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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 101 to 120 of 209, best-graded first.

B

76/100

Iowa City Rehab & Health Care

Iowa City, IA · Johnson County

CMS 1/589 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
50%
Serious cites
0

Iowa City Rehab & Health Care runs 89 certified beds under for-profit LLC ownership, and its federal stars split sharply: quality measures score 4 out of 5, while inspection and staffing each land at 1. Staff turnover sits at 50%, above the 45.8% national average. The current record carries 42 deficiencies, two of them abuse-related, though none rose to the harm or jeopardy level. A May 2026 inspection is recent enough to reflect current conditions. The strong quality numbers suggest clinical care goals are being met on paper, but thin staffing and frequent turnover make that hard to sustain, and the inspection history is the number I'd weigh heaviest when deciding.

B

76/100

Westview Acres Care Center

Leon, IA · Decatur County

CMS 4/546 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
56%
Serious cites
0

Westview Acres runs a tight ship on inspections, a clean 4-star health rating, no deficiencies at the harm level, and a survey completed just months ago in June 2025. But look at the staffing math and a different picture emerges. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 14% below its own weekday coverage, which matters when a resident needs help on a Saturday night. Turnover at 55.8% is well above the 45.8% national figure, meaning caregivers cycle through faster than average. Two abuse-related deficiencies on record are worth asking about directly. The care is decent, but consistency is the open question.

B

76/100

Manor House Care Center

Sigourney, IA · Keokuk County

CMS 3/555 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
n/a
Serious cites
0

Manor House Care Center runs 55 beds in Sigourney under for-profit LLC ownership, and its nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average of 3.86, with weekends running about 15% lighter than its own weekdays. That thin weekend coverage matters more when you look at the inspection record: 14 deficiencies currently on file, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection dated May 15, 2025. CMS rates its health inspections and staffing at 2 out of 5 stars each, while quality measures come in at 4. The quality scores look better than the day-to-day staffing and oversight picture, and that gap is worth asking about directly.

B

76/100

Guttenberg Care Center

Guttenberg, IA · Clayton County

CMS 5/546 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
40%
Serious cites
0

Guttenberg Care Center runs a tight ship on inspections, zero deficiencies on its current record, none at the harm level, nothing abuse-related, and a five-star health inspection rating from CMS, with its last survey in November 2025. Staffing is thinner than average, though: 3.65 nurse hours per resident day against 3.86 nationally, and weekends run about 9% leaner than weekdays, which matters most when families visit and needs don't pause. Turnover sits at 40%, better than the 45.8% national figure, suggesting the crew that's there tends to stay. For 46 beds under limited-liability ownership, the picture is a clean inspection history paired with below-average daily coverage, worth asking the administrator how weekends are actually staffed.

B

76/100

Woodland Health And Rehabilitation

Mount Pleasant, IA · Henry County

CMS 3/562 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
33%
Serious cites
0

Woodland Health and Rehabilitation runs 62 beds in Mount Pleasant under corporate ownership, and its staffing sits about 12 percent under the national average, with weekends thinner still. That thin coverage shows up in the inspection record: 17 deficiencies, two of them serious enough to put residents in harm's way and three tied to abuse, plus roughly $34,000 in fines. The one clear bright spot is that caregivers stay longer than average here, with turnover well below the national rate. Clinical quality scores look strong on paper, but the last inspection only happened this April, so that record is fresh and unresolved.

B

76/100

The Vistas At Bettendorf

Bettendorf, IA · Scott County

CMS 3/579 bedsFor-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
54%
Serious cites
0

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.

B

75.5/100

Sunny View Care Center

Ankeny, IA · Polk County

CMS 2/594 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
44%
Serious cites
0

Sunny View Care Center in Ankeny runs 94 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.34 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends dip roughly 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 44.4% is essentially at the national average, meaning the workforce churns steadily without being an outlier either way. The bigger concern is the inspection record: 42 deficiencies on file, one serious enough to reach harm or jeopardy level, with the last inspection dated January 2026. Quality and staffing measures land mid-range, but that inspection history is what pulls the overall picture down.

B

75/100

Cedar Falls Health Care Center

Cedar Falls, IA · Black Hawk County

CMS 1/570 bedsFor-profitMedicaid
Nurse hours
2.72 /day
Staff turnover
44%
Serious cites
0

Cedar Falls Health Care Center runs 70 certified beds under for-profit LLC ownership, and its 2.72 nurse staffing hours per resident day sit roughly 30% under the national average of 3.86, a real gap when direct care time is what residents actually feel. Weekend staffing drops about 8% below weekday levels, so the leanest shifts get leaner. The inspection record is the bigger concern: 37 deficiencies, two at harm or jeopardy level and one abuse-related, with a 2/5 health inspection rating. Annual turnover at 43.8% is slightly better than the 45.8% national figure, and quality and staffing star ratings both come in at 4/5, but the January 2026 inspection and that deficiency count are what families should ask about directly.

B

75/100

Regency Park Nursing & Rehab Center Of Jefferson

Jefferson, IA · Greene County

CMS 4/546 bedsFor-profitMedicaid
Nurse hours
3.04 /day
Staff turnover
98%
Serious cites
0

Regency Park in Jefferson runs 46 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly 21% under the national average of 3.86. That shortfall gets worse on weekends, when coverage drops about 12% below the home's own weekday level. The bigger number is turnover: 97.5% annually against a national average of 45.8%, meaning the staff caring for residents turns over almost completely every year. Its record shows 24 deficiencies, one of them serious enough to reach harm or jeopardy level, though none are abuse-related. The most recent inspection was December 31, 2025, so the picture is current.

