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209 For-Profit Nursing Homes in Iowa

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.

Nursing hours per resident per day

3.66

All homes in Iowa: 3.82

Worse than the local average

Nurse staff turnover

46.9%

All homes in Iowa: 44.1%

Worse than the local average

Average ElderGrade score

74.8/100

All homes in Iowa: 77.9/100

Worse than the local average

Grade spread

A
B
C

37 grade A, 111 grade B, 47 grade C, 14 grade D,

The best-graded for-profit home in Iowa is Accura Healthcare Of New Hampton in New Hampton, IA, grade A, 97/100.

Every for-profit nursing home in Iowa

Showing 61 to 80 of 209, best-graded first.

B

82/100

Karen Acres Care Center

Urbandale, IA · Polk County

CMS 5/535 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
38%
Serious cites
0

Karen Acres runs a tight ship on inspections and quality measures, a four-star health inspection record and five stars on clinical quality, with no deficiencies at the harm level and nothing abuse-related. The trade-off sits in daily staffing: 3.27 nurse hours per resident, roughly 15% under the national average, and weekends run about 7% thinner than weekdays. That gap matters most when a resident needs help on a Saturday afternoon. Turnover is the bright spot, 37.5% versus 45.8% nationally, so caregivers tend to stick around, which helps in a 35-bed building where everyone knows everyone. One recent inspection, June 2025, with ten deficiencies on record but none serious.

B

82/100

Crestview Nursing And Rehabilitation

Webster City, IA · Hamilton County

CMS 2/570 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
29%
Serious cites
0

Crestview runs on solid staffing numbers, 3.95 nurse hours per resident day, a bit above the national average, with a 4-out-of-5 staffing rating and turnover at 28.6% compared to the national 45.8%. That stability matters, though weekend coverage dips about 9% below weekday levels, so care on Saturdays and Sundays may look different than midweek. The trouble sits in inspections: 19 deficiencies on the current record, three of them serious enough to put residents at harm or jeopardy, and $25,136 in fines across two penalties. Health inspection rating is 2 out of 5, quality measures 3. That combination, good hands, rough oversight history, is what pulls the overall picture down.

B

82/100

The Ambassador Sidney Inc

Sidney, IA · Fremont County

CMS 4/546 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
34%
Serious cites
0

The Ambassador Sidney runs about 46 beds under corporate ownership, and its staffing sits roughly 8% under the national average at 3.54 nurse hours per resident day. Weekends thin out further, running about 13% below the home's own weekday coverage. What works in its favor: staff turnover of 34.1% beats the 45.8% national figure, and the inspection record is clean where it counts, 12 deficiencies, none at harm or jeopardy level, none tied to abuse. A recent March 2026 inspection backs that up. The tradeoff is a home that's reliably safe but thinly staffed at times, especially Saturdays and Sundays.

B

82/100

Colonial Manors Of Columbus Community

Columbus Junction, IA · Louisa County

CMS 4/539 bedsFor-profitMedicaid
Nurse hours
3.46 /day
Staff turnover
21%
Serious cites
0

Colonial Manors of Columbus Community runs 39 certified beds in Louisa County under corporate for-profit ownership. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average of 3.86, and weekends dip about 8% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The tradeoff shows up in turnover: 21.2% annually against a national average of 45.8%, meaning aides and nurses here tend to stay. Inspections were recent, in July 2025, with 20 deficiencies on record, none at harm or jeopardy level, though one is abuse-related.

B

82/100

Kennybrook Village

Grimes, IA · Polk County

CMS 3/540 bedsFor-profitMedicaid
Nurse hours
4.54 /day
Staff turnover
49%
Serious cites
0

Kennybrook Village sits in Grimes with 40 certified beds and an individual for-profit owner. The nurse staffing number is the standout: 4.54 hours per resident day, roughly 18% above the national average, which is why CMS gives it 4 stars on staffing. Weekend coverage drops about 12% from weekday levels, so ask how that plays out on Saturdays. Turnover runs 49.1%, a bit above the national 45.8%, not alarming, but worth knowing. Twelve deficiencies are on record, none at harm or jeopardy level and none abuse-related, and the last inspection was January 2026. Inspection and quality measures both sit at 3 stars.

B

81.5/100

Golden Age Care Center

Centerville, IA · Appanoose County

CMS 3/546 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
24%
Serious cites
0

Golden Age Care Center runs on a modest 46 beds in Centerville under for-profit LLC ownership, and its staffing is the clearest strength here: 3.91 nurse hours per resident day sits slightly above the national average, though weekends drop roughly 18% below its own weekday coverage. Turnover runs 24.3% against a national 45.8%, meaning the aides and nurses you'd meet are more likely to still be there next year. The caution is quality measures, which score poorly, and 15 deficiencies on record, one abuse-related, none at harm level. A July 2025 inspection is recent. The staffing picture is good; the clinical report card is not.

