10 Hospital-Based Nursing Homes in Iowa

Nurse hours

4.19 /day

Staff turnover

26%

Serious cites

0

Buchanan County Health Center runs on county ownership, and the numbers that stand out most are the ones about people. Nurse staffing sits at 4.19 hours per resident day, roughly 8% above the national average, and the staff stays: turnover is 26.3% against a national rate near 46%. Weekends are leaner, though, about 19% below the home's own weekday coverage. The inspection record is mixed, 12 deficiencies, one serious enough to involve harm or jeopardy, plus a single $4,011 fine, and the last inspection was fairly recent, in March 2026. Quality and inspection ratings both came in at 4 out of 5, but those 12 deficiencies and the thin weekend hours are what pull the overall picture down.

Nurse hours

4.33 /day

Staff turnover

31%

Serious cites

0

Franklin General Hospital runs a tight ship on the numbers that matter most. Nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average, and the 30.6% turnover rate is well under the national 45.8%, experienced caregivers tend to stay. Weekend coverage dips about 17% below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The county-owned home carries 8 deficiencies, none at the harm level, though 2 are abuse-related and deserve a direct question. Inspectors were last on site in May 2025.

Nurse hours

4.78 /day

Staff turnover

24%

Serious cites

0

The Klein Center has a lot working in its favor on paper: 4.78 nurse hours per resident day is roughly a quarter more staffing than the national average, and its 23.8% turnover is about half the national rate, which suggests a stable crew. Weekend coverage slips a bit, about 10% below weekdays, so ask how that plays out on Saturdays. The trouble is the inspection record, 14 deficiencies, including two at the harm level and three tied to abuse, plus two fines totaling $65,094. Quality measures score well, but that history is recent, from May 2025.

Nurse hours

4.06 /day

Staff turnover

38%

Serious cites

0

Mercyone Dyersville Senior Care runs about 4.06 nurse hours per resident day, roughly 5% above the national average, and weekends dip about 10% below its own weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37.5%, well under the 45.8% national figure, which matters for whether your parent sees the same faces month to month. The inspection record is clean where it counts: six deficiencies total, none at the harm level and none abuse-related, with the most recent survey in November 2025.

Nurse hours

10.85 /day

Staff turnover

n/a

Serious cites

0

St. Luke's Regional Medical Center SNF is a 20-bed nonprofit unit in Sioux City, and the staffing numbers are the first thing that stand out. At 10.85 nurse hours per resident day, it runs far above the national average of 3.86, that's not a rounding difference, it's a different model of care. Weekend staffing dips about 7% below its own weekday level, worth knowing if you'll be visiting Saturdays and Sundays. On the regulatory side, the record is clean where it counts: three deficiencies total, none at the harm or jeopardy level, none abuse-related, and the last inspection was July 2025. Ownership changed within the past year, so ask how that's affected day-to-day operations.

Nurse hours

5.31 /day

Staff turnover

52%

Serious cites

0

Park Place runs on a nonprofit model with 49 beds in Mount Pleasant, and the staffing numbers stand out: 5.31 nurse hours per resident day against a national average of 3.86. That's roughly a third more hands-on time than most homes, though weekends dip about 12% below its own weekday level, so coverage isn't perfectly even. Turnover sits at 51.9%, higher than the 45.8% national figure, which means new faces cycle through fairly often. The record shows 13 deficiencies, none at the harm or jeopardy level, but two tied to abuse, worth asking about directly. Inspectors last visited in May 2025.

Nurse hours

4.02 /day

Staff turnover

21%

Serious cites

0

Nurse staffing at Hegg Memorial runs 4.02 hours per resident day, about 4% above the national average, and weekends dip roughly 14% below the home's own weekday coverage, a gap worth asking about if your family visits mainly on Saturdays and Sundays. The bigger story is retention: 21.1% annual turnover against a national average of 45.8% means aides and nurses here tend to stay, which matters more for daily care than almost anything else on paper. Eleven deficiencies sit on the current record, none at the harm level and none abuse-related, with the last inspection in November 2025. This is a nonprofit corporation in Rock Valley, and the numbers describe a stable, adequately staffed home rather than an outstanding one.

Nurse hours

4.56 /day

Staff turnover

n/a

Serious cites

0

Mercyone Centerville Medical Center is a small, church-affiliated nonprofit home in Appanoose County with just 19 certified beds. Its nurse staffing sits at 4.56 hours per resident day, roughly 18 percent above the national average, though weekend coverage drops about 11 percent below its own weekday level. That staffing strength is real, but it's offset by a two-out-of-five health inspection rating and 16 deficiencies on the current record, none at the harm or jeopardy level, and none abuse-related. The last inspection was in August 2025, so the picture is recent. Quality measures also rate two out of five. Read together: well-staffed day to day, but the inspection and quality numbers suggest care planning and clinical follow-through deserve scrutiny before you decide.

Nurse hours

3.07 /day

Staff turnover

18%

Serious cites

0

Palo Alto County Hospital runs a small 22-bed unit, and the numbers suggest it's well run. Staff turnover sits at 17.6%, very low next to the 45.8% national figure, which matters for familiarity and continuity in a place this size. The tradeoff is hours: 3.07 nurse staffing hours per resident day is about 21% under the national average, and weekends drop roughly 25% below the home's own weekday levels. One deficiency on the current record, none at harm level, no abuse findings, and a recent July 2025 inspection back that up. County-owned and financially steady, it looks like a home that keeps its people, with fewer hands on weekends.

Nurse hours

3.43 /day

Staff turnover

59%

Serious cites

0

Sanford Senior Care Sheldon runs 3.43 nursing hours per resident per day, roughly 11 percent under the national average, and weekends drop another 11 percent below its own weekday level. That thinner coverage adds up when you consider turnover: 58.9 percent of staff left over the past year, well above the 45.8 percent national rate. The inspection record is the harder part. Twenty deficiencies are on file, four of them serious enough to put residents at harm or jeopardy, including one tied to abuse. The last inspection was November 2025, so the picture is current, and a $11,872 fine is attached. This is a nonprofit home with 70 beds, and the numbers show a building struggling with both care quality and keeping people.