166 Independent Nursing Homes in Iowa

Nurse hours

3.26 /day

Staff turnover

10%

Serious cites

0

Sunrise Hill runs lean on daily nursing hours, 3.26 per resident, roughly 15% under the national average, and weekends dip another 11% below its own weekday staffing. That's the tradeoff at a 76-bed for-profit home in rural Tama County. What stands out is retention: 10.3% turnover against a national average near 46%, meaning the aides and nurses here largely stay put, which matters more for daily care than a single staffing number. The inspection record is mostly clean (three deficiencies) but includes one harm-level and one abuse-related finding, so ask directly how those were resolved. Last inspected December 2025, so the record is current.

Nurse hours

3.27 /day

Staff turnover

38%

Serious cites

0

Karen Acres runs a tight ship on inspections and quality measures, a four-star health inspection record and five stars on clinical quality, with no deficiencies at the harm level and nothing abuse-related. The trade-off sits in daily staffing: 3.27 nurse hours per resident, roughly 15% under the national average, and weekends run about 7% thinner than weekdays. That gap matters most when a resident needs help on a Saturday afternoon. Turnover is the bright spot, 37.5% versus 45.8% nationally, so caregivers tend to stick around, which helps in a 35-bed building where everyone knows everyone. One recent inspection, June 2025, with ten deficiencies on record but none serious.

Nurse hours

3.95 /day

Staff turnover

29%

Serious cites

0

Crestview runs on solid staffing numbers, 3.95 nurse hours per resident day, a bit above the national average, with a 4-out-of-5 staffing rating and turnover at 28.6% compared to the national 45.8%. That stability matters, though weekend coverage dips about 9% below weekday levels, so care on Saturdays and Sundays may look different than midweek. The trouble sits in inspections: 19 deficiencies on the current record, three of them serious enough to put residents at harm or jeopardy, and $25,136 in fines across two penalties. Health inspection rating is 2 out of 5, quality measures 3. That combination, good hands, rough oversight history, is what pulls the overall picture down.

Nurse hours

3.46 /day

Staff turnover

21%

Serious cites

0

Colonial Manors of Columbus Community runs 39 certified beds in Louisa County under corporate for-profit ownership. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average of 3.86, and weekends dip about 8% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The tradeoff shows up in turnover: 21.2% annually against a national average of 45.8%, meaning aides and nurses here tend to stay. Inspections were recent, in July 2025, with 20 deficiencies on record, none at harm or jeopardy level, though one is abuse-related.

Nurse hours

3.91 /day

Staff turnover

24%

Serious cites

0

Golden Age Care Center runs on a modest 46 beds in Centerville under for-profit LLC ownership, and its staffing is the clearest strength here: 3.91 nurse hours per resident day sits slightly above the national average, though weekends drop roughly 18% below its own weekday coverage. Turnover runs 24.3% against a national 45.8%, meaning the aides and nurses you'd meet are more likely to still be there next year. The caution is quality measures, which score poorly, and 15 deficiencies on record, one abuse-related, none at harm level. A July 2025 inspection is recent. The staffing picture is good; the clinical report card is not.

Nurse hours

4.71 /day

Staff turnover

47%

Serious cites

0

Thomas Rest Haven runs on a city/county budget, and the staffing shows it: 4.71 nurse hours per resident day, roughly 22% above the national average. That's the strongest number here, though weekends drop about 16% below the home's own weekday coverage, so care thins out exactly when families tend to visit. The inspection record is the bigger concern. Eighteen deficiencies on file, including two at the harm level and two abuse-related, with one fine of $11,190 and a two-star health inspection rating. Turnover sits at 46.5%, essentially the national average, so continuity isn't unusual for the industry but isn't a strength. The last inspection was September 2025, so that record is recent.

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

3.88 /day

Staff turnover

39%

Serious cites

0

Thornton Manor is a 40-bed nonprofit home in Lansing, and its strongest asset is staffing. At 3.88 nurse hours per resident day, it sits essentially at the national average of 3.86, and its staff retention is meaningfully better than most: 38.5% turnover against a national 45.8%. Weekend coverage dips about 9% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. The current record shows seven deficiencies, none at the harm level and none abuse-related, with an inspection completed in April 2025. Quality measures score lower than staffing and inspections do, which is worth asking about directly.

Nurse hours

3.25 /day

Staff turnover

44%

Serious cites

0

Clearview Home runs lean on nurse staffing, 3.25 hours per resident day against a national average of 3.86, roughly 16% below. Weekends dip about 11% below what the home staffs on weekdays, so coverage thins out right when families tend to visit, though turnover at 43.8% is slightly better than the national 45.8% and suggests the workforce is at least comparatively stable. The inspection record is the stronger side: three deficiencies total, none at the harm or jeopardy level, and a recent July 2025 survey. Two of those three are abuse-related, which is worth asking about directly. Ownership is for-profit partnership.

Nurse hours

3.30 /day

Staff turnover

53%

Serious cites

0

Happy Siesta runs lean on nursing hours, 3.30 per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday staffing. That gap matters because a 52.5% annual turnover rate means many of the aides and nurses on the floor are still learning the building, and it sits well above the 45.8% national figure. The current inspection record shows six deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse. The last state visit was June 2025, so the picture is recent. Quality measures score well, but staffing hours and staff retention tell a different story than the star ratings alone suggest.

