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.
Silver Oak runs on 3.55 nurse hours per resident day, about 8% under the national average, and weekends drop roughly 15% below its own weekday staffing. The 55.4% annual turnover is well above the 45.8% national figure, so the faces around your relative change often. Its record shows 60 deficiencies, three at harm or jeopardy level and six tied to abuse, with $29,107 in CMS fines and a one-star inspection rating; the most recent inspection was April 2026. Ownership is for-profit, a limited liability company. Quality measures score mid-range and staffing scores well on paper, but the inspection history is where the concern sits.
Granger Nursing & Rehabilitation Center runs on thinner staffing than almost anywhere else, 3.17 nurse hours per resident day against a national average of 3.86, and weekends dip about 11% below what the home manages on weekdays. That gap matters, because the workforce itself barely holds still: turnover sits at 97.2% a year, more than double the national figure, meaning the aides and nurses your family member sees are constantly new. Inspectors logged 24 deficiencies, including one abuse-related citation, though none rose to actual harm or jeopardy, and the last visit was recent. A for-profit limited liability company owns the 67-bed home. Quality scores look decent on paper, but steady hands matter more.
Heritage Specialty Care runs 171 beds in Cedar Rapids under corporate ownership, and its last inspection in May 2026 left a record of 50 deficiencies, six of them serious enough to cause harm or jeopardy. Nurse staffing sits at 3.53 hours per resident day, roughly 9 percent under the national average, and weekends drop about 8 percent below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover runs near 49 percent, a few points above average. No abuse citations appear on the record, and the single fine totals $14,365, but the inspection and quality ratings both sit at the bottom of CMS's five-point scale.
Azria Health Longview runs 100 beds in Missouri Valley under for-profit partnership ownership, and the numbers that stand out most are the inspection and quality scores, both one star out of five. Its current record carries 42 deficiencies, three of them at the level where a resident was actually harmed or put in jeopardy, and two tied to abuse. Staffing sits at 3.81 hours per resident day, just under the national average, but weekend coverage drops about 11% below its own weekday level, and annual turnover runs 60.9% against a national 45.8%. The last inspection was June 2025.
Accura Healthcare Of Shenandoah runs 42 beds under for-profit LLC ownership, and the numbers behind its D grade are worth walking through slowly. Nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average, and weekends drop about 12% below what the home itself staffs on weekdays, so coverage thins exactly when families tend to visit. Staff turnover is 60.4% against a national 45.8%, meaning most of the people caring for residents are relatively new. The current record shows 32 deficiencies, three at harm or jeopardy level and two tied to abuse, with a $8,414 fine and an inspection dated September 2025. All three CMS star ratings, health inspection, quality measures, staffing, sit at 1 out of 5.
Harmony West Des Moines runs 113 beds under corporate ownership, and the numbers explain the record. Nurse staffing sits at 3.59 hours per resident day against a national average of 3.86, and weekends dip roughly 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Staff turnover is 58.9%, well above the 45.8% national figure, which makes consistent care hard to sustain.
The inspection history is the heavier problem: 46 deficiencies on the current record, including one at the harm level and five tied to abuse. The health inspection rating is 1 out of 5, with the most recent inspection dated March 5, 2026. Quality measures score better at 3 out of 5, but that sits alongside a 2 out of 5 for staffing.
Harmony Waterloo runs 88 certified beds under for-profit LLC ownership, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average, and weekends dip about 10 percent below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection history is the bigger concern: 21 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse. One fine totaling $95,440 has been issued, and turnover runs 48.8 percent. The most recent inspection was January 14, 2026.
Harmony Dubuque runs on thinner nurse coverage than most homes, 3.39 hours per resident day against a national average of 3.86, and weekends dip about 8% below what the home itself staffs on weekdays. That gap matters most when a resident needs help on a Saturday, and it's harder to absorb when more than seven in ten workers leave over a year, well above the 45.8% national rate. On inspections the home has drawn a two-star rating, with 33 deficiencies on record, three serious enough to cause harm and one tied to abuse, plus two fines totaling $19,371. Its last inspection was January 14, 2026.
Embassy Rehab and Care Center runs 60 certified beds in Sergeant Bluff under for-profit LLC ownership, and the staffing picture is mixed. Nurses provide 3.51 hours per resident day, about 9% under the national average of 3.86, and weekends drop roughly 18% below the home's own weekday coverage. Annual turnover sits at 54.2%, well above the 45.8% national figure. Inspections tell the heavier story: 27 deficiencies on the current record, four of them abuse-related, though none rose to harm or jeopardy level, and the health inspection rating lands at 2 out of 5. A recent inspection date of May 2026 means the record is current, not stale.
Casa De Paz runs about 2.79 nurse hours per resident day, roughly 28% under the national average of 3.86, and weekends drop another 25% below its own weekday staffing. That thin coverage shows up in the numbers: a 2/5 CMS staffing rating, 60.3% annual turnover against a national 45.8%, and 36 deficiencies on record, including two tied to abuse. No deficiencies were flagged at the harm or jeopardy level, and the 4/5 quality measure rating suggests some clinical measures are being met. But with a for-profit LLC structure, a recent April 2026 inspection, and a 2/5 health inspection rating, the staffing pattern is the thing to ask about directly before deciding.
