209 For-Profit Nursing Homes in Iowa

Nurse hours

3.72 /day

Staff turnover

49%

Serious cites

0

Aspire of Pleasant Valley is a 44-bed for-profit home in Scott County, and the numbers tell a mixed story. Nurse staffing sits at 3.72 hours per resident day, a bit under the national average, and weekends run about 11 percent thinner than weekdays, so coverage gets lightest exactly when families tend to visit. Annual turnover of 48.5% is higher than the national figure of 45.8%. The bigger concern is the inspection record: 35 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection in August 2025. Federal ratings put health inspections and quality measures both at 2 out of 5 stars, while staffing scores 4. That gap is worth asking about directly.

Nurse hours

4.49 /day

Staff turnover

54%

Serious cites

0

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.

Nurse hours

5.38 /day

Staff turnover

97%

Serious cites

0

Arbor Springs runs 5.38 nurse hours per resident each day, well above the national average, but that number hides a problem: nearly every aide and nurse is new, with turnover at 96.8% against a national 45.8%. Weekend coverage also drops about 11% below weekday levels, so care depends on who happens to be on shift. Inspectors found 17 deficiencies on the current record, including two at the harm level and one tied to abuse, with the last visit in May 2025. The for-profit LLC behind it has clear strengths and real gaps, and the staffing score reflects that split honestly.

Nurse hours

3.42 /day

Staff turnover

63%

Serious cites

0

Great River Care Center in McGregor runs 39 beds under for-profit LLC ownership, and its recent inspections look solid, four stars for health inspections and quality measures, with the last survey in August 2025. The staffing picture is where it gets shakier. At 3.42 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly 16% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 63% is well above the 45.8% national figure, which matters for continuity of care. Five deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus a single $8,281 fine.

Nurse hours

4.58 /day

Staff turnover

57%

Serious cites

0

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.

Nurse hours

3.28 /day

Staff turnover

56%

Serious cites

0

Greenfield Rehabilitation & Health Care Center runs 46 beds under corporate ownership, and its staffing is the clearest number here: 3.28 nurse hours per resident day against a national average of 3.86. Weekends drop roughly 16% below the home's own weekday coverage, and turnover sits at 55.8%, ten points above the national rate. The inspection record shows 20 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related, and a single fine of $4,516. The last inspection was July 2025, so this picture is recent. Quality measures score well, but low staffing and high turnover are worth asking about directly before committing.

Nurse hours

3.64 /day

Staff turnover

54%

Serious cites

0

Oakview runs 3.64 nurse hours per resident day, about 6% under the national average, and weekend coverage drops roughly 17% below its own weekday level, so the hours are thinnest exactly when families tend to visit. Staff turnover sits at 54.4% against a national 45.8%, which means more than half the nursing staff left within a year, and constant replacement is hard on residents who rely on familiar faces. The current record carries 17 deficiencies, including one at the harm or jeopardy level and one abuse-related. Inspectors were last in on June 23, 2025. Corporate-owned, 60 beds.

Nurse hours

3.63 /day

Staff turnover

36%

Serious cites

0

Eagle Point runs lean on nurse staffing, 3.63 hours per resident day against a national average of 3.86, and weekends are thinner still, about 11% below what the home staffs on weekdays. That gap matters most when families visit Saturday and Sunday and wonder who's actually on the floor. On the other hand, turnover sits at 36.1%, better than the 45.8% national figure, so the aides and nurses who are there tend to stay. The inspection record is clean where it counts: nine deficiencies, none at the harm level, none tied to abuse, with the most recent survey completed in April 2026. For-profit LLC ownership, 75 beds.

Nurse hours

3.60 /day

Staff turnover

43%

Serious cites

0

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.

Nurse hours

4.23 /day

Staff turnover

65%

Serious cites

0

Rolling Green Village Care Center sits in Story County with 58 certified beds and a for-profit LLC owner. The 4.23 nursing hours per resident day runs about 10% above the national figure, which sounds good until you see weekends dip roughly 12% below the home's own weekday level, coverage you can count on Monday may not be there Saturday. Staff turnover of 65% is well past the 45.8% national average, and 16 deficiencies on record, two of them at harm or jeopardy level, carry a $14,380 fine. The last inspection was January 14, 2026. Three stars across health, quality, and staffing tell you the same thing the numbers do: adequate, not strong.

Nurse hours

4.01 /day

Staff turnover

51%

Serious cites

0

Harmony Marshalltown runs 4.01 nurse hours per resident per day, a bit above the national average of 3.86. But weekends drop roughly 9% below its own weekday staffing, and turnover sits at 50.7% against a national 45.8%. Those two facts matter more than the headline staffing number, because they mean the coverage you see on paper isn't evenly distributed. The inspection record is where the real concern lives: 46 deficiencies, 4 at harm or jeopardy level, 1 abuse-related, and a $78,878 fine. CMS gave it 1 out of 5 stars on health inspections, though quality measures came in at 3. The most recent inspection was January 2026. Corporate-owned, 72 beds.