B

81.5/100

Accura Healthcare Of Stanton

Stanton, IA · Montgomery County

CMS 3/546 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
25%
Serious cites
0

Accura Healthcare of Stanton runs 46 certified beds in Montgomery County under for-profit LLC ownership. Nurse staffing sits at 3.79 hours per resident day, below the national average of 3.86, and weekend coverage drops roughly 17% below weekday levels, so families should ask who's actually on the floor Saturday and Sunday. Turnover is the bright spot: 25%, well under the national 45.8%, meaning the people caring for residents tend to stick around. The tradeoff shows up elsewhere. The current record carries 27 deficiencies, two of them abuse-related, and the quality measure rating is 1 out of 5, even as staffing earns top marks. Last inspection was June 19, 2025.

B

81.5/100

Cedar Ridge Village

West Des Moines, IA · Dallas County

CMS 3/540 bedsFor-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
57%
Serious cites
0

Cedar Ridge Village runs 40 beds in West Des Moines under corporate ownership, and its nurse staffing sits at 4.13 hours per resident day, roughly 7% above the national average, though weekends drop about 15% below what the home staffs on weekdays. That gap matters if your family tends to visit Saturday or Sunday. Annual turnover is 56.5%, well above the 45.8% national figure, so the people caring for your relative may not be the ones who were there a year ago. The current record shows 20 deficiencies, three tied to abuse, with none at the harm level; the last inspection was in August 2025.

B

81/100

Clearview Home

Mount Ayr, IA · Ringgold County

CMS 4/582 bedsFor-profitMedicaid
Nurse hours
3.25 /day
Staff turnover
44%
Serious cites
0

Clearview Home runs lean on nurse staffing, 3.25 hours per resident day against a national average of 3.86, roughly 16% below. Weekends dip about 11% below what the home staffs on weekdays, so coverage thins out right when families tend to visit, though turnover at 43.8% is slightly better than the national 45.8% and suggests the workforce is at least comparatively stable. The inspection record is the stronger side: three deficiencies total, none at the harm or jeopardy level, and a recent July 2025 survey. Two of those three are abuse-related, which is worth asking about directly. Ownership is for-profit partnership.

B

80.5/100

New Hampton Nursing & Rehab Center

New Hampton, IA · Chickasaw County

CMS 4/546 bedsFor-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
28%
Serious cites
0

New Hampton Nursing & Rehab runs 46 beds as a for-profit corporation, and its staffing sits at 3.32 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends thin out further, about 17% below the home's own weekday level, so coverage is lightest exactly when families tend to visit. Turnover is the bright spot: 27.6% against a national 45.8%, which suggests aides and nurses tend to stay. But the current inspection record includes five deficiencies, one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in July 2025. Staff retention helps; the survey history is what a family should ask about directly.

B

80.5/100

Montrose Health Center

Montrose, IA · Lee County

CMS 3/544 bedsFor-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
44%
Serious cites
0

Montrose Health Center runs 44 certified beds under corporate ownership, and its roughly 3.32 nurse staffing hours per resident day sit about 14 percent under the national average. Weekends are thinner still, dropping around 19 percent below the home's own weekday numbers, so coverage varies depending on when you visit. The inspection record is the harder read: 15 deficiencies, four of them serious enough to involve harm or jeopardy, plus one abuse-related finding and $43,079 in fines across two penalties. Last inspection was October 2025, so that picture is current. Turnover at 43.6 percent is slightly better than the national rate, and resident care measures score well, but staffing shortfalls and a heavy deficiency count are what hold this one back.

B

80.5/100

Anamosa Care Center

Anamosa, IA · Jones County

CMS 5/564 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
51%
Serious cites
0

Anamosa Care Center runs a 64-bed for-profit operation in Jones County with a strong inspection history and top marks on quality measures, but the staffing picture is thinner than it should be. Nurses provide about 3.27 hours of care per resident each day, roughly 15% below the national average, and weekends drop another 17% below the home's own weekday level, so coverage gets leanest exactly when families tend to visit. Annual turnover sits at 50.9%, above the national 45.8%, meaning more than half the staff leaves each year. The current record shows eight deficiencies, including one at the harm level and one tied to abuse.

B

80.5/100

Accura Healthcare Of Ogden, Llc

Ogden, IA · Boone County

CMS 4/546 bedsFor-profitMedicaid
Nurse hours
3.21 /day
Staff turnover
29%
Serious cites
0

Accura Healthcare of Ogden runs 46 beds under corporate ownership, and its state inspection record sits at two stars, with 22 deficiencies logged. None of those reached the harm or jeopardy level, and none involved abuse, worth knowing, since "22 deficiencies" can sound worse than it is. Staffing is the interesting part: 3.21 nurse hours per resident day is roughly 17% under the national average, and weekends drop about 19% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover, though, is 29% against a national 45.8%, meaning the people who are there tend to stay. The last inspection was September 2025.