Oakland Manor runs on 3.05 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage drops about 15% below what it manages during the week. That thin staffing sits alongside a one-star health inspection rating and 68 deficiencies on the current record, including three at the harm or jeopardy level and 11 tied to abuse. Federal regulators have placed it in the Special Focus Facility program, the toughest track CMS uses, and the home carries a $15,593 fine. Ownership is for-profit through a limited liability company. The last inspection was January 8, 2026.
Heritage Care and Rehabilitation Center runs 71 certified beds in Mason City under corporate for-profit ownership. The staffing numbers are where the concern sits: 3.33 total nurse hours per resident day, roughly 14 percent below the national average of 3.86, and weekends drop about 17 percent below the home's own weekday staffing. That thin coverage lines up with a 1-out-of-5 CMS staffing rating.
The current inspection record shows 7 deficiencies, including 1 at the harm or jeopardy level and none tied to abuse. The last inspection was August 14, 2025, so the findings are recent. Quality measures score 2 out of 5. If you're weighing this home against others nearby, the staffing pattern and that harm-level deficiency are the two things worth asking about directly.
Accura Healthcare Of Marshalltown is a for-profit, 84-bed home in Marshall County, and its record is thin in the places that matter most. Nurse staffing runs 3.60 hours per resident day, about 7% under the national average, and drops roughly another 10% on weekends, which is when families often visit and notice. The current inspection record carries 42 deficiencies, including three at the harm or jeopardy level and four tied to abuse, and the latest inspection was March 2026. Staff turnover, at 42.3%, is actually slightly better than the national 45.8%, so the problem isn't retention alone; it's what's happening on the floor and in the survey record.
Accura Healthcare of Cascade sits in a small Dubuque County town with 46 certified beds, run by a for-profit limited liability company. The staffing numbers are the strong point: 4.26 nurse hours per resident day, roughly 10% above the national average, and turnover at 30.6% beats the 45.8% national figure. Weekends run about 11% leaner than weekdays, which is common but worth knowing. The trouble is on the inspection side, where the health inspection rating lands at 2 out of 5. Five deficiencies are on the current record, including one at the harm or jeopardy level and one abuse-related. The last inspection was in May 2025. Good staffing can't fully offset a harm-level finding. Ask what happened and what changed.
Maquoketa Care Center runs 46 beds under for-profit LLC ownership, and its last full inspection was in May 2025, recent enough that the findings are worth reading closely. That record carries six deficiencies, including one at the harm or jeopardy level and one tied to abuse. It's not a long list, but those two categories matter more than the count suggests.
Staffing sits at 3.42 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends run about 10% thinner than weekdays. Annual turnover is 50%, a few points above the national 45.8%. Inspections scored well; the day-to-day staffing numbers are where this home looks more ordinary.
Perry Lutheran Homes Eden Acres sits in Dallas County with 57 certified beds and a for-profit LLC owner. The staffing picture is mixed: 3.43 nurse hours per resident day lands about 11% under the national average, and weekends run roughly 15% lighter than weekdays, but turnover at 36.2% beats the national 45.8%, a sign this home can hold onto aides better than most. What stands out is the inspection record: six deficiencies, two at harm or jeopardy level and two tied to abuse, plus a $9,110 fine, with the most recent inspection in June 2025. Those harm-level and abuse findings are the kind regulators treat seriously, and they're the real weight on this home's record.
Azria Health Winterset runs 65 beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 42.9% is slightly better than the 45.8% national figure, but the inspection record is the bigger concern: 30 deficiencies, one of them serious enough to reach harm or jeopardy level. That March 2026 inspection is recent, and the two-out-of-five ratings on health inspections, quality measures, and staffing all point the same direction.
Country Lane Manor runs on thin staffing: 3.22 nurse hours per resident day, roughly 17 percent under the national average, and weekends dip about 10 percent below its own weekday levels. That's the kind of gap that shows up as unanswered call lights. Turnover sits at 62.1 percent against a 45.8 percent national figure, so the aides who know your mother's routines keep leaving. The inspection record is the harder read: 57 deficiencies, five serious enough to put residents in harm's way, two tied to abuse, and a $59,150 fine, with the last state visit in August 2025. Ownership is for-profit, through a limited liability company. The quality star rating of 4 out of 5 is real, but it measures a narrow slice of care.
Colonial Manor Of Elma runs 40 beds under for-profit LLC ownership, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 62.2% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 16 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, with $44,768 in fines across two penalties and a February 2026 inspection.
Oskaloosa Care Center runs 83 certified beds under corporate for-profit ownership, and the numbers raise real questions. Nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, and weekends drop roughly another 10% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 62.6% against a national average of 45.8%, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 30 deficiencies, including two at the harm or jeopardy level and three tied to abuse, plus a $45,354 fine. The most recent inspection was June 19, 2025.
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?