166 Independent Nursing Homes in Iowa

Nurse hours

3.64 /day

Staff turnover

19%

Serious cites

0

Gracewell runs leaner on nurse hours than the typical American nursing home, 3.64 per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. What stands out more is who stays: turnover sits at 18.5% when the national figure is 45.8%, so the people caring for residents here tend to still be there next year. The inspection record backs that up, with 10 deficiencies on file, none involving harm or jeopardy and none abuse-related, and a survey as recent as August 2025. For a nonprofit home, that combination of steady staff and a clean harm record counts for more than the raw hours suggest.

Nurse hours

3.75 /day

Staff turnover

39%

Serious cites

0

Keystone Nursing Care Center runs 55 beds under corporate for-profit ownership, and its inspection record is genuinely strong, a 5-star health inspection rating with just three deficiencies on file, only one at the harm level and none tied to abuse. Quality measures also score 5 stars. Where it gives ground is staffing: 3.75 nurse hours per resident day sits about 3% under the national average, weekend coverage drops roughly 12% below its own weekday level, and the staffing rating lands at 3 stars. Turnover is the brighter spot at 38.6%, well under the 45.8% national figure. Its last inspection was September 2025.

Nurse hours

2.94 /day

Staff turnover

36%

Serious cites

0

Southeast Iowa Healthcare Center runs lean on daily nurse coverage, 2.94 hours per resident, roughly a quarter below the national figure, and weekends dip about 14% under its own weekday levels, so families should ask how that gap gets covered. What offsets it: turnover sits at 35.9%, well under the 45.8% national rate, meaning the aides and nurses who are there tend to stay. The inspection record is clean where it counts, six deficiencies with none causing harm and nothing abuse-related, and the most recent survey was in January 2026. A for-profit LLC with 55 beds, this is a stable, recently inspected home that runs thin on hours rather than on care quality.

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

4.13 /day

Staff turnover

40%

Serious cites

0

Eastern Star Masonic Home runs on 4.13 nurse staffing hours per resident day, about 7% above the national average, and turnover sits at 39.5%, lower than the 45.8% typical elsewhere. Those are real strengths. The trade-offs show up in the inspection record: 19 deficiencies, two of them abuse-related, though none rose to actual harm or jeopardy. Weekend staffing drops roughly 13% below its own weekday level, so care can thin out on Saturdays and Sundays. The last inspection was in April 2025, so the picture is reasonably current. For a 76-bed nonprofit in Boone, this reads as a generally solid home with a specific weekend and abuse-reporting pattern worth asking about directly.

Nurse hours

3.62 /day

Staff turnover

33%

Serious cites

0

Algona Manor Care Center runs 46 beds under corporate ownership, and its staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 33.3% against a national 45.8%, meaning aides and nurses here tend to stay longer than is typical. The inspection record is current (June 2025) with 12 deficiencies, none at harm or jeopardy level, though one is abuse-related, worth asking about directly. A 4/5 inspection rating and 5/5 quality measures round out a solid, if not richly staffed, picture.

Nurse hours

3.48 /day

Staff turnover

26%

Serious cites

0

Brooklyn Community Estates runs a tight ship on inspections, one deficiency on its current record, none involving harm or abuse, and a survey done just this year. Turnover tells a similar story: 25.7% is well under the national average of 45.8%, so the people caring for residents tend to stick around. Where it gives ground is daily staffing hours, which sit about 10% below the national average, and weekends run roughly 11% thinner than weekdays. That combination, steady, experienced staff but fewer of them on the floor, especially Saturdays and Sundays, is the main tradeoff here. For a 50-bed for-profit home, the compliance record is the strong part.

Nurse hours

4.78 /day

Staff turnover

28%

Serious cites

0

Friendship Village Retirement runs on a nonprofit model with 72 certified beds in Waterloo, and the staffing numbers are the clearest strength here: 4.78 nurse hours per resident day, roughly a quarter above the national average, with weekend coverage dipping only about 8% from weekday levels. Turnover sits at 28.3%, well under the national 45.8%, which matters for continuity of care. The tradeoffs show up elsewhere. Inspections in November 2025 turned up eight deficiencies, including one at the harm level and one tied to abuse, and the quality measure rating comes in at 2 out of 5, a gap worth asking about directly, since staffing strength doesn't automatically translate into clinical outcomes.

Nurse hours

4.88 /day

Staff turnover

28%

Serious cites

0

Crown Pointe Estates runs 4.88 nurse hours per resident day, well above the national average of 3.86, and the weekend drop is modest at around 12 percent. Staff turnover sits at 27.8 percent against a national figure of 45.8, meaning workers tend to stick around here longer than at most homes. The tradeoff shows up elsewhere: 18 deficiencies on the current record, though none reached harm or jeopardy level and none involved abuse, with the most recent inspection in June 2025. Quality measure scores land below average even as staffing earns top marks, so the picture is a well-staffed nonprofit that hasn't yet turned that advantage into strong clinical outcomes on paper.

Nurse hours

3.88 /day

Staff turnover

44%

Serious cites

0

Briarwood Healthcare Center runs 62 certified beds in Iowa City under corporate for-profit ownership, and the numbers hold up better than most. Nurse staffing sits at 3.88 hours per resident day, essentially level with the national average, and turnover at 43.8% actually comes in slightly under the national rate, which matters because stable staff usually means residents see familiar faces. The inspection record is the real story: eight deficiencies on file, none at the harm level, none related to abuse, and a survey completed in December 2025. For a for-profit home that size, that combination of recent, low-severity findings and steady staffing is what separates it from the pack.