Nurse hours

3.99 /day

Staff turnover

30%

Serious cites

0

Bethany Lutheran Home has a staffing story worth noting: 3.99 nurse hours per resident day, slightly above the national average, with a 4-star staffing rating and turnover at 30.4%, well below the national 45.8%. That kind of retention matters. The problem sits elsewhere. Its inspection record shows 43 deficiencies, five at harm or jeopardy level and two abuse-related, with three fines totaling $46,914. The most recent inspection was October 2025. Quality measures land at 3 out of 5 stars, so day-to-day care indicators are middling. Strong staffing and low turnover don't cancel out a weak inspection history, ask about those harm-level findings and what's changed since.

Nurse hours

4.34 /day

Staff turnover

38%

Serious cites

0

Sunnycrest Manor is county-owned, and the numbers show a home that's better staffed than most, 4.34 nurse hours per resident day, roughly 12% above the national figure. Turnover sits at 38.4%, well under the 45.8% national average, which matters for whether your family sees the same faces month to month. The tradeoff shows up in care quality measures, where it scores near the bottom, and in 14 deficiencies on its current record, though none involved actual harm or abuse. Weekend coverage drops about 11% below weekday levels, so ask about Saturday and Sunday staffing specifically. Its last inspection was in March 2026, so the record is recent.

Nurse hours

3.97 /day

Staff turnover

40%

Serious cites

0

Denver Sunset Home runs 31 certified beds as a nonprofit, and its staffing sits slightly above the national average, 3.97 nurse hours per resident day against 3.86. Weekends dip about 9% below its own weekday levels, so ask how that gap gets covered. Annual turnover of 40% is better than the 45.8% national figure, which matters in a small building where residents see the same faces. The current inspection record shows nine deficiencies, none at the harm level and none tied to abuse, and the last inspection was recent. The 4/5 health inspection and staffing ratings carry more weight here than the 3/5 on quality measures.

Nurse hours

3.86 /day

Staff turnover

49%

Serious cites

0

Perry Lutheran Home runs 70 certified beds as a nonprofit corporation, and its staffing sits right at the national average of 3.86 nurse hours per resident day, with weekend coverage dropping roughly 7% below its own weekday levels. Turnover is 49.3%, a bit worse than the 45.8% national figure, so the faces change more often than average. The bigger issue is the inspection record: 22 deficiencies, 8 at harm or jeopardy level, and 4 abuse-related, with one fine of $16,351. A recent inspection date doesn't erase that history. If you're considering this home, ask specifically how those abuse-related findings were resolved and who supervises residents on weekends.

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

3.32 /day

Staff turnover

44%

Serious cites

0

Montrose Health Center runs 44 certified beds under corporate ownership, and its roughly 3.32 nurse staffing hours per resident day sit about 14 percent under the national average. Weekends are thinner still, dropping around 19 percent below the home's own weekday numbers, so coverage varies depending on when you visit. The inspection record is the harder read: 15 deficiencies, four of them serious enough to involve harm or jeopardy, plus one abuse-related finding and $43,079 in fines across two penalties. Last inspection was October 2025, so that picture is current. Turnover at 43.6 percent is slightly better than the national rate, and resident care measures score well, but staffing shortfalls and a heavy deficiency count are what hold this one back.

Nurse hours

3.27 /day

Staff turnover

51%

Serious cites

0

Anamosa Care Center runs a 64-bed for-profit operation in Jones County with a strong inspection history and top marks on quality measures, but the staffing picture is thinner than it should be. Nurses provide about 3.27 hours of care per resident each day, roughly 15% below the national average, and weekends drop another 17% below the home's own weekday level, so coverage gets leanest exactly when families tend to visit. Annual turnover sits at 50.9%, above the national 45.8%, meaning more than half the staff leaves each year. The current record shows eight deficiencies, including one at the harm level and one tied to abuse.

Nurse hours

3.84 /day

Staff turnover

50%

Serious cites

0

Hubbard Care Center runs a tight ship on inspections, a five-star health inspection record with just three deficiencies and none at the harm level. The one abuse-related citation and four fines totaling $46,101 are worth asking about directly. Staffing sits roughly in line with the national average, though weekends run about 11% thinner than weekdays, and turnover at 50% is above the 45.8% national figure. For a 60-bed nonprofit in Hardin County, the clinical quality measures hold up well. Ask about weekend coverage and what's driving staff departures before you decide.

Nurse hours

4.52 /day

Staff turnover

42%

Serious cites

0

Newaldaya Lifescapes runs 112 certified beds in Cedar Falls under nonprofit ownership, and its staffing is the clearest strength: 4.52 nurse hours per resident day, about 17% above the national average, with turnover at 41.6% that actually beats the 45.8% national figure. Weekends dip roughly 10% below weekday coverage, worth knowing if you're visiting then. The concern sits on the inspection side, where a 2-out-of-5 health inspection rating reflects 13 deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related citation, along with a single $132,074 fine. The most recent inspection was May 22, 2025, so the record is current rather than stale. Good staffing doesn't erase a serious citation, so ask what changed since.

Nurse hours

3.87 /day

Staff turnover

33%

Serious cites

0

Clarksville Skilled Nursing & Rehab runs 42 beds under corporate for-profit ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationwide. That's not a cushion, it's a tie, and weekend coverage dips about 15% below what the home staffs on weekdays. Turnover is where it stands out: 33.3% against a national 45.8%, meaning fewer caregivers cycling out the door than most homes. The tradeoffs show elsewhere. Ten deficiencies on record, one serious enough to reach harm or jeopardy level, and a quality measure rating of 2 out of 5. The most recent inspection was April 2026.