025. Staffing runs slightly under the national average at 3.83 nurse hours per resident day, and weekends dip about 10% below the home's own weekday coverage. Turnover is the real pressure point: 55.3% annually against a 45.8% national figure, which matters more when a building is already lean on hours. Quality measures land at 2 out of 5 stars, a low mark that inspection results alone don't explain.
The Highlands sits in Decorah with 86 certified beds and a nonprofit owner, and the numbers cut two ways. Nurse staffing runs 3.90 hours per resident day, just barely above the national average of 3.86, though weekends dip about 8% below its own weekday level. The bigger concerns show up in the inspection record: 34 deficiencies, four at the harm or jeopardy level, one tied to abuse, and $93,839 in fines across two penalties, with the most recent inspection in June 2025. Staff turnover of 53.3% lands well above the 45.8% national average, which matters for consistency of care. A 4/5 staffing star softens the picture, but the health inspection rating of 2/5 tells you where the trouble lives.
Elm Crest Retirement Community runs 50 certified beds in Harlan under nonprofit ownership, and its overall nurse staffing of 3.99 hours per resident day sits modestly above the national average of 3.86, roughly 3% higher. That edge narrows on weekends, when coverage drops about 14% below the home's own weekday level, and annual staff turnover reaches 71.7% against a national figure of 45.8%, meaning most of the people providing care are relatively new to the building. The current record shows 18 deficiencies, one of them serious enough to involve harm or jeopardy, with none tied to abuse. Inspectors last visited in January 2026.
Southfield Wellness Community runs 65 certified beds as a for-profit limited liability company, and its state inspection record is the thing you'd want to look at first: 58 deficiencies on file, including four at the harm or jeopardy level and six tied to abuse. Two fines total $71,897, and the most recent inspection was in February 2026. Nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average of 3.86, with weekends about 12% thinner than weekdays. Annual turnover is 53.6% against a national 45.8%, so the people caring for residents keep changing. Ask about that inspection history and how they cover weekends before deciding anything.
Lutheran Living Senior Campus runs 155 certified beds as a church-affiliated nonprofit, and its nurse staffing comes in at 3.85 hours per resident day, basically dead even with the national average of 3.86. That sounds fine until you look at the inspection record: 43 deficiencies, seven of them at the harm or jeopardy level and five tied to abuse, with $253,886 in fines across three penalties. Staff turnover sits at 42.9%, slightly better than the 45.8% national figure, but weekend coverage drops about 11% below weekday levels. The most recent inspection was February 13, 2026. The quality measure rating is mid-range at 3 out of 5, but a 1-out-of-5 inspection star tells you where the real trouble lives.
Good Samaritan, Algona runs 72 certified beds as a nonprofit corporation, and it last cleared inspection in December 2025. Its nurses give 3.06 hours of care per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. Turnover sits at 41.8%, a bit better than the 45.8% national figure. The current record carries 27 deficiencies, three at harm or jeopardy level and four tied to abuse, plus one fine of $7,070. Quality measures scored 2 of 5 stars, so what's on paper is a home getting thinner weekday coverage than most and carrying a heavier-than-typical enforcement history.
Perry Lutheran Homes Eden Acres sits in Dallas County with 57 certified beds and a for-profit LLC owner. The staffing picture is mixed: 3.43 nurse hours per resident day lands about 11% under the national average, and weekends run roughly 15% lighter than weekdays, but turnover at 36.2% beats the national 45.8%, a sign this home can hold onto aides better than most. What stands out is the inspection record: six deficiencies, two at harm or jeopardy level and two tied to abuse, plus a $9,110 fine, with the most recent inspection in June 2025. Those harm-level and abuse findings are the kind regulators treat seriously, and they're the real weight on this home's record.
Frequently asked questions
How many CCRC nursing homes are there in Iowa?
There are 105 CCRC Medicare-certified nursing homes in Iowa, 27% of the 388 nursing homes there.
Are CCRC nursing homes better staffed?
In Iowa they average 4.17 total nursing hours per resident per day, against 3.82 for all nursing homes in Iowa, a difference of +0.35 hours. Staff turnover averages 41.2% against 44.1%.