Nurse hours

4.30 /day

Staff turnover

42%

Serious cites

0

Laurens Care Center runs on 4.30 nurse hours per resident day, roughly 11% above the national average, and that staffing depth is the main thing holding its record together. Weekend coverage dips about 10% below its own weekday level, so care thins out somewhat on Saturdays and Sundays. Staff turnover sits at 42.4%, a bit better than the 45.8% national figure. The inspection history is mixed: 15 deficiencies on record, none at the harm or jeopardy level, but two tied to abuse, with the last inspection dated April 2026. Pocahontas County's nonprofit home isn't coasting on reputation, it's earning its marks through consistent nurse coverage, while those abuse-related findings deserve a direct question.

Nurse hours

5.44 /day

Staff turnover

n/a

Serious cites

0

Fellowship Village sits in Inwood, a small town in Lyon County, and it's run by a nonprofit corporation, which tends to mean any surplus goes back into the building rather than out to shareholders. On paper, the care side looks solid: four stars each on health inspections and quality measures, and just six deficiencies on the current record with none rising to harm or jeopardy and nothing abuse-related. The catch is staffing, where it earns only one star, well below what you'd want for 40 residents. Inspections were recent, in November 2025, so the picture is current. The takeaway: good outcomes so far, but ask directly how many aides are on the floor during evenings and weekends.

Nurse hours

3.78 /day

Staff turnover

41%

Serious cites

0

Midlands Living Center runs 3.78 nurse hours per resident day, a bit under the national average of 3.86, and weekends dip about 13% below its own weekday staffing. Turnover sits at 40.8%, which is better than the 45.8% national figure, worth noting since consistent caregivers matter for residents who need familiar faces. The inspection record shows 16 deficiencies, none at the harm level, but one abuse-related citation stands out and deserves a direct question when you tour. The last inspection was January 2026, so the record is recent. Quality measures score well; the staffing and inspection pictures are more mixed.

Nurse hours

4.26 /day

Staff turnover

46%

Serious cites

0

Pleasantview Home runs about 66 certified beds in Kalona under nonprofit ownership, and its nurse staffing sits roughly 10% above the national average at 4.26 hours per resident day. Weekends dip about 10% below its own weekday level, so coverage is thinnest when families tend to visit. Staff turnover lands at 46%, essentially matching the national figure, which means retention is ordinary rather than a standout strength. The current record shows six deficiencies, none at the harm level and none abuse-related, with the most recent inspection dated April 2026. Quality and staffing each earned four stars from CMS, while health inspections came in at three.

Nurse hours

3.98 /day

Staff turnover

35%

Serious cites

0

Hiawatha Care Center runs 109 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.98 hours per resident day, modestly above the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover is 34.5%, meaningfully lower than the 45.8% national figure, which suggests a more stable workforce than many homes manage. The current record shows 10 deficiencies, one at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. CMS gives this home 3 stars for health inspections, 4 for quality measures, and 4 for staffing.

Nurse hours

3.68 /day

Staff turnover

n/a

Serious cites

0

Zearing Health Care runs 40 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.68 hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about another 10% below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. The inspection record shows 8 deficiencies with none at harm or jeopardy level, though 3 are abuse-related, which is worth asking about directly. Quality measures score well, and the last inspection was recent. Small Iowa home, mostly solid numbers, with weekend coverage and those abuse citations as the real questions.

Nurse hours

4.12 /day

Staff turnover

40%

Serious cites

0

The Vinton Lutheran Home runs a strong floor: 4.12 nurse staffing hours per resident day, roughly 7% above the national average, with turnover at 40% against a national 45.8%. Those are the numbers behind the top staffing rating. The problem sits in the inspection record. Thirteen deficiencies on file, two of them at harm or jeopardy level and one abuse-related, earned a 1 out of 5 inspection rating, and the most recent survey closed April 30, 2026. Weekend staffing also drops about 17% below its weekday level, so coverage thins exactly when families visit and issues tend to surface. Good people, thin margins on compliance. Ask about the plan to fix it.

Nurse hours

4.63 /day

Staff turnover

41%

Serious cites

0

Ossian Care Center runs on 4.63 nurse hours per resident day, roughly a fifth more staffing than the national average, and turnover sits below the national rate. That combination is doing most of the work in its grade. The catch is weekends, when coverage drops about 18% from weekday levels, and a health inspection record carrying 19 deficiencies, three tied to abuse, though none reached harm or jeopardy. Inspectors were last in on January 22, 2026, and the 2/5 inspection rating is the weakest part of the file. The nursing care is there; the compliance history is the question mark.

Nurse hours

3.79 /day

Staff turnover

36%

Serious cites

0

Sheffield Care Center runs 45 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86. Weekends drop about 11% below what the home staffs on weekdays, so coverage thins out when families tend to visit. Turnover is 36.1%, better than the 45.8% national figure, which matters for consistency of care. The tradeoff shows up in inspections: a 2-out-of-5 health inspection rating, 14 deficiencies on record including 2 abuse-related, and three fines totaling $17,644. The most recent inspection was August 2025. Quality and staffing measures both rate 4 out of 5, so the clinical picture looks steadier than the survey history does.

Nurse hours

3.91 /day

Staff turnover

34%

Serious cites

0

Prairie Ridge is city-and-county owned in Orange City, and the staffing numbers are the strongest thing it has going. At 3.91 nurse hours per resident day, it sits just above the national average, and weekend coverage dips only about 8% below weekdays, smaller than what many homes run. Turnover is 34%, well under the 45.8% national figure, which matters for whether you see the same faces. The tradeoff shows up elsewhere: eight deficiencies on record, none at harm level but one abuse-related, and a 2/5 on quality measures. The last inspection was April 2025, so the record is fairly current.