209 of the 388 Medicare-certified nursing homes in Iowa (54%) are for-profit, and all are listed below. 37 of the 209 graded homes earn an A and 14 earn a D or F. Nurse staff turnover runs 46.9%, 2.8 points higher than the 44.1% across all homes there. Accura Healthcare Of New Hampton in New Hampton grades highest at A (97 out of 100).
How for-profit homes in Iowa compare
This group set against every nursing home in Iowa, from the current CMS release.
Bettendorf Health Care Center runs 3.22 nurse hours per resident per day, roughly 17 percent under the national average, and weekend staffing drops another 13 percent below its own weekday level. That thin coverage shows up in its inspection history: 62 deficiencies on the current record, including three at the harm level and five tied to abuse, with two fines totaling $35,622. The quality measure score looks strong, but that comes from resident assessments rather than day-to-day care on the floor. Corporate-owned and certified for 86 beds, this home was last inspected in September 2025. The staffing and inspection numbers are the ones worth weighing.
Harmony Cedar Rapids runs 74% annual staff turnover against a national average of 45.8%, that means roughly three in four caregivers who work here won't be here a year from now. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national figure, and weekends drop another 9% below the home's own weekday coverage. Its current inspection record carries 27 deficiencies, four of them serious enough to put residents at risk of harm, and the health inspection rating sits at 1 out of 5 stars. Ownership is for-profit, through a limited liability company. The most recent inspection was March 3, 2026, and CMS has fined the home once, for $10,358.
Grandview Healthcare Center is a 40-bed for-profit home in Dayton, and the numbers that stand out most are its staffing and quality measure ratings, both at 1 out of 5 stars. Staff turnover runs at 52 percent a year, meaning more than half the workforce turns over annually, compared with a national average closer to 46 percent. The inspection record shows 12 deficiencies, one of them serious enough to reach the harm or jeopardy level, and a single fine of $33,598. The last inspection was in December 2025. A 40-bed home with that much turnover and a harm-level deficiency is worth asking hard questions about before you decide.
Accura Healthcare of Creston runs 31 certified beds under for-profit limited liability ownership, and the numbers worth your attention are the staffing ones. Nurse coverage sits at 3.80 hours per resident day, a bit under the national average, and it thins out on weekends, roughly 18% below the home's own weekday level. Annual turnover of 68.4% is well above the 45.8% national figure, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 33 deficiencies, including two at the harm level and one tied to abuse, with a $16,801 fine and a May 2025 inspection. State surveyors rated health inspections and quality measures 2 out of 5.
Spencer Post Acute Rehabilitation Center runs 82 certified beds as a for-profit corporation, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 10% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 45 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $24,706 in fines across two penalties. Its last inspection was August 14, 2025, and all three CMS star ratings, health inspection, quality measures, and staffing, sit at 2 out of 5.
Stone Cottage Care Center runs 41 beds in Sigourney under for-profit LLC ownership, and its nurse staffing sits at 3.80 hours per resident day, just under the national average, with weekends running about 6% thinner than weekdays. The bigger issue is consistency: turnover hits 53.8% against a 45.8% national rate, meaning nearly six in ten caregivers left over the year. Its inspection record shows 69 deficiencies, including three at harm or jeopardy level and seven tied to abuse, with one fine totaling $18,682 and a survey as recent as September 2025. State inspectors and quality measures both land at the bottom of CMS's five-star scale; staffing is the relative bright spot at three stars.
Accura Healthcare Of Cresco is a 46-bed for-profit home where the numbers matter more than any single grade. Its nurse staffing sits at 3.91 hours per resident day, only about 1% above the national average, and that thin margin erodes on weekends, when coverage drops roughly 21% below the home's own weekday level. Annual turnover is 80.6%, well above the 45.8% national figure, meaning the people caring for residents are constantly changing. The inspection record shows 57 deficiencies, including one at the harm or jeopardy level and six tied to abuse. The last inspection was January 29, 2026. Every CMS star rating here, health inspections, quality measures, and staffing, comes in at the lowest tier. Ask about weekend coverage and how they keep residents safe when staff turns over that fast.
Altoona Nursing and Rehabilitation Center carries 48 deficiencies on its current record, including one tied to abuse, though none reached the harm or jeopardy level. The 106-bed for-profit home in Polk County was inspected most recently on March 19, 2026. Where the numbers get harder to explain away is staffing: CMS gives it 1 out of 5 stars there, and its annual turnover sits at 97.8 percent against a national average of 45.8 percent. That means the aides and nurses caring for residents are, almost without exception, new to the building each year. Inspection and quality measures each land at 2 stars. Families weighing this home against others nearby should ask directly how they hold onto caregivers.
Norwalk Nursing and Rehabilitation Center is a 45-bed for-profit home in Warren County, and the numbers pull in different directions. Its last inspection, at the end of 2025, produced seven deficiencies, none at the harm level, but one abuse-related, and CMS gives it solid marks on health inspections. Staffing is the problem: a one-star rating there, with annual turnover of 95.3% against a national average of 45.8%, meaning nearly the whole workforce turns over every year. Quality measures sit at two stars. A recent, mostly clean inspection record matters, but a building where almost nobody stays on staff is hard to run consistently, and that's what holds the overall picture down.
Accura Healthcare of Toledo runs about 2.89 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 9% below its own weekday staffing. That thin coverage shows up in the numbers: a 56.5% annual turnover rate against a national average of 45.8% means the aides and nurses at the bedside keep changing. Inspectors cited 18 deficiencies on the current record, one serious enough to reach harm or jeopardy level, with the most recent visit in January 2026. Ownership is corporate, for-profit. Nothing here is abuse-related, but the staffing, turnover, and inspection history are the parts worth pressing the administrator on before you decide.
