166 Independent Nursing Homes in Iowa

Nurse hours

3.49 /day

Staff turnover

26%

Serious cites

0

Prairie View Home runs on a smaller crew than most places, 3.49 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 12% below what the home staffs during the week. That's the tradeoff worth watching if your family member needs help on a Saturday. What offsets it is stability: turnover here sits at 25.6%, well under the 45.8% national figure, so the people showing up are likely to keep showing up. The inspection record backs that up, five deficiencies on file, none at the harm level, none abuse-related, and the most recent survey was in July 2025.

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

4.37 /day

Staff turnover

46%

Serious cites

0

Humboldt County Memorial Hospital runs a small county-owned unit, 28 beds, and the staffing numbers back up the ratings: 4.37 nurse hours per resident day, about 13% above the national average. The catch is weekends, when coverage drops roughly 17% below its own weekday level, so a fall or a change in condition on a Saturday may get a slower response than on a Tuesday. Turnover sits at 45.9%, essentially identical to the national average of 45.8%, meaning the staff you meet are about as likely to still be there next year as anywhere else. Seven deficiencies on record, none at the harm level and none abuse-related, with an inspection dated February 2026.

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

3.98 /day

Staff turnover

24%

Serious cites

0

Chautauqua Guest Home #3 in Charles City runs a tight ship. Staffing sits at 3.98 nurse hours per resident day, just above the national average, and the weekend dip is modest at around 8 percent, not the steep drop-off you see at some homes. What stands out most is the 23.8 percent turnover rate, roughly half the national figure, which suggests people actually stay. The inspection record backs that up: six deficiencies on file, none causing harm, none tied to abuse, and the most recent state visit came in July 2025. For-profit corporate ownership, 57 beds, and quality measures scoring well enough to keep this one worth a look.

Nurse hours

4.26 /day

Staff turnover

26%

Serious cites

0

Methodist Manor in Storm Lake runs on a nonprofit model, and its staffing numbers show it. At 4.26 nurse hours per resident day, it sits about 10% above the national average, and it's one of the few homes where the 5-star staffing rating reflects real retention, 25.7% turnover against a national average of 45.8% is unusually steady. Weekends dip only about 6% below weekday coverage, which matters when you're thinking about who's actually on the floor on a Sunday. The caution is in the inspection record: 21 deficiencies, including one at harm level and one abuse-related, with the most recent survey in April 2026. Strong staffing and quality measures, but the compliance history is worth asking about directly.

Nurse hours

4.19 /day

Staff turnover

31%

Serious cites

0

Calvin Community in Des Moines runs on a nonprofit model with 59 certified beds, and the staffing numbers are its strongest suit: 4.19 nurse hours per resident day, roughly 8% above the national average, with a 5/5 CMS staffing star. Weekend coverage dips about 11% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Turnover sits at 31.3% against a national average of 45.8%, meaning workers tend to stay longer here than at most homes. The tradeoff is a 3/5 inspection star with 12 deficiencies on record, though none involved harm or abuse, and one fine totaling $4,233. The last inspection was in December 2025, so the record is recent.

Nurse hours

4.35 /day

Staff turnover

35%

Serious cites

0

United Presbyterian Home runs 4.35 nurse hours per resident day, about 13 percent above the national average of 3.86. Weekend coverage drops roughly 14 percent from its own weekday level, so ask how that plays out on a Saturday. Staff turnover sits at 35.1 percent against a national 45.8 percent, which matters for how well aides know your mother's routines. The current record shows 22 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in July 2025. This is a nonprofit with strong staffing and quality marks, but those two serious citations are the reason to read the inspection reports yourself before deciding.

Nurse hours

4.33 /day

Staff turnover

34%

Serious cites

0

West Ridge Care Center runs 60 beds in Cedar Rapids under corporate ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average, though weekends dip about 9% below what the home staffs on weekdays. Turnover is 33.9%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The inspection record is thin: one deficiency total, none at the harm level, none abuse-related, with the most recent survey dated January 29, 2026. For a for-profit home, that combination of low turnover, above-average staffing, and a nearly clean survey history is not typical.

Nurse hours

4.02 /day

Staff turnover

41%

Serious cites

0

Chautauqua Guest Home #2 runs a 53-bed operation in Charles City, and the staffing numbers are the strongest part of its case. At 4.02 nurse hours per resident day, it sits about 4% above the national average, and the weekend dip of roughly 10% below its own weekday level is modest, worth knowing, but not alarming. Turnover lands at 41.3%, slightly better than the 45.8% national figure, which suggests the crew sticks around better than most. Two deficiencies on record, one serious enough to involve actual harm, is the item that deserves a direct question when you visit. The most recent inspection was September 2025, so the picture is current.

Nurse hours

5.28 /day

Staff turnover

28%

Serious cites

0

Oaknoll runs a leaner, steadier operation than most. Nurse staffing sits at 5.28 hours per resident day, roughly 37% above the national average, and weekends barely dip from that pace, only about 3% below weekday levels, which is where a lot of homes quietly cut corners. Staff turnover is 27.9%, well under the 45.8% national figure, so the people caring for residents tend to stick around. Inspections back that up: a 5/5 health inspection rating, seven deficiencies on record with none at the harm or jeopardy level and none abuse-related, and the most recent visit in September 2025. One caveat worth naming: the quality measure score is 2/5, so the clinical-outcome data isn't as strong as everything else here.