B

80/100

Red Oak Rehab And Care Center

Red Oak, IA · Montgomery County

CMS 3/558 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
45%
Serious cites
0

Red Oak Rehab And Care Center runs 58 certified beds under for-profit LLC ownership, and its staffing sits about 8% under the national average at 3.54 nurse hours per resident day. Weekends dip roughly 4% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 44.8%, essentially tracking the national rate. The current inspection record shows 20 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, worth asking about directly, given the most recent survey was September 2025. Quality measure scores are on the low side while staffing scores hold up better, a split that says the hands are there more than the outcomes show it.

B

80/100

Rehabilitation Center Of Des Moines

Des Moines, IA · Polk County

CMS 3/574 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
36%
Serious cites
0

The Rehabilitation Center of Des Moines runs 74 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.91 hours per resident day, barely a nose above the national average of 3.86. Weekends thin out about 13% from weekday coverage, so the care you'd see on a Saturday looks lighter than midweek. Turnover is 35.9%, better than the 45.8% national figure, which matters for continuity. What pulls the record down is inspection history: 34 deficiencies on file, including one at harm or jeopardy level and three tied to abuse, with the last survey dated September 2025. The quality measure score of 5 out of 5 contrasts sharply with a 2 out of 5 on both staffing and health inspections, worth asking about directly before deciding.

B

80/100

Oakwood Care Center

Clear Lake, IA · Cerro Gordo County

CMS 3/576 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
40%
Serious cites
0

Oakwood Care Center runs 76 certified beds in Clear Lake under corporate ownership, and the staffing numbers are the main thing to know. At 3.42 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 40.3%, a bit better than the 45.8% national figure, which suggests some stability in the workforce. The health inspection record shows 12 deficiencies, none at the harm level and none abuse-related, with a survey completed at the end of 2025. Quality measures score well; staffing is the softer spot.

B

80/100

Rehabilitation Center Of Belmond

Belmond, IA · Wright County

CMS 5/544 bedsFor-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
47%
Serious cites
0

The Rehabilitation Center of Belmond runs lean on direct care. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 12% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover is 47.2% a year, slightly above the national 45.8%, which means aides and nurses cycle through fairly often. What keeps this home in decent shape is its record: 11 deficiencies on file, none at the harm level and none abuse-related, with an inspection dated April 2026. The clinical quality measures score at the top of CMS's scale, and inspections hold up well too. It's a for-profit LLC with 44 beds. Ask about weekday-versus-weekend staffing before you decide.

B

80/100

Accura Healthcare Of Pomeroy, Llc

Pomeroy, IA · Calhoun County

CMS 3/530 bedsFor-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
45%
Serious cites
0

Accura Healthcare of Pomeroy runs 30 beds in Calhoun County under for-profit LLC ownership, and its staffing is the clearest strength here: 4.39 nurse hours per resident day, roughly 14% above the national average. Weekends dip about 12% below its own weekday level, though, so coverage isn't perfectly even across the week. Turnover sits at 45.2%, essentially matching the national rate. The inspection record shows 19 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026. Quality measure scores are the weak spot at 2 out of 5 stars, which pulls against otherwise solid staffing numbers.

B

80/100

Clarksville Skilled Nursing & Rehab Center

Clarksville, IA · Butler County

CMS 4/542 bedsFor-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
33%
Serious cites
0

Clarksville Skilled Nursing & Rehab runs 42 beds under corporate for-profit ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationwide. That's not a cushion, it's a tie, and weekend coverage dips about 15% below what the home staffs on weekdays. Turnover is where it stands out: 33.3% against a national 45.8%, meaning fewer caregivers cycling out the door than most homes. The tradeoffs show elsewhere. Ten deficiencies on record, one serious enough to reach harm or jeopardy level, and a quality measure rating of 2 out of 5. The most recent inspection was April 2026.

B

79.5/100

Birkwood Village Of Fort Madison

Fort Madison, IA · Lee County

CMS 3/580 bedsFor-profitMedicaid
Nurse hours
4.52 /day
Staff turnover
53%
Serious cites
0

Birkwood Village of Fort Madison runs 80 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.52 hours per resident day, roughly 17% above the national average of 3.86. That's a real strength. The catch is consistency: weekend staffing drops about 17% below its own weekday level, and annual turnover runs 52.5% against a national average of 45.8%. The inspection record shows 25 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a single fine of $3,145. Its last inspection was in April 2026, so the record is current, not stale.

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?
Accura Healthcare Of New Hampton in New Hampton, IA, grade A, 97 out of 100.
Does being for-profit mean a nursing home is safe?
No. Of the 209 graded for-profit homes in Iowa, 37 grade A and 14 grade D or F.
Do for-profit nursing homes in Iowa accept Medicaid?
206 of the 209 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Iowa