Nurse hours

3.01 /day

Staff turnover

70%

Serious cites

0

Valley Vista runs about 3.01 nurse hours per resident per day, roughly a fifth below the national figure of 3.86, and weekend coverage dips further from its own weekday level. That thin staffing sits alongside a 70.4% annual turnover rate, well above the 45.8% national average, and a two-out-of-five CMS staffing rating. The health inspection record shows 36 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in August 2025. Quality measures score five out of five, but a limited liability for-profit operator with that turnover and those survey findings is the fuller picture.

Nurse hours

3.54 /day

Staff turnover

41%

Serious cites

0

Accura Healthcare of Spirit Lake runs 80 certified beds under corporate, for-profit ownership, and its inspection record is the weak spot: 23 deficiencies on file, including three tied to abuse and one serious enough to reach harm or jeopardy level. That produced a $34,567 fine, and the most recent inspection dates to October 2025. Staffing cuts both ways, 3.54 nurse hours per resident day sits about 8% under the national average, and weekends drop roughly 14% below the home's own weekday levels, though turnover at 40.8% is better than the 45.8% national figure. A 2/5 inspection rating against 4/5 staffing tells you where the problems concentrate.

Nurse hours

3.83 /day

Staff turnover

55%

Serious cites

0

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.

Nurse hours

4.15 /day

Staff turnover

27%

Serious cites

0

Grandview Healthcare Center runs 72 certified beds in Oelwein under for-profit limited liability ownership, and its nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average of 3.86. Weekend coverage drops about 15% below its own weekday levels, so the weekday numbers aren't the whole picture. Staff turnover is 27%, well under the national 45.8%, which matters for whether caregivers actually know the residents. The inspection record shows 12 deficiencies, none at harm or jeopardy level, but one is abuse-related. Its last inspection was April 2026, so the record is recent. Quality measure scores run low while inspection scores run high, worth asking about specific care outcomes.

Nurse hours

3.14 /day

Staff turnover

38%

Serious cites

0

Accura Healthcare of Newton East runs 54 beds under for-profit LLC ownership, and its staffing sits at 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 38.2%, actually better than the 45.8% national figure, which makes the thin hours look more like a budget decision than a retention problem. The inspection record is the harder part: 39 deficiencies, including one at harm or jeopardy level and four tied to abuse, plus a $19,744 fine. The most recent inspection was February 2026.

Nurse hours

3.93 /day

Staff turnover

48%

Serious cites

0

Accura Healthcare of South Des Moines runs 89 beds under limited liability ownership, and its staffing numbers look decent on paper, 3.93 nurse hours per resident day, a hair above the national average, though weekends drop about 13% below its own weekday coverage. The trouble sits elsewhere: 67 deficiencies on the current record, including four at the harm or jeopardy level and seven tied to abuse, with two fines totaling $52,632. Staff turnover runs 47.6%, higher than the national average, and the health inspection rating sits at 1 out of 5. The most recent inspection was July 2025, so the record is current, not stale. Good weekday staffing alone doesn't offset that inspection history.

Nurse hours

3.31 /day

Staff turnover

27%

Serious cites

0

Pinnacle Specialty Care is a 100-bed for-profit home in Cedar Falls, and the numbers point in a few different directions. Nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average, and weekends run about 8% thinner than weekdays, which is when families tend to visit and notice. Turnover, though, is genuinely low at 27.4% against a 45.8% national figure, so the people who are there tend to stay. The inspection record is the bigger concern: 20 deficiencies, one serious enough to reach harm or jeopardy level, with a $8,362 fine and a 2-star health inspection rating. That's a lot of citations for a home this size, and it's what pulls the overall picture down.

Nurse hours

3.02 /day

Staff turnover

53%

Serious cites

0

Maple Manor Village runs on 3.02 nurse hours per resident day, roughly a fifth below the national figure, and weekend coverage drops further below what it manages on weekdays. About 52.6% of staff turned over in the past year, higher than the 45.8% national rate, that's a lot of new faces for a 42-bed home. The current record shows seven deficiencies, none rising to harm or jeopardy, though two are abuse-related. Inspectors were last in on February 18, 2026, and the health inspection rating sits at 4 of 5, which is genuinely good; the staffing rating of 2 tells the other half of the story.

Nurse hours

3.86 /day

Staff turnover

63%

Serious cites

0

Salem Lutheran Home in Elk Horn runs 64 beds under corporate ownership, and its staffing numbers look solid at first glance, 3.86 nurse hours per resident day, right at the national average, with a four-star staffing rating. But weekends drop about 18% below weekday levels, and turnover sits at 63% against a national average of 45.8%, meaning most of the aides and nurses caring for residents are relatively new to the building. The health inspection record is the real concern: 46 deficiencies, including 7 tied to abuse and 3 serious enough to put residents in harm's way. State inspectors were last on site in June 2025.