Nurse hours

4.52 /day

Staff turnover

39%

Serious cites

0

Kanawha Community Home runs a tight ship for a 26-bed for-profit in Hancock County. Nurse staffing sits at 4.52 hours per resident day, roughly 17 percent above the national average, and the health inspection record is clean where it counts: three deficiencies total, none at the harm or jeopardy level, none tied to abuse, with the last inspection in September 2025. Staff turnover lands at 38.5 percent against a national average near 46, which for this industry is stability, not churn. The one soft spot is weekends, when coverage dips about 8 percent below the home's own weekday levels. A small building with low turnover and steady weekday staffing can absorb that; families should still ask who's on duty Saturday and Sunday.

Nurse hours

5.09 /day

Staff turnover

38%

Serious cites

0

Sunrise Retirement Community runs on 5.09 nurse hours per resident day, roughly a third more than the national average, and that shows up in its staffing rating. Weekend coverage dips about 10% below weekday levels, which is common but worth knowing if your visits land on Saturdays. Staff turnover sits at 37.8%, better than the 45.8% national figure, so the people caring for residents tend to stick around longer than elsewhere. The current inspection record shows 11 deficiencies, none at the harm level and none abuse-related, with the last survey in September 2025. As a nonprofit with 74 beds, it's smaller than many, and its health inspection rating holds at 4 out of 5.

Nurse hours

4.07 /day

Staff turnover

35%

Serious cites

0

Twilight Acres runs on a nonprofit model with 39 beds in Wall Lake, and the numbers behind it look steady. Nurse staffing sits at 4.07 hours per resident day, about 6% above the national average, though weekends dip roughly 9% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Annual turnover is 34.5%, noticeably lower than the 45.8% national figure, which suggests caregivers tend to stay. The inspection record shows 7 deficiencies, none at the harm level, but one is abuse-related, so ask directly how that was resolved. Its last inspection was in December 2025, and quality measures score at the top of the federal scale.

Nurse hours

3.48 /day

Staff turnover

20%

Serious cites

0

Community Care Center in Stuart runs a tight ship on staff retention, 20.4% turnover is less than half the national average of 45.8%, which means the people caring for residents tend to stick around. That stability shows up in the quality and staffing star ratings, both 5 out of 5. The tradeoff is that daily nurse staffing sits at 3.48 hours per resident, about 10% under the national figure, and weekends dip roughly 10% below what the home itself provides on weekdays. Twelve deficiencies appear on the current record, none at the harm level, though three are abuse-related. The last inspection was December 2025, so the picture is recent.

Nurse hours

4.16 /day

Staff turnover

41%

Serious cites

0

The Gardens of Cedar Rapids runs 40 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average of 3.86. That staffing edge is the strongest thing the home has going for it, though weekend coverage dips about 12% below its own weekday level, so care can thin out when families visit. Turnover lands at 40.9%, a bit better than the 45.8% national figure. The harder reading comes from inspections: 17 deficiencies on record, 3 at harm or jeopardy level and 5 tied to abuse, with one fine totaling $19,383. The last inspection was January 22, 2026. Strong staffing, but the inspection history is what a family should ask about directly.

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

4.57 /day

Staff turnover

42%

Serious cites

0

Lutheran Retirement Home is a small church-affiliated nonprofit in Northwood, and its staffing is genuinely strong, 4.57 nurse hours per resident day, about 18 percent above the national average, with turnover at 41.9 percent, better than the 45.8 percent norm. Weekends run roughly 17 percent leaner than weekdays, so coverage isn't perfectly even. The trouble sits on the inspection side: 13 deficiencies on the current record, four of them at the harm or jeopardy level and three abuse-related, plus one fine of $24,922. That split, high staffing and quality marks alongside serious inspection findings, is worth asking the administrator about directly, particularly what changed after the February 2026 survey.

Nurse hours

4.09 /day

Staff turnover

44%

Serious cites

0

Holy Spirit Retirement Home runs on a nonprofit model with 78 certified beds, and its nurse staffing sits at 4.09 hours per resident day, about 6% above the national average of 3.86. Weekend coverage drops roughly 11% below its own weekday level, so the margins are thinner on Saturdays and Sundays. Annual turnover is 44.4%, essentially in line with the national 45.8%. The inspection record carries 30 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the most recent inspection was April 30, 2026. Quality measures score well above average while the health inspection side lags behind.

Nurse hours

4.33 /day

Staff turnover

27%

Serious cites

0

Good Neighbor Home runs a genuinely strong staffing operation for a 112-bed nonprofit in Manchester. Nurses provide 4.33 hours per resident day, about 12% above the national average, and turnover sits at 27.2% against a national 45.8%, that kind of retention matters more than any single number, because consistent caregivers know the residents. The catch is inspections: eight deficiencies on the current record, three of them serious enough to involve harm or jeopardy, with a $6,279 fine attached. State surveyors last visited in June 2025. Weekend coverage also dips roughly 14% below weekday levels, so care can thin out when families visit. Strong hands on staff, but quality measures and inspection history both sit at two stars.