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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 81 to 100 of 209, best-graded first.

B

79.5/100

Maple Crest Manor

Fayette, IA · Fayette County

CMS 3/546 bedsFor-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
43%
Serious cites
0

Maple Crest Manor runs 46 beds in Fayette under corporate ownership, and its staffing sits essentially at the national mark, 3.85 nurse hours per resident day against 3.86 nationwide. The catch is weekends, when coverage drops about 15% below what the home staffs on weekdays. Staff turnover of 43.2% is a little better than the 45.8% national figure, though still meaning nearly half the workforce turning over in a year. Inspections are current, the most recent in May 2025, and the record shows 8 deficiencies with none at the harm level and none abuse-related. A 4-star inspection rating with no serious findings is the strongest part of this picture.

B

79.5/100

English Valley Nursing Care Center

North English, IA · Iowa County

CMS 5/544 bedsFor-profitMedicaid
Nurse hours
3.12 /day
Staff turnover
n/a
Serious cites
0

English Valley runs 44 beds in North English under corporate for-profit ownership, and its inspection record is genuinely strong, a single deficiency on the books, though it did rise to the harm level, and nothing abuse-related. The bigger thing to weigh is daily coverage: 3.12 nurse hours per resident, roughly 19% under the national average of 3.86, with weekends running about 7% thinner than weekdays. A five-star health inspection and four-star quality measures suggest the care itself is sound when surveyed, but thin staffing is what families feel on a Tuesday night, not on inspection day. The most recent survey was in January 2026.

B

79/100

Harmony Davenport

Davenport, IA · Scott County

CMS 2/588 bedsFor-profitMedicaid
Nurse hours
3.77 /day
Staff turnover
38%
Serious cites
0

Harmony Davenport runs 3.77 nurse hours per resident day, about 2% under the national average, and weekend coverage drops roughly 10% below its own weekday staffing. The tradeoff is retention: turnover sits at 37.5% against a national 45.8%, so the aides you meet are more likely to still be there next year. The current inspection record shows 34 deficiencies, two serious enough to involve harm or jeopardy, though none abuse-related, and the last survey was April 2026. Quality measures score well; the health inspection side is where the record is weakest.

B

79/100

Accura Healthcare Of Cherokee, Llc

Cherokee, IA · Cherokee County

CMS 3/544 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
43%
Serious cites
0

Accura Healthcare of Cherokee runs 44 beds under corporate ownership, and its staffing sits at 3.69 nurse hours per resident day, just under the 3.86 national average, with weekends running about 10% thinner than weekdays. Turnover lands at 42.9%, a touch better than the 45.8% national figure. The inspection record shows 11 deficiencies, one serious enough to reach harm or jeopardy level, though nothing abuse-related, and one fine of $8,021. The most recent inspection was January 8, 2026, so the picture is current. What you're looking at is a home that's roughly average on care quality and inspection history, slightly understaffed overall, with a weekend dip worth asking about directly.

B

79/100

Jackson Ridge Healthcare Center

Maquoketa, IA · Jackson County

CMS 2/575 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
44%
Serious cites
0

Jackson Ridge runs 3.34 nurse hours per resident day against a national average of 3.86, so hands-on time here sits roughly 13 percent under what's typical, and weekends dip about 6 percent below the home's own weekday pace. Staff turnover lands at 43.5 percent, which is actually a touch better than the 45.8 percent national figure. The 18 deficiencies on record include none flagged for harm or jeopardy and none tied to abuse, and the most recent inspection came in June 2025. It's a for-profit limited liability company with 75 certified beds, and its federal ratings sit at three stars across health inspections, quality measures, and staffing.

B

78.5/100

North Crest Living Center

Council Bluffs, IA · Pottawattamie County

CMS 1/562 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
55%
Serious cites
0

North Crest Living Center runs 62 beds in Council Bluffs under for-profit LLC ownership, and its staffing sits just barely above the national average, 3.91 nurse hours per resident day against 3.86 nationally. That thin margin narrows further on weekends, when coverage drops roughly 18% below its own weekday levels, and annual turnover of 54.5% runs well above the 45.8% national figure, meaning the people providing that care keep changing. The bigger concern is inspections: a 1-out-of-5 health inspection rating, 34 deficiencies on the current record including one abuse-related citation, and a most recent inspection in July 2025. Quality measures rate better, and no deficiency reached actual harm, but the inspection record is what family members should weigh hardest.