Hillcrest runs on 3.11 nursing hours per resident day, roughly a fifth below the national average, and weekends drop another 18 percent below its own weekday coverage. Staff turnover sits at 75 percent against a national rate near 46 percent, so the people providing care change often. The inspection record carries 73 deficiencies, including three at the level where residents were actually harmed or put in jeopardy, plus four tied to abuse; two fines total $25,450, and the most recent inspection was March 2026. Ownership is a for-profit limited liability company. The quality measure score looks acceptable, but that reflects charted care, not the staffing and oversight problems the state has repeatedly cited.
Crystal Heights runs lean on nursing staff, 3.07 hours per resident per day against a national average of 3.86, and weekends dip about 16% below its own weekday coverage. That's a gap families feel on Saturday afternoons, not on a tour. Annual turnover sits at 63.5% versus 45.8% nationally, so the aide who knows your mother may not be there in six months. Sixteen deficiencies are on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was June 2025. A corporate owner took over within the past year and has paid $10,489 in fines. The pattern reads as a building in transition, not crisis.
The numbers out of Fort Dodge Health and Rehabilitation describe a 65-bed for-profit home where nurse staffing runs about 3.18 hours per resident day, roughly 18% under the national average, and drops another 14% on weekends, when families often visit and needs don't pause. Staff turnover sits at 48.8%, above the national figure, and the inspection record shows 48 deficiencies, six of them serious enough to put residents at risk of harm, two tied to abuse, with $166,043 in fines across two penalties. The most recent inspection was in February 2026, so that record is current. A 1-out-of-5 health inspection rating and 2s for staffing and quality measures aren't isolated problems, they line up with what the underlying numbers already show.
Osage Rehab runs 46 beds under for-profit LLC ownership, and the staffing numbers are where I'd start: 3.06 nurse hours per resident per day against a national average of 3.86, with weekends about 12% thinner than weekdays. Turnover sits at 56.3%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record is heavier still, 44 deficiencies, two at harm or jeopardy level and three tied to abuse, plus a $14,433 fine. That inspection was recent, December 2025. If you're weighing this one, ask about weekend coverage and how abuse-related findings were resolved.
Regency Care Center runs about 3.15 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekends are thinner still, about 14% below its own weekday staffing. The inspection record is heavy: 49 deficiencies, three of them at the level where residents were actually harmed or put in jeopardy, plus one tied to abuse, and a $78,497 fine. The most recent inspection was in April 2025. Ownership is a for-profit limited liability company, with 101 certified beds. Federal staffing and health inspection ratings both sit at one star out of five.
Harmony House is a for-profit home in Waterloo with 65 certified beds. The staffing numbers sit just under the national average, but the real problem is turnover: about 61.5% of nursing staff leave each year, against a national average near 46%, and weekend coverage drops roughly 7% below its own weekday level. On inspections, this home has drawn 33 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus one fine totaling $48,825. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. Its last inspection was August 6, 2025.
Greater Southside runs on 3.44 nurse hours per resident per day, about 11% under the national average, and weekends drop roughly 22% below its own weekday staffing. That thinner coverage adds up over time: 62.3% of staff left last year against a 45.8% national rate, and CMS flags the home as a Special Focus Facility. The inspection record backs that up, 66 deficiencies, including 8 at harm or jeopardy level and 8 tied to abuse, with four fines totaling $166,443. The most recent inspection was June 2025. For a family weighing this one, the staffing and inspection numbers are the ones that matter most.
Azria Health Park Place carries 70 certified beds under for-profit LLC ownership, and the numbers tell a hard story. Three-and-a-half nurse staffing hours per resident day sits about 9% under the national average, and weekends dip roughly 12% below the home's own weekday levels, so the thinnest coverage lands when families are most likely to visit. Staff turnover near 70% runs well above the national 46%, which means the people providing care keep changing. On inspections, the record shows 70 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus $36,875 in fines. CMS has placed this home in its Special Focus Facility program, a designation reserved for the most persistently troubled nursing homes.
Northgate Care Center in Waukon carries 20 deficiencies on its current record, and two of those are serious enough to involve actual harm or jeopardy to residents. One is abuse-related, and CMS has placed the home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems. A single fine of $71,110 is on record, and the last inspection was March 4, 2026.
Nurse staffing sits at 2.97 hours per resident day, roughly 23% below the national average, and weekends run about 12% thinner than weekdays. Turnover of 34.3% is better than the national 45.8%, so that's not the issue here.
Pine Acres holds 140 certified beds in West Des Moines under for-profit LLC ownership, and the nurse staffing figure, 3.84 hours per resident day, sits roughly even with the national average, though weekends run about 7% thinner than weekdays. The record is where the trouble shows: 85 deficiencies, nine of them at harm or jeopardy level and three abuse-related, plus $353,109 in fines across three CMS actions. Staff turnover is 56.9% against a national 45.8%, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently poor performers. The last inspection was January 8, 2026.
Frequently asked questions
How many for-profit nursing homes are there in Iowa?
There are 209 for-profit Medicare-certified nursing homes in Iowa, 54% of the 388 nursing homes there.
Are for-profit nursing homes better staffed?
In Iowa they average 3.66 total nursing hours per resident per day, against 3.82 for all nursing homes in Iowa, a difference of -0.16 hours. Staff turnover averages 46.9% against 44.1%.
Which for-profit nursing home grades best in Iowa?