B

75/100

Pleasant Acres Care Center

Hull, IA · Sioux County

CMS 3/546 bedsFor-profitMedicaid
Nurse hours
3.02 /day
Staff turnover
31%
Serious cites
0

Pleasant Acres runs about 3.02 nurse hours per resident day, roughly 22 percent under the national average of 3.86, and weekends drop another 14 percent below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and needs don't pause. Turnover sits at 31 percent, better than the 45.8 percent national figure, so the crew that is there tends to stay. The current record shows 23 deficiencies, none at harm or jeopardy level and none tied to abuse, with the most recent inspection in February 2026. Quality measure scores lag at 2 out of 5 stars while staffing holds at 4, which tells you the care process numbers aren't keeping pace with the hours on the floor.

B

75/100

Monticello Nursing & Rehab Center

Monticello, IA · Jones County

CMS 3/575 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
50%
Serious cites
0

Monticello Nursing & Rehab runs 75 certified beds, and its nursing hours come in around 3.17 per resident day, roughly 18% under the national average of 3.86. Weekend coverage drops about 30% below what the home staffs on weekdays, which is worth asking about if your family tends to visit or need answers on Saturdays and Sundays. Annual turnover sits at 50%, a bit above the 45.8% national figure, so expect some unfamiliar faces. The inspection record is the stronger part: a 4-out-of-5 health inspection rating with 19 deficiencies on file, none at harm level, though two are abuse-related. One fine, $4,194, and a January 2026 inspection round out the picture.

B

75/100

Rehabilitation Center Of Allison

Allison, IA · Butler County

CMS 3/548 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
66%
Serious cites
0

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.

B

74.5/100

Accura Healthcare Of Knoxville, Llc

Knoxville, IA · Marion County

CMS 2/560 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
53%
Serious cites
0

Accura Healthcare of Knoxville runs 60 beds under corporate ownership, and its nurse staffing sits about 10% under the national average, roughly 3.47 hours per resident day against 3.86 nationally. Weekends are the bigger gap: coverage drops about 19% below the home's own weekday levels, and annual turnover hits 53.2% versus 45.8% nationally, so familiar faces are harder to count on. The inspection record carries 15 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $16,153. The most recent inspection was February 19, 2026, so the picture is current rather than stale. Ask about weekend staffing and how the abuse-related findings were resolved before deciding.

B

74.5/100

Careage Hills Rehabilitation And Healthcare

Cherokee, IA · Cherokee County

CMS 2/544 bedsFor-profitMedicaid
Nurse hours
3.15 /day
Staff turnover
59%
Serious cites
0

Careage Hills runs 44 certified beds in Cherokee under individual for-profit ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average of 3.86. Weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 59.3%, well above the 45.8% national figure. The inspection record shows 20 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with the most recent inspection dated March 5, 2026. Federal ratings split on this home: staffing scores well at 4 of 5, quality measures land at 3, but health inspections come in at 2 of 5.

B

74.5/100

Sunny Hill Care Center

Tama, IA · Tama County

CMS 1/557 bedsFor-profitMedicaid
Nurse hours
3.00 /day
Staff turnover
n/a
Serious cites
0

Sunny Hill Care Center runs 57 beds in Tama under for-profit LLC ownership, and its nursing hours come in at 3.00 per resident day, roughly 22% under the national average of 3.86. Weekends drop about another 10% below the home's own weekday staffing. The inspection record is the real concern: 14 deficiencies currently on file, four of them serious enough to involve harm or jeopardy, and three tied to abuse. Two fines total $24,756, and the most recent inspection was March 5, 2026. Quality and staffing measures both sit mid-range at three stars, but the health inspection rating of one star reflects what those deficiency counts show.

B

74.5/100

Hawkeye Care Center Dubuque

Asbury, IA · Dubuque County

CMS 3/580 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
n/a
Serious cites
0

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.

B

74/100

Azria Health Prairie Ridge

Mediapolis, IA · Des Moines County

CMS 1/562 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
49%
Serious cites
0

Azria Health Prairie Ridge runs 62 certified beds in Mediapolis under corporate for-profit ownership. Nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below its own weekday level, so coverage thins exactly when families tend to visit. Annual turnover is 49.2%, above the national 45.8%. The current record shows 61 deficiencies, including one at the harm or jeopardy level and four tied to abuse; the most recent inspection was August 6, 2025. CMS gives the home 1 of 5 stars on health inspections, 2 on quality measures, and 4 on staffing.

B

74/100

Rehabilitation Centers Of Independence West Campus

Independence, IA · Buchanan County

CMS 3/570 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
60%
Serious cites
0

Rehabilitation Centers Of Independence West Campus runs 70 certified beds under corporate for-profit ownership, and its nursing hours come to 3.18 per resident day, roughly 18% under the national average of 3.86. Weekends dip about 11% below its own weekday staffing, and annual turnover sits at 60.4% against a national 45.8%, meaning well over half the nursing staff leaves each year. The inspection record shows 15 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $22,740 in fines across two penalties. The most recent inspection was December 11, 2025. Families weighing this one should look hard at that deficiency history and the staffing shortfall together.

B

74/100

Park View Rehabilitation Center

Sac City, IA · Sac County

CMS 1/577 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
53%
Serious cites
0

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.

B

74/100

Rehabilitation Center Of Hampton

Hampton, IA · Franklin County

CMS 4/552 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
46%
Serious cites
0

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.

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