B

78/100

Accura Healthcare Of Lake City, Llc

Lake City, IA · Calhoun County

CMS 2/546 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
37%
Serious cites
0

Accura Healthcare of Lake City runs 46 beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and weekends run roughly 12% thinner than weekdays, worth asking about if your family visits on Saturdays or Sundays. Turnover is 37%, which is actually better than the 45.8% national figure, so the same faces are more likely to stick around. What pulls the record down is the inspection side: 40 deficiencies on file, including 2 at the harm level and 3 tied to abuse, plus $38,610 in fines across two penalties. The most recent inspection was April 2026.

B

78/100

Denison Care Center

Denison, IA · Crawford County

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

Denison Care Center runs 46 beds under corporate for-profit ownership, and its staffing sits at 3.63 hours per resident day, about 6% under the national average, with weekends roughly 5% leaner than weekdays. What stands out is retention: 28.6% annual turnover against a national 45.8%, so the aides and nurses here tend to stay, even if there aren't quite as many of them per resident as elsewhere. The health inspection record is strong (four stars, most recent visit July 2025), but nine deficiencies are on file, one serious enough to involve harm or jeopardy. Quality measures lag at two stars, which often reflects resident outcomes like falls or antipsychotic use rather than the survey itself.

B

78/100

Parkview Manor Care Center

Reinbeck, IA · Grundy County

CMS 1/528 bedsFor-profitMedicaid
Nurse hours
4.15 /day
Staff turnover
47%
Serious cites
0

Parkview Manor in Reinbeck runs 28 beds under corporate ownership, and the staffing numbers are genuinely better than most: 4.15 nurse hours per resident day, roughly 7% above the national average, with a four-star staffing rating to match. Weekends dip about 9% below weekday coverage, which matters in a building this small, and turnover sits at 47.1%, slightly above the national figure. The trouble is the inspection record, 31 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, plus a $23,813 fine. A one-star health inspection rating against a three-star quality score tells you the day-to-day care metrics look fine while the state's own findings say otherwise. The last inspection was August 2025.

B

78/100

Pioneer Valley Living And Rehab

Sergeant Bluff, IA · Woodbury County

CMS 1/566 bedsFor-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
47%
Serious cites
0

Pioneer Valley Living and Rehab runs 66 beds in Sergeant Bluff under for-profit LLC ownership, and its inspection record is the part that stands out: 63 deficiencies on file, five of them serious enough to reach harm or jeopardy, plus two tied to abuse. The last inspection was recent, March 2026, so this isn't stale history. Nurse staffing sits at 3.72 hours per resident day, roughly 4% under the national average, and weekends run about 14% thinner than weekdays. Annual turnover of 46.6% is essentially the national rate, meaning the staff you meet may not be there in a year. Worth asking the administrator directly what changed since that inspection.

B

78/100

Rehabilitation Center Of Lisbon

Lisbon, IA · Linn County

CMS 4/564 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
49%
Serious cites
0

The Rehabilitation Center of Lisbon runs 64 certified beds under for-profit LLC ownership, and its staffing sits at 3.53 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 13% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Annual turnover is 49.3%, a few points above the 45.8% national figure. On the plus side, its inspection record is clean: three deficiencies total, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 21, 2026. Quality and staffing each earned 3 of 5 stars from CMS, while inspections earned 4.

B

78/100

Grand Meadows Senior Living & Health Care

Asbury, IA · Dubuque County

CMS 2/532 bedsFor-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
n/a
Serious cites
0

Grand Meadows runs 32 certified beds in Asbury under corporate for-profit ownership, and the numbers are worth walking through before you tour. Twenty deficiencies sit on its current record, including one that rose to the level of actual harm or jeopardy and three tied to abuse, that combination matters more than the single $16,448 fine on file. Staffing is where this home falls furthest behind, landing at the bottom of CMS's rating scale, which means the people doing the daily hands-on care are stretched thin relative to what federal reviewers expect. The last inspection, in March 2026, is recent, so these findings reflect how the place operates now, not a fix from years ago.

B

77.5/100

Oakview Nursing Home

Conrad, IA · Grundy County

CMS 3/546 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
54%
Serious cites
0

Oakview runs on thinner staffing than most homes its size, 3.42 nurse hours per resident day against a national average of 3.86, and weekends are where that gets sharper, with coverage dropping roughly 19% below its own weekday level. Turnover sits at 54.3%, well above the 45.8% national figure, so the people around your family member change often. The state's most recent visit, in May 2025, turned up three deficiencies, one serious enough to involve harm or jeopardy; nothing abuse-related. Corporate ownership and 46 beds mean you're one of a few, not a number in a big building, worth asking the administrator directly how they cover a weekend call-out.

B

77.5/100

West Bend Health And Rehabilitation

West Bend, IA · Palo Alto County

CMS 5/545 bedsFor-profitMedicaid
Nurse hours
2.94 /day
Staff turnover
n/a
Serious cites
0

West Bend Health and Rehabilitation runs 45 certified beds under corporate ownership, and its nurse staffing sits at 2.94 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 10% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. The inspection record shows 24 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed May 1, 2025. CMS rates its quality measures 5 out of 5, which reflects good clinical outcomes on paper, but the staffing and inspection scores land at 3. If you're weighing this one, ask how the weekend schedule actually gets covered.

B

77/100

Shell Rock Senior Living

Shell Rock, IA · Butler County

CMS 1/541 bedsFor-profitMedicaid
Nurse hours
3.66 /day
Staff turnover
44%
Serious cites
0

Shell Rock Senior Living runs 41 certified beds under corporate for-profit ownership, and its most recent inspection in September 2025 left 29 deficiencies on the record, two of them serious enough to involve harm or jeopardy, plus two tied to abuse. That's a heavy inspection load for a home this size, and CMS rates its health inspection results at just one star out of five. Daily nurse staffing sits at 3.66 hours per resident, roughly 5% under the national average, and weekends drop about 13% below what the home itself staffs on weekdays. Annual turnover of 43.6% is slightly better than the 45.8% national figure. One fine on record totals $17,167.

B

77/100

Nora Springs Care Center

Nora Springs, IA · Floyd County

CMS 3/550 bedsFor-profitMedicaid
Nurse hours
3.11 /day
Staff turnover
40%
Serious cites
0

Nora Springs Care Center runs on thin staffing. At 3.11 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 40.4%, a bit better than the 45.8% national figure, which suggests some stability among the aides and nurses who stay. The inspection record is genuinely strong: nine deficiencies, none at harm or jeopardy level, with one abuse-related citation, and a survey as recent as May 2025. The for-profit LLC ownership and that 2-out-of-5 staffing rating are the real story here. Quality measures and inspections look good; the daily coverage is what you'd want to ask about.

B

77/100

Accura Healthcare Of Ames, Llc

Ames, IA · Story County

CMS 3/575 bedsFor-profitMedicaid
Nurse hours
2.96 /day
Staff turnover
40%
Serious cites
0

Accura Healthcare of Ames runs 75 certified beds under corporate for-profit ownership, and its nurse staffing sits at 2.96 hours per resident day, roughly 23% under the national mark of 3.86. Weekends drop about 13% below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is 39.7%, better than the 45.8% national average. Inspections show 19 deficiencies on record, one serious enough to involve harm or jeopardy, none abuse-related. The most recent inspection was April 2026, and CMS gives the home mid-range marks for health inspections and staffing, with a stronger 4 out of 5 on quality measures.

B

77/100

Westbrook Acres

Gladbrook, IA · Tama County

CMS 2/554 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
32%
Serious cites
0

Westbrook Acres runs about 3.51 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekends dip about 15% below its own weekday staffing. Turnover sits at 32.4%, better than the 45.8% national figure, and its last inspection was recent (March 2026), yet the record carries 14 deficiencies, including one at the harm level and three tied to abuse. State inspectors gave it 4 of 5 stars, but the federal quality measures come in at just 1, which is worth asking about directly.

B

77/100

Rose Haven Nursing Home

Marengo, IA · Iowa County

CMS 3/558 bedsFor-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
52%
Serious cites
0

Rose Haven runs about 15% leaner on nurse staffing than the national average, 3.29 hours per resident day against 3.86, and weekends dip roughly 11% below its own weekday coverage, which is when families tend to notice. Turnover sits at 52.1% versus 45.8% nationally, so the aides and nurses on the floor change often. The current inspection record carries 26 deficiencies, including one at the harm or jeopardy level and eight tied to abuse. A single fine of $10,062 is on file, and the last full inspection was December 11, 2025. For-profit corporate ownership, 58 beds.

B

76.5/100

Hallmark Care Center

Mount Vernon, IA · Linn County

CMS 2/555 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
n/a
Serious cites
0

Hallmark Care Center in Mount Vernon runs a 55-bed for-profit operation, and its nurse staffing sits at 3.73 hours per resident day, just under the national average of 3.86. That gap widens on weekends, when coverage drops roughly 10% below the home's own weekday level, a pattern families often notice as thinner attention on Saturdays and Sundays. The current inspection record shows 18 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent survey dates to April 2026. State health inspectors handed out 2 out of 5 stars, while quality measures and staffing each earned 3. That split tells you the care outcomes look steadier than the inspection